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Efficacy of Transcranial Magnetic Stimulation Combined with Whole-Body Vibration Training in the Treatment of Swallowing, Cognitive, and Lower Limb Function in Stroke Patients |
LI Aijing, WANG Jingmin, JIN Fang |
Department of Rehabilitation Medicine, Hebi People's Hospital, Hebi Henan 458030 |
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Abstract 【Objective】 To explore the effects of transcranial magnetic stimulation (TMS) combined with whole-body vibration training (WBVT) on swallowing, cognitive, and lower limb function in stroke patients.【Methods】 A total of 126 stroke patients were randomly divided into two groups: the control group (63 patients) and the observation group (63 patients). Patients in the control group received conventional treatment, while those in the observation group received TMS combined with WBVT on top of conventional therapy. After 4 weeks of treatment, the differences in swallowing function [Standardized Swallowing Assessment (SSA), Penetration-Aspiration Scale (PAS)], cognitive function [Mini-Mental State Examination (MMSE), Montreal Cognitive Assessment (MoCA)], and lower limb function [Berg Balance Scale (BBS), Holden Ambulation Index (FAC)] and levels of serum albumin (ALB), hemoglobin (Hb), homocysteine (Hcy), and VILIP-1 were compared between the two groups.【Results】After treatment, swallowing function, cognitive function, and lower limb function significantly improved in both groups (P<0.05). The observation group showed significantly lower SSA and PAS scores and significantly higher scores of MMSE, MoCA, BBS, and FAC compared to the control group (P<0.05). Serum ALB and Hb levels in the observation group were significantly higher than those in the control group, while Hcy and VILIP-1 levels in the observation group were significantly lower than those in the control group (P<0.05).【Conclusion】TMS combined with WBVT can effectively improve swallowing function, cognitive function, and lower limb function in stroke patients, thereby enhancing their quality of life.
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Received: 19 June 2024
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