小脑间歇性θ脉冲刺激对脑卒中患者姿势控制和跌倒风险的效果

doi:10.3969/j.issn.1006-9771.2026.05.008

Abstract

Abstract:

Objective To investigate the effect of cerebellar intermittent theta-burst stimulation (iTBS) on postural control and fall risk in stroke patients.
Methods From October, 2024 to August, 2025, 45 stroke patients were recruited from Huadong Hospital Affiliated to Fudan University. They were randomly divided into control group (n=15), group A (n=15) and group B (n=15). All the groups received conventional medication and rehabilitation. Group A was additionally administered iTBS over the ipsilesional primary motor cortex (M1), while group B received iTBS over the contralesional cerebellum, for three weeks. Before and after intervention, postural stability indexes (eyes open/closed), limits of stability, directional control score and reaction time were measured using Biodex Balance System, and they were assessed with Berg Balance Scale (BBS), Timed Up & Go Test (TUGT) and 10-meter walk test (10MWT).
Results After intervention, significant group-time interaction effects were observed for eyes open/closed postural stability indexes, limits of stability, directional control score, reaction time, BBS score, TUGT and 10MWT (F>23.487, P<0.001). All the groups improved in all the indexes after intervention (P<0.01). The eyes open/closed postural stability indexes, limits of stability, directional control score and reaction time were the best in group B, followed by group A, and the worst in the control group (P<0.05), while BBS, TUGT and 10MWT were better in groups A and B than in the control group (P<0.05).
Conclusion Cerebellar iTBS can effectively improve postural control disorders and reduce fall risk in stroke patients, and may be superior to M1 iTBS.

Key words: stroke, intermittent theta-burst stimulation, cerebellum, primary motor cortex, balance, postural control, fall

CLC Number:

R743.3

LI Xinyuan, ZHENG Jiejiao, WU Xuejiao, DUAN Linru, GAO Yufei. Effect of cerebellar intermittent theta-burst stimulation on postural control and fall risk in patients with stroke[J]. Chinese Journal of Rehabilitation Theory and Practice, 2026, 32(5): 577-587.

