Effects of repetitive transcranial magnetic stimulation over the supplementary motor area on balance and postural control in stroke patients: a randomized controlled trial.

IF 2.5 4区医学 Q1 REHABILITATION

Topics in Stroke Rehabilitation Pub Date : 2025-09-04 DOI:10.1080/10749357.2025.2553596

Hanhong Jiang, Wangqingyuan Wang, Saiqing Ye, Huiyan Song, Qiang Gao

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引用次数: 0

Abstract

Objective: To investigate the effects of 10 Hz repetitive transcranial magnetic stimulation (rTMS) targeting the supplementary motor area (SMA) on balance and postural control in patients with stroke.

Methods: In this randomized controlled trial, 40 patients withbalance disorders were randomly assigned to either the transcranial magneticstimulation (TMS) group (n = 20) or the sham group (n = 20). Both groups underwent a two-week standardized physical therapy. Before each session, the TMS groupreceived 10 Hz, 1000pulses of TMS over the SMA, while the sham group receivedsham stimulation. The primary outcome was the Berg Balance Scale (BBS).Secondary outcomes included the Trunk Impairment Scale (TIS), PosturalAssessment Scale for Stroke Patients (PASS), active motor threshold (AMT) andmotor evoked potential (MEP) amplitude. Measurements were taken before andafter 10 sessions of interventions. The analysis used a 2 × 2 mixed repeatedmeasures ANOVA to assess the effects of the interventionswithin groups and between subjects.

Results: There were statistically meaningful group-by-timeinteractions on the BBS (p = 0.001, F = 31.25), TIS (p = 0.002, F = 24.62) and PASS (p = 0.001, F = 13.02). No significant group effect orgroup-by-time interaction was detected for AMT and MEP amplitude.

Conclusion: The study suggests that the applying 10 Hz rTMS over theSMA can significantly enhance balance and postural control in patients withstroke.

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重复经颅磁刺激辅助运动区对脑卒中患者平衡和姿势控制的影响：一项随机对照试验。

目的：探讨针对辅助运动区（SMA）的10hz重复经颅磁刺激（rTMS）对脑卒中患者平衡和姿势控制的影响。方法：在本随机对照试验中，40例平衡障碍患者随机分为经颅磁刺激组（n = 20）和假手术组（n = 20）。两组都进行了为期两周的标准化物理治疗。每次治疗前，经颅磁刺激组在SMA上接受10 Hz， 1000次脉冲的经颅磁刺激，而假手术组则接受假手术刺激。主要评价指标为伯格平衡量表（BBS）。次要结果包括躯干损伤量表（TIS）、卒中患者体位评估量表（PASS）、主动运动阈值（AMT）和运动诱发电位（MEP）幅度。在10次干预之前和之后进行测量。分析使用2 × 2混合重复测量方差分析来评估组内和受试者之间的干预效果。结果：BBS （p = 0.001, F = 31.25）、TIS （p = 0.002, F = 24.62）、PASS （p = 0.001, F = 13.02）的分组时间交互有统计学意义。AMT和MEP振幅没有明显的组效应或组时间相互作用。结论：10 Hz rTMS应用于theSMA可显著提高脑卒中患者的平衡和姿势控制能力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Topics in Stroke Rehabilitation 医学-康复医学

CiteScore

5.10

自引率

4.50%

发文量

审稿时长

6-12 weeks

期刊介绍： Topics in Stroke Rehabilitation is the leading journal devoted to the study and dissemination of interdisciplinary, evidence-based, clinical information related to stroke rehabilitation. The journal’s scope covers physical medicine and rehabilitation, neurology, neurorehabilitation, neural engineering and therapeutics, neuropsychology and cognition, optimization of the rehabilitation system, robotics and biomechanics, pain management, nursing, physical therapy, cardiopulmonary fitness, mobility, occupational therapy, speech pathology and communication. There is a particular focus on stroke recovery, improving rehabilitation outcomes, quality of life, activities of daily living, motor control, family and care givers, and community issues. The journal reviews and reports clinical practices, clinical trials, state-of-the-art concepts, and new developments in stroke research and patient care. Both primary research papers, reviews of existing literature, and invited editorials, are included. Sharply-focused, single-issue topics, and the latest in clinical research, provide in-depth knowledge.