Effect of acupressure combined with repetitive transcranial magnetic stimulation on the motor function recovery after stroke: a prospective randomized controlled study / 国际脑血管病杂志

ABSTRACT

Objective:To investigate the effect of acupressure combined with repetitive transcranial magnetic stimulation (rTMS) on the motor function recovery after stroke.Methods:Patients with post-stroke hemiplegia treated with rehabilitation in Beijing Tongzhou District Integrated Traditional Chinese and Western Medicine Hospital from February 2020 to May 2022 were enrolled prospectively. They were randomly divided into acupressure + rTMS group and rTMS group according to the random number table method. All patients were given routine rehabilitation training and drug intervention after admission. The rTMS group was treated with high-frequency rTMS on the dorsolateral prefrontal cortex of the affected sides, and the acupressure + rTMS group conducted acupressure on the basis of the rTMS group. The treatment time was 6 weeks for both groups. Before and after treatment, Berg Balance Scale (BBS), Fugl-Meyer Assessment (FMA) and Wolf Motor Function Test Scale (WMFT) were used to evaluate motor function.Results:A total of 112 patients were enrolled in the study, including 56 patients in the acupressure + rTMS group and 56 patients in the rTMS group. The BBS score, FMA score and WMFT score in both groups after treatment were significantly improved than those before treatment ( P<0.001), but the BBS score, FMA score and WMFT score in the acupressure + rTMS group after treatment were significantly higher than those in the rTMS group ( P<0.001). Conclusion:The application of acupressure combined with rTMS can promote the recovery of motor function after stroke, and the treatment effect is significant.