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References 43

[1]	GBD 2021 Stroke Risk Factor Collaborators. Global, regional, and national burden of stroke and its risk factors, 1990-2021: a systematic analysis for the Global Burden of Disease Study 2021[J]. Lancet Neurol, 2024, 23(10): 973-1003. doi: 10.1016/S1474-4422(24)00369-7 pmid: 39304265
[2]	李亚芳, 梁珊珊, 王子怡, 等. 中国脑卒中流行病学和疾病负担的Meta分析[J]. 中国循证医学杂志, 2025, 25(6): 664-669.
	LI Y F, LIANG S S, WANG Z Y, et al. Epidemiology and disease burden of stroke in China: a meta-analysis[J]. Chin J Evid-Based Med, 2025, 25(6): 664-669.
[3]	PERSSON C U, KJELLBERG S, LERNFELT B, et al. Risk of falling in a stroke unit after acute stroke: the fall study of gothenburg (FallsGOT)[J]. Clin Rehabil, 2018, 32(3): 398-409. doi: 10.1177/0269215517728325 pmid: 28891685
[4]	江汉宏, 叶赛青, 高强. 脑卒中后姿势控制机制与训练的研究进展[J]. 中国康复医学杂志, 2021, 36(8): 1020-1025.
[5]	WANG X, HUANG G, WANG D, et al. Effects of cerebellar repetitive transcranial magnetic stimulation on stroke rehabilitation: a systematic review and meta-analysis[J]. Brain Res Bull, 2025, 225: 111341. doi: 10.1016/j.brainresbull.2025.111341
[6]	OBERMAN L, EDWARDS D, ELDAIEF M, et al. Safety of theta burst transcranial magnetic stimulation: a systematic review of the literature[J]. J Clin Neurophysiol, 2011, 28(1): 67-74. doi: 10.1097/WNP.0b013e318205135f pmid: 21221011
[7]	CHA S, CHOI J, MOON C, et al. Non-invasive brain stimulation contributing to postural control with and without stroke: a systematic review and meta-analysis[J]. Sci Rep, 2025, 15: 26020. doi: 10.1038/s41598-025-07840-7
[8]	LIN L F, CHANG K H, HUANG Y Z, et al. Simultaneous stimulation in bilateral leg motor areas with intermittent theta burst stimulation to improve functional performance after stroke: a feasibility pilot study[J]. Eur J Phys Rehabil Med, 2019, 55(2): 162-168.
[9]	PARIKH V, MEDLEY A, GOH H T. Effects of rTMS to primary motor cortex and cerebellum on balance control in healthy adults[J]. Eur J Neurosci, 2024, 60(2): 3984-3994. doi: 10.1111/ejn.16386 pmid: 38721642
[10]	SURGENT O J, DADALKO O I, PICKETT K A, et al. Balance and the brain: a review of structural brain correlates of postural balance and balance training in humans[J]. Gait Posture, 2019, 71: 245-252. doi: S0966-6362(18)31797-1 pmid: 31082657
[11]	POORTVLIET P, HSIEH B, CRESSWELL A, et al. Cerebellar transcranial direct current stimulation improves adaptive postural control[J]. Clin Neurophysiol, 2018, 129(1): 33-41. doi: S1388-2457(17)31086-6 pmid: 29136550
[12]	VAN DUN K, BODRANGHIEN F, MANTO M, et al. Targeting the cerebellum by noninvasive neurostimulation: a review[J]. Cerebellum, 2017, 16(3): 695-741. doi: 10.1007/s12311-016-0840-7 pmid: 28032321
[13]	ZENG Y, YE Z, ZHENG W, et al. Efficacy of cerebellar transcranial magnetic stimulation for post-stroke balance and limb motor function impairments: meta-analyses of random controlled trials and resting-state fMRI studies[J]. Cerebellum, 2024, 23(4): 1678-1696. doi: 10.1007/s12311-024-01660-7 pmid: 38280142
[14]	BONNÌ S, PONZO V, CALTAGIRONE C, et al. Cerebellar theta burst stimulation in stroke patients with ataxia[J]. Funct Neurol, 2014, 29(1): 41-45. pmid: 25014048
[15]	中华医学会神经病学分会, 中华医学会神经病学分会脑血管病学组. 中国各类主要脑血管病诊断要点2019[J]. 中华神经科杂志, 2019, 52(9): 710-715.
	Neurology Branch of Chinese Medical Association, Chinese Stroke Society. Diagnostic criteria of cerebrovascular diseases in China(version 2019)[J]. Chin J Neurol, 2019, 52(9): 710-715.
[16]	LAKENS D. Calculating and reporting effect sizes to facilitate cumulative science: a practical primer for t-tests and ANOVAs[J]. Front Psychol, 2013, 4: 863. doi: 10.3389/fpsyg.2013.00863 pmid: 24324449
[17]	LIAO L Y, ZHU Y, PENG Q Y, et al. Intermittent theta-burst stimulation for stroke: primary motor cortex versus cerebellar stimulation: a randomized sham-controlled trial[J]. Stroke, 2024, 55(1): 156-165. doi: 10.1161/STROKEAHA.123.044892
[18]	TASSEEL-PONCHE S, YELNIK A P, BONAN I V. Motor strategies of postural control after hemispheric stroke[J]. Neurophysiol Clin, 2015, 45(4-5): 327-333. doi: 10.1016/j.neucli.2015.09.003
[19]	陈静, 石明芳, 陈君, 等. 小脑间歇性θ短阵脉冲刺激联合物理治疗对脑卒中患者平衡功能和步态的影响[J]. 中华物理医学与康复杂志, 2023, 45(5): 402-407.
	CHEN J, SHI M F, CHEN J, et al. The effects of supplementing theta burst stimulation of the cerebellum with physical therapy on balance and gait recovery after a stroke: a randomized clinical trial[J]. Chin J Phys Med Rehabil, 2023, 45(5): 402-407.
[20]	段林茹, 郑洁皎. 脑卒中患者姿势控制的感觉系统特征[J]. 医用生物力学, 2023, 38(4): 770-776.
	DUAN L R, ZHENG J J. Sensory system characteristics of posture control in patients with stroke[J]. J Med Biomech, 2023, 38(4): 770-776.
[21]	何琳, 陈意, 谭惠心, 等. 基于中枢传导通路与姿势控制理论的神经调控诊疗技术的基本原理及临床应用[J]. 神经病学与神经康复学杂志, 2025, 21(3): 167-176.
	HE L, CHEN Y, TAN H X, et al. Fundamental principle of neuromodulation diagnosis and treatment technology based on the theory of central pathways and posture control and its clinical application[J]. J Neurol Neurorehabil, 2025, 21(3): 167-176.
