Effects of in chemic stroke li danwang ti nese medicine 2

630 Internal Medicine Dec.2022 Vol.17 No.6

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[ARaAS)] R 743.31 [XMMRINH„HI] A [37S 4R=)] 1673-7768( 2022) 06-0630-04
DOI: 10.16121 /j.cnki.cn45-1347 /r.2022.06.10

Effects of intermittent theta burst magnetic stimulation on swallowing function , cognitive
function , and cortical excitability of dysphagia patients after ischemic stroke
LI Dan' , WANG Tingting’ , SHEN Qiuyue®
1 Rehabilitation Ward ,2 Department of Neurology ,3 Department of Critical Care Medicine ,
Zhoukou Hospital of Traditional Chinese Medicine , Zhoukou 466000 , Henan Province , China

[Abstract] Objective To investigate the effects of intermittent theta burst magnetic stimulation ( iTBS) on
swallowing function , cognitive function , and cortical excitability of dysphagia patients after ischemic stroke. Methods total of 89 dysphagia patients after ischemic stroke were selected and randomly divided into a control group (44 cases) or an
observation group ( 45 cases). The control group underwent pseudo low-frequency repetitive transcranial magnetic
stimulation , while the observation group underwent iTBS , and both groups were treated for 2 weeks. The swallowing function ,
cognitive function , and cortical excitability before and after treatment were compared between the two groups. Results Be-
fore treatment , there was no statistically significant difference in standardized swallowing assessment ( SSA) scale score ,
Functional Oral Intake Scale ( FOIS) score , or Kubota water drinking test grade between the two groups ( all P>0.05) . After
2 weeks of treatment , the SSA scale score and the Kubota water drinking test grade in the observation group were lower than
those in the control group , and the FOIS score was higher than that in the control group ( all P<0.05) . Before treatment ,
there was no statistically significant difference in the Mini-Mental Status Examination ( MMSE) scale score or the Montreal

Cognitive Assessment ( MoCA) scale score between the two groups (all P>0.05) . After 2 weeks of treatment , the MMSE and
MoCA scales scores in the observation group were higher than those in the control group ( all P<0.05) . Before treatment ,
there was no statistically significant difference in resting motor threshold (RMT) on the affected side or motor evoked poten-

tial ( MEP) between the two groups (all P>0.05) . After 2 weeks of treatment , the RMT on the affected side and MEP in the
observation group were higher than those in the control group ( all P<0.05). Conclusion The iTBS treatment can improve
cortical excitability , swallowing function and cognitive function in dysphagia patients after ischemic stroke.

[Key words] Intermittent theta burst magnetic stimulation; Ischemic stroke; Dysphagia; Cognitive function; Cortical
layer; Excitability

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