高频重复经颅磁刺激联合悬吊训练治疗不完全性脊髓损伤的临床研究

doi:10.20047/j.issn1673-7210.2023.28.23

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Abstract Objective To analyze the efficacy of high-frequency repetitive transcranial magnetic stimulation (HF rTMS) combined with suspension exercise training (SET) in the treatment of incomplete spinal cord injury (ISCI). Methods According to the random number table method, a total of 90 patients with ISCI admitted to Traditional Chinese Medicine Hospital of Lu’an from December 2021 to October 2022 were divided into a combination group (45 cases) and control group (45 cases). SET intervention was given to the control group, and HF rTMS intervention was added to the combined group on the basis of the control group. Both groups were treated for four weeks. The clinical effect was evaluated, and the changes of the score of function independent measure (FIM), simplified McGill pain questionnaire (SF-MPQ), Barthel index (BI), Berg balance scale (BBS), ASIA-lower extremity muscle function score (ASIA-LEMS), and gait parameters were compared before and after the intervention. Results The clinical effect of the combined group was better than that of the control group, and the difference was statistically significant (P＜0.05). After intervention, FIM and BI scores of the two groups were higher than those before intervention, while those of the combined groups were higher than those of the control group, and the differences were statistically significant, and the differences were statistically significant (P＜0.05). After intervention, the SF-MPQ scores of the two groups were lower than those before intervention, while those of the combined group were lower than those of the control group, and the differences were statistically significant (P＜0.05). After intervention, the BBS and ASIA-LEMS scores of the two groups were higher than those before treatment, while those of the combined groups were higher than those of the control group, and the differences were statistically significant (P＜0.05). After intervention, the step length, step speed and step frequency of the two groups were higher than those before intervention, while those of the combination group were higher than those of the control group, and the differences were statistically significant (P＜0.05). Conclusion HF rTMS combined with SET is effective in the treatment of ISCI patients, which can improve the functional independence of spinal cord, balance ability and independent living ability, and reduce the degree of neuropathic pain.

Key words： High-frequency repetitive transcranial magnetic stimulation Suspension training Incomplete spinal cord injury Neuralgia Clinical efficacy

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	TANG Yan1 CHEN Jiaping1 LI Xiaofan1 XU Min1 WANG Linjuan1 WANG Lin1 TU Yuanbao2

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TANG Yan1 CHEN Jiaping1 LI Xiaofan1 XU Min1 WANG Linjuan1 WANG Lin1 TU Yuanbao2. Clinical study of high-frequency repetitive transcranial magnetic stimulation combined with suspension exercise training in treatment of incomplete spinal cord injury[J]. 中国医药导报, 2023, 20(28): 105-109.

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https://www.yiyaodaobao.com.cn/EN/10.20047/j.issn1673-7210.2023.28.23 OR https://www.yiyaodaobao.com.cn/EN/Y2023/V20/I28/105

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