[22]	FRANÇA C, DE ANDRADE D C, TEIXEIRA M J, et al. Effects of cerebellar neuromodulation in movement disorders: a systematic review[J]. Brain Stimul, 2018, 11(2): 249-260. doi: 10.1016/j.brs.2017.11.015
[23]	STECINA K, FEDIRCHUK B, HULTBORN H. Information to cerebellum on spinal motor networks mediated by the dorsal spinocerebellar tract[J]. J Physiol, 2013, 591(22): 5433-5443. doi: 10.1113/tjp.2013.591.issue-22
[24]	DIJKSTRA B W, BEKKERS E M J, GILAT M, et al. Functional neuroimaging of human postural control: a systematic review with meta-analysis[J]. Neurosci Biobehav Rev, 2020, 115: 351-362. doi: S0149-7634(20)30393-6 pmid: 32407735
[25]	RICHARD A, VAN HAMME A, DREVELLE X, et al. Contribution of the supplementary motor area and the cerebellum to the anticipatory postural adjustments and execution phases of human gait initiation[J]. Neuroscience, 2017, 358: 181-189. doi: S0306-4522(17)30452-9 pmid: 28673716
[26]	尹群辉, 张皓. 脑卒中偏瘫患者预期性姿势调节的研究进展[J]. 中国康复理论与实践, 2017, 23(11): 1250-1253. doi: 10.3969/j.issn.1006-9771.2017.11.003
	YIN Q H, ZHANG H. Advance in anticipatory postural adjustments for stroke patients with hemiplegia (review)[J]. Chin J Rehabil Theory Pract, 2017, 23(11): 1250-1253.
[27]	GRIMALDI G, ARGYROPOULOS G P, BOEHRINGER A, et al. Non-invasive cerebellar stimulation: a consensus paper[J]. Cerebellum, 2014, 13(1): 121-138. doi: 10.1007/s12311-013-0514-7
[28]	IOFFE M E, CHERNIKOVA L A, USTINOVA K I. Role of cerebellum in learning postural tasks[J]. Cerebellum, 2007, 6(1): 87-94. doi: 10.1080/14734220701216440 pmid: 17366270
[29]	KOCH G, ESPOSITO R, MOTTA C, et al. Improving visuo-motor learning with cerebellar theta burst stimulation: behavioral and neurophysiological evidence[J]. NeuroImage, 2020, 208: 116424. doi: 10.1016/j.neuroimage.2019.116424
[30]	MANTO M, ARGYROPOULOS G P D, BOCCI T, et al. Consensus paper: novel directions and next steps of non-invasive brain stimulation of the cerebellum in health and disease[J]. Cerebellum, 2022, 21(6): 1092-1122. doi: 10.1007/s12311-021-01344-6
[31]	POPA L S, STRENG M L, HEWITT A L, et al. The errors of our ways: understanding error representations in cerebellar-dependent motor learning[J]. Cerebellum, 2016, 15(2): 93-103. doi: 10.1007/s12311-015-0685-5 pmid: 26112422
[32]	LIEN Y R, LIN Y C, LIN S H N, et al. Frequency-dependent effects of cerebellar repetitive transcranial magnetic stimulation on visuomotor accuracy[J]. Front Neurosci, 2022, 16: 804027. doi: 10.3389/fnins.2022.804027
[33]	ZHANG W, DAI L, LIU W, et al. The effect and optimal parameters of repetitive transcranial magnetic stimulation on lower extremity motor function in stroke patient: a systematic review and meta-analysis[J]. Disabil Rehabil, 2024, 46(21): 4889-4900. doi: 10.1080/09638288.2023.2283605
[34]	KANG N, LEE R D, LEE J H, et al. Functional balance and postural control improvements in patients with stroke after noninvasive brain stimulation: a meta-analysis[J]. Arch Phys Med Rehabil, 2020, 101(1): 141-153. doi: 10.1016/j.apmr.2019.09.003
[35]	QI S, TIAN M, RAO Y, et al. Applying transcranial magnetic stimulation to rehabilitation of poststroke lower extremity function and an improvement: individual-target TMS[J]. Wiley Interdiscip Rev Cogn Sci, 2023, 14(2):e1636. doi: 10.1002/wcs.v14.2
[36]	HORAK F B. Postural orientation and equilibrium: What do we need to know about neural control of balance to prevent falls?[J]. Age Ageing, 2006, 35(Suppl 2): ii7-ii11. doi: 10.1093/ageing/afl077
[37]	PRATI J M, PONTES-SILVA A, GIANLORENÇO A C L. The cerebellum and its connections to other brain structures involved in motor and non-motor functions: a comprehensive review[J]. Behav Brain Res, 2024, 465: 114933. doi: 10.1016/j.bbr.2024.114933
[38]	李修齐, 陈颖, 吴军发, 等. 小脑间歇性θ短阵脉冲刺激对健康人双侧大脑运动皮质兴奋性的调控[J]. 中华物理医学与康复杂志, 2021, 43(3): 215-220.
	LI X Q, CHEN Y, WU J F, et al. Modulation of bilateral motor cortex excitability using intermittent theta burst transcranial magnetic stimulation[J]. Chin J Phys Med Rehabil, 2021, 43(3): 215-220.
[39]	HABAS C, KAMDAR N, NGUYEN D, et al. Distinct cerebellar contributions to intrinsic connectivity networks[J]. J Neurosci, 2009, 29(26): 8586-8594. doi: 10.1523/JNEUROSCI.1868-09.2009 pmid: 19571149
[40]	KOCH G, BONNÌ S, CASULA E P, et al. Effect of cerebellar stimulation on gait and balance recovery in patients with hemiparetic stroke: a randomized clinical trial[J]. JAMA Neurol, 2019, 76(2): 170-178. doi: 10.1001/jamaneurol.2018.3639 pmid: 30476999
[41]	KAULMANN D, HERMSDÖRFER J, JOHANNSEN L. Disruption of right posterior parietal cortex by continuous theta burst stimulation alters the control of body balance in quiet stance[J]. Eur J Neurosci, 2017, 45(5): 671-678. doi: 10.1111/ejn.13522 pmid: 28092413
[42]	XU S, CHEN S F, CHEN N L, et al. Immediate neuroplastic changes in the cortex after iTBS on the cerebellum of stroke patients: a preliminary fNIRS study[J]. Neural Plast, 2025, 2025: 1362222. doi: 10.1155/np.v2025.1
[43]	PARK H J, FURMAGA H, COOPERRIDER J, et al. Modulation of cortical motor evoked potential after stroke during electrical stimulation of the lateral cerebellar nucleus[J]. Brain Stimul, 2015, 8(6): 1043-1048. doi: 10.1016/j.brs.2015.06.020

