Transcranial Magnetic Stimulation Combined with Mirror Visual Feedback TrainingImproves the Clinical Effect of Unilateral Neglect after Stroke

Abstract

Objective To explore the clinical efficacy of transcranial magnetic stimulation combined with mirror visual feedback training system in the treatment of unilateral neglect after stroke. Methods A total of 60 post-stroke unilateral neglect patients in the rehabilitation medicine department of Shanghai Tongren Hospital from January 2021 to December 2022 were selected as the study objects.They were divided into control group and combined group by random number table method,with 30 cases in each group.The control group received transcranial magnetic stimulation therapy,and the combined group received transcranial magnetic stimulation combined mirror visual feedback training.Montreal cognitive assessment(MoCA) scale score,Chinese behavioral inattention test-Hong Kong(CBIT-HK) score,Catherine-Bogo Scale(CBS),and Modified Barthel index(MBI) score were compared between the two groups before treatment and 4 weeks after treatment. Results After treatment,MoCA score,CBIT-HK score and MBI score in combined group were higher than those in control group(P<0.05),the CBS score of the combined treatment group was lower than that of the magnetic stimulation group(P<0.05). Conclusion Transcranial magnetic stimulation combined with mirror visual feedback training can better improve post-stroke unilateral neglect.

Keywords

• stroke
• unilateral neglect
• transcranial magnetic stimulation
• mirror visual feedback