Effect of repetitive transcranial magnetic stimulation combined with balance training on improving balance function in patients with Parkinson’s disease: A randomized controlled trial

Article type: Research Article

Authors: Liao, Jiaquan^{a; *} | Wu, Bo^a | Yang, Zhen^b | Tang, Changmin^a

Affiliations: [a] Central Hospital of Enshi Tujia and Miao Autonomous Prefecture, Enshi, China | [b] Tianyou Hospital Affiliated to Wuhan University of Science and Technology, Wuhan, China

Correspondence: [*] Corresponding author: Jiaquan Liao, Central Hospital of Enshi Tujia and Miao Autonomous Prefecture, Enshi, China. Tel.: +86 15971769555; E-mail: [email protected].

Abstract: BACKGROUND:An increasing amount of research has supported the positive role of repetitive transcranial magnetic stimulation(rTMS) in improving functional impairments in Parkinson’s patients. PURPOSE:To explore the effectiveness of using rTMS n and Balance Apparatus training to improve the balance function of Parkinson’s patients. METHODS:Patients were divided into 3 groups of 20 patients in each. All patients received routine rehabilitation training. The rTMS group received low-frequency rTMS therapy, while the balance apparatus group incorporated balance apparatus exercises. The observation group received both interventions. The three groups of patients were assessed at baseline and after 8 weeks of treatment using the Unified Parkinson’s Disease Rating Scale (UPDRS) motor section, Berg balance scale (BBS), Time up and go test (TUGT), and Activities-Specific Balance Confidence (ABC) scales. Additionally, all participants were tested for movement ellipse area, and Average Trace Error (ATE) using the balance apparatus. RESULTS:The observation group achieved better treatment results. The UPDRS score was better than that of the balance apparatus group after treatment, and the ABC score was superior to other two group. Moreover, the observation group outperformed the other two group in terms of motion length, and open-eye elliptical area, with statistical significance. CONCLUSIONThe combined application of TMS and Balance Apparatus training effectively improves enhances balance function, and boosts self-confidence in balance perception among Parkinson’s patients.

Keywords: Low-frequency repetitive transcranial magnetic stimulation, balance training, Parkinson’s disease

DOI: 10.3233/PPR-230842

Journal: Physiotherapy Practice and Research, vol. 45, no. 1, pp. 67-75, 2024