组别	n	性别(男/女)/n	年龄/岁	病程/月	卒中类型(缺血/出血)/n	偏瘫侧(右/左)/n
对照组	15	11/4	67.00±4.19	2(1,4)	12/3	8/7
A组	15	13/2	65.93±10.71	3(1,4)	10/5	9/6
B组	15	12/3	64.07±10.74	2(1,4)	13/2	9/6
χ²/F/H值		0.890	0.489	0.385	1.721	0.182
P值		0.894	0.614	0.825	0.550	0.913

变量	组别	n	干预前		干预后
变量	组别	n	均值	标准差	均值	标准差
OSI	对照组	15	1.70	0.29	1.53	0.34
	A组	15	1.77	0.27	1.24	0.23
	B组	15	1.76	0.39	0.95	0.26
APSI	对照组	15	1.37	0.30	1.21	0.32
	A组	15	1.35	0.24	0.94	0.23
	B组	15	1.39	0.35	0.73	0.17
MLSI	对照组	15	1.28	0.21	1.13	0.25
	A组	15	1.30	0.24	0.90	0.24
	B组	15	1.27	0.29	0.69	0.18

变量	效应	平方和	自由度	均方	F值	η²_P	P值
OSI	组内	5.670	1	5.670	318.766	0.884	<0.001
	组间	1.046	2	0.523	3.242	0.134	0.049
	组内×组间	1.511	2	0.755	42.473	0.669	<0.001
APSI	组内	3.588	1	3.588	176.488	0.808	<0.001
	组间	0.811	2	0.406	3.180	0.131	0.052
	组内×组间	0.955	2	0.477	23.487	0.528	<0.001
MLSI	组内	3.249	1	3.249	349.249	0.893	<0.001
	组间	0.782	2	0.391	3.969	0.159	0.026
	组内×组间	0.680	2	0.340	36.532	0.635	<0.001

