| Objective: To explore the impacts of dynamic and static balance rehabilitation training combined with low-frequency repetitive transcranial magnetic stimulation (rTMS) on limb function and lower limb muscle strength in patients with post-stroke hemiplegia. Methods: A total of 62 patients with post-stroke hemiplegia in our hospital (August 2022 to January 2024) were selected as the study subjects and randomly separated into rTMS group (31 cases) and joint group (31 cases). Both groups received routine rehabilitation training, the rTMS group received 1Hz repetitive transcranial stimulation on the top of routine treatment; and the joint group received dynamic and static balance rehabilitation training on the top of the rTMS group. The limb motor function, self-care ability, degree of joint spasms, balance function, lower limb muscle strength, and coagulation function indicators were observed before and after treatment in both groups. Results After treatment, the scores of Fugl-Meyer Assessment (FMA), modified Barthel index (MBI) and Berg balance scale (BBS) in the two groups were obviously higher than those before treatment (P<0.05), and the scores of the above scales in the joint group were obviously higher than those in the rTMS group (P<0.05). After treatment, the modified Ashworth Scale (MAS) score in the two groups was obviously lower than that before treatment (P<0.05), and the joint group was obviously lower than the rTMS group (P<0.05). After treatment, the proportion of patients with Lovett muscle strength grade IV or above increased obviously, and the joint group was obviously higher than that of the rTMS group (P<0.05). After treatment, the levels of plasma fibrinogen (FIB), prothrombin time (PT), activated partial thromboplastin time (APTT) and D-dimer (D-D) were obviously decreased (P<0.05), and those in the joint group were obviously lower than those in the rTMS group (P<0.05). Both groups had no adverse reactions such as epilepsy before and after treatment. Conclusion: The joint of dynamic and static balance rehabilitation training and rTMS can improve limb function and enhance lower limb muscle strength in stroke hemiplegic patients, with high clinical application value. |