Kim Ko-Un, Kim Soo-Han, An Tae-Gyu
Rehabilitation Science, Daegu University, Republic of Korea.
Department of Physical Therapy, College of Health Medicine, Kaya University, Republic of Korea.
J Phys Ther Sci. 2017 Jun;29(6):1036-1039. doi: 10.1589/jpts.29.1036. Epub 2017 Jun 7.
[Purpose] The present study aimed to investigate the effects of repetitive transcranial magnetic stimulation (rTMS) on visual perception, depression, and activities of daily livings (ADLs) in stroke patients. [Subjects and Methods] Forty-four stroke patients were divided equally into an experimental group that underwent rTMS and a control group that underwent mock rTMS. Changes in patient visual perception, depression, and ADLs were evaluated. All subjects underwent treatment for 20 minutes, 5 times per week, for 4 weeks. Beck Depression Inventory (BDI), Motor-free Visual Perception Test (MVPT) and Functional Independent Measurement (FIM) were respectively used to assess depression, visual perception and ADLs. [Results] The experimental group showed significant improvements in depression, visual perception, and ADLs between week 1 and 4, between week 1 and 8, and between week 4 and 8. Meanwhile, the control group showed no differences between week 1 and 4, and although, like in the experimental group, a significant difference was observed in depression and visual perception between Week 1 and 8, there was no significant difference in ADLs. [Conclusion] These demonstrate that rTMS has a positive impact on visual perception, depression, and ADLs.
[目的]本研究旨在探讨重复经颅磁刺激（rTMS）对脑卒中患者视觉感知、抑郁及日常生活活动（ADL）的影响。[对象与方法]44例脑卒中患者被平均分为接受rTMS的实验组和接受模拟rTMS的对照组。评估患者视觉感知、抑郁及ADL的变化。所有受试者每周接受5次、每次20分钟的治疗，共治疗4周。分别采用贝克抑郁量表（BDI）、无运动视觉感知测试（MVPT）和功能独立性测量（FIM）来评估抑郁、视觉感知和ADL。[结果]实验组在第1周与第4周之间、第1周与第8周之间以及第4周与第8周之间，抑郁、视觉感知和ADL均有显著改善。同时，对照组在第1周与第4周之间无差异，并且虽然与实验组一样，在第1周与第8周之间抑郁和视觉感知有显著差异，但ADL无显著差异。[结论]这些结果表明rTMS对视觉感知、抑郁和ADL有积极影响。
