Effect of tactile vibration feedback training combined with 1 Hz repetitive transcranial magnetic stimulation on stroke patients with hemiplegia

Objective To analyze the effects of tactile vibration feedback training combined with 1 Hz repetitive transcranial magnetic stimulation on limb balance and walking ability of stroke patients with hemiplegia. Methods From August 2021 to August 2023, 98 patients with stroke and hemiplegia who were diagnosed and treated in Daxing District People's Hospital were selected and divided into training group and stimulation group according to different treatment schemes with 49 in each. The training group was given tactile vibration feedback training, and the stimulation group was given tactile vibration feedback training combined with 1 Hz repetitive trans-cranial magnetic stimulation. The clinical symptoms, ability of keeping balance and walk, life situation and curative effect of the two groups were analyzed. Results After 8 weeks of treatment, the scores of mouth and drooling points, language impairment points, and hemiparalysis points in the two groups were all lower than those before treatment (P＜0.05), and the above indexes in the stimulation group were even lower than those in the training group (P＜0.05). After 8 weeks of treatment, the scores of Lindmark Balance Reaction, Berg Balance scale (BBS), stride length, 10-meters maximum walking speed(10 mMWS), Barthel index(BI) and Functional Independence Measure(FIM) in both groups were higher than those before treatment (P＜0.05), and the above indexes in the stimulation group were higher than those in the training group(P＜0.05). After 8 weeks of treatment, the total effective rate in the stimulation group (91.84%) was higher than that in the training group (69.39%)(P＜0.05). Conclusions Tactile vibration feedback training plus 1 Hz repetitive trans-cranial magnetic stimulation can significantly alleviate the clinical symptoms of stroke patients with hemiplegia and can improve their ability of keeping balance, walking and management of daily life.