Articles Vol. 67 No. 1 15/01/2026

EFFECTS OF UPPER LIMB FUNCTIONAL RECOVERY COMBINED WITH REPETITIVE TRANSCRANIAL MAGNETIC STIMULATION AFTER ISCHEMIC STROKE IN REHABILITATION CENTER

Tran Hong Lien1,2, Luong Tuan Khanh3,4, Nguyen Thi Kim Lien5,6
1 Hanoi Medical University
2 Trường Đại học Y Hà Nội
3 Rehabilitation Center, Bach Mai Hospital
4 Trung tâm Phục hồi chức năng, Bệnh viện Bạch Mai
5 Viet Duc University Hospital
6 Bệnh viện Hữu nghị Việt Đức
Corresponding author: tranlien2405@gmail.com
DOI: 10.52163/yhc.v67i1.4106
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Abstract

Objective: To evaluate the effectiveness of upper limb rehabilitation combined with repetitive transcranial magnetic stimulation in patients with cerebral infarction.

Subjects and methods: This was a prospective, controlled interventional study conducted to assess the outcomes of upper limb rehabilitation combined with in stroke patients treated at the Rehabilitation Center of Bach Mai Hospital from August 2024 to May 2025. The study included 60 patients in the acute and early subacute phases of stroke, selected using a convenient sampling method.

Results: After the intervention, upper limb motor function assessed by the action research arm test improved by 9.9 ± 4.3 points, corresponding to a 17.36% (9.9/57) increase. The level of independence in activities of daily living, measured by the Barthel Index, improved by 35 points compared with the control group. This difference was statistically significant (p < 0.05). No adverse effects were reported during the intervention.

Conclusion: Repetitive transcranial magnetic stimulation is a safe and effective non-invasive brain stimulation method that enhances upper limb functional recovery and improves quality of life in patients with acute and early subacute cerebral infarction.

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