精准医学杂志 (Apr 2023)
EFFECT OF MIRROR THERAPY AFTER INTERMITTENT THETA BURST STIMULATION ON MOTOR FUNCTION OF THE UPPER LIMBS AND SELF-CARE ABILITY OF DAILY LIVING IN PATIENTS WITH STROKE
Abstract
Objective To investigate the effect of mirror therapy (MT) after intermittent Theta burst stimulation (iTBS) on the motor function of the upper limbs and self-care ability of daily living in patients with stroke. Methods A total of 45 patients with stroke who were hospitalized in Department of Rehabilitation Medicine, Weihai Municipal Hospital, from April 2020 to May 2021 were randomly divided into control group, iTBS group, and combined group, with 15 patients in each group. All three groups received routine rehabilitation therapy and occupational therapy; the patients in the iTBS group received iTBS before occupational therapy, and those in the combined group received iTBS and MT before occupational therapy. Fugl-Meyer Upper Limb Motor Assessment (UL-FMA) scale and Action Research Arm Test (ARAT) were used to evaluate the motor function of the upper limbs, and modified Barthel index (MBI) was used to evaluate the activities of daily living. The three groups were compared in terms of the above indicators before treatment and after 4 weeks of treatment. Results There were no significant differences in UL-FMA, ARAT, and MBI scores between the three groups before treatment (P>0.05), and there were significant increases in UL-FMA, ARAT, and MBI scores after 4 weeks of treatment (t=4.320-28.441,P<0.05). There were significant differences in the changes in UL-FMA, ARAT, and MBI scores after treatment between the iTBS/combined groups and the control group (t=3.307-6.592,P<0.05), and there were also significant differences between the iTBS group and the combined group (t=2.248-2.824,P<0.05). Conclusion The combination of iTBS and MT can significantly improve the motor function of the upper limbs and the self-care ability of daily living in patients with stroke, and thus it is recommended for clinical application.
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