变量	组别	干预前后平均差值	干预前后平均差值标准差	P值	95%CI
变量	组别	干预前后平均差值	干预前后平均差值标准差	P值	下限	上限
OSI	对照组	-0.176	0.093	0.001	-0.274	-0.078
	A组	-0.520	0.162	<0.001	-0.618	-0.422
	B组	-0.810	0.268	<0.001	-0.908	-0.712
APSI	对照组	-0.155	0.100	0.005	-0.260	-0.050
	A组	-0.385	0.122	<0.001	-0.490	-0.280
	B组	-0.659	0.312	<0.001	-0.764	-0.554
MLSI	对照组	-0.157	0.097	<0.001	-0.228	-0.086
	A组	-0.403	0.137	<0.001	-0.474	-0.332
	B组	-0.581	0.166	<0.001	-0.652	-0.510

变量	组别		平均值差	P值	95%CI
变量	组别		平均值差	P值	下限	上限
OSI	B组	A组	-0.297	0.021	-0.533	-0.033
	B组	对照组	-0.580	<0.001	-0.830	-0.330
	A组	对照组	-0.283	0.015	-0.547	-0.047
APSI	B组	A组	-0.239	0.029	-0.453	-0.019
	B组	对照组	-0.484	<0.001	-0.703	-0.265
	A组	对照组	-0.245	0.024	-0.465	-0.026
MLSI	B组	A组	-0.213	0.037	-0.415	-0.010
	B组	对照组	-0.440	<0.001	-0.642	-0.238
	A组	对照组	-0.227	0.023	-0.430	-0.025

Effect of cerebellar intermittent theta-burst stimulation on postural control and fall risk in patients with stroke

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变量	效应	平方和	自由度	均方	F值	η²_P	P值
OSI	组内	5.903	1	5.903	240.365	0.851	<0.001
	组间	1.384	2	0.692	3.890	0.156	0.028
	组内×组间	1.521	2	0.761	30.966	0.596	<0.001
APSI	组内	4.024	1	4.024	278.717	0.869	<0.001
	组间	0.821	2	0.411	2.912	0.122	0.065
	组内×组间	0.969	2	0.485	33.567	0.615	<0.001
MLSI	组内	3.234	1	3.234	826.009	0.958	<0.001
	组间	0.735	2	0.368	2.858	0.137	0.070
	组内×组间	1.037	2	0.519	131.783	0.880	<0.001

变量	效应	平方和	自由度	均方	F值	η²_P	P值
稳定极限范围	组内	1438.782	1	1438.782	240.482	0.870	<0.001
	组间	518.487	2	259.244	2.922	0.140	0.067
	组内×组间	410.333	2	205.167	34.292	0.656	<0.001
方向控制分数	组内	667.785	1	667.785	521.232	0.934	<0.001
	组间	362.474	2	181.237	3.668	0.165	0.035
	组内×组间	229.639	2	114.819	89.621	0.829	<0.001
反应时	组内	1236.825	1	1236.825	826.009	0.958	<0.001
	组间	334.527	2	167.264	2.858	0.137	0.070
	组内×组间	394.650	2	197.325	131.783	0.880	<0.001

变量	效应	平方和	自由度	均方	F值	η²_P	P值
BBS	组内	877.344	1	877.344	964.620	0.958	<0.001
	组间	323.089	2	161.544	2.431	0.104	0.100
	组内×组间	290.956	2	159.949	159.949	0.884	<0.001
TUGT	组内	386.801	1	386.801	353.913	0.894	<0.001
	组间	249.949	2	124.974	2.518	0.107	0.093
	组内×组间	99.483	2	49.741	45.512	0.684	<0.001
10MWT	组内	496.038	1	496.038	237.637	0.850	<0.001
	组间	217.971	2	108.985	2.050	0.089	0.141
	组内×组间	145.453	2	72.727	34.841	0.624	<0.001

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[13]	CHEN Peng, HU Xiaomei, WEI Yaru, CHEN Dezheng, WANG Lin. Correlation analysis between sensorimotor function and postural control abilities in patients with chronic ankle instability [J]. Chinese Journal of Rehabilitation Theory and Practice, 2026, 32(2): 206-214.
[14]	XIE Haoyu, LI Yan, XIE Hao, WANG Chuhuai. Immediate effect of noisy galvanic vestibular stimulation on paraspinal muscle activation and postural control in adolescent idiopathic scoliosis [J]. Chinese Journal of Rehabilitation Theory and Practice, 2026, 32(2): 222-232.
[15]	HAN Xuejiao, SHI Jipeng, WEI Jinpeng, ZHU Tianrui, XU Hongqi, HE Muhan. Association