Evaluation of the efficacy of transcranial magnetic stimulation combined with mirror therapy in the reconstruction of upper limb motor function after stroke
经颅磁刺激联合镜像疗法对脑卒中后上肢运动功能重建的疗效评价

摘要

目的 将经颅磁刺激（rTMS）联合镜像疗法（MT）用于脑卒中患者中，探究其对重建患者上肢运动功能的价值。方法 选取2024年6月-2025年6月本院收治的102例脑卒中患者，随机分组，对照组51例行常规康复治疗，观察组51例行rTMS联合MT治疗，对两组治疗结果进行比较。结果 治疗前，两组FMA-UE、ARAT评分比较，不具显著差异（P>0.05），治疗后，观察组各上肢功能评分均较治疗前明显升高，且组间对比观察组各上肢功能评分更高（P<0.05）；治疗前，两组MBI评分比较，不具显著差异（P>0.05），治疗后，观察组MBI评分更高（P<0.05）。结论 对脑卒中患者来说，应用rTMS联合MT治疗可有效促进患者上肢运动功能恢复，并提高日常生活运动能力，促进尽快康复，具有较高应用价值。

Abstract

Objective To investigate the value of transcranial magnetic stimulation (rTMS) combined with mirror therapy (MT) in the reconstruction of upper limb motor function in patients with stroke.
Methods A total of 102 patients with stroke admitted to our hospital from June 2024 to June 2025 were selected and randomly divided into a control group (51 cases) receiving routine rehabilitation treatment and an observation group (51 cases) receiving rTMS combined with MT treatment. The treatment outcomes of the two groups were compared.
Results Before treatment, there was no significant difference in FMA-UE and ARAT scores between the two groups (P>0.05). After treatment, the upper limb function scores of the observation group were significantly higher than those before treatment, and the upper limb function scores of the observation group were higher than those of the control group (P<0.05). Before treatment, there was no significant difference in MBI scores between the two groups (P>0.05). After treatment, the MBI score of the observation group was higher (P<0.05).
Conclusion   For patients with stroke, the application of rTMS combined with MT treatment can effectively promote the recovery of upper limb motor function, improve daily living motor ability, and promote early rehabilitation, which has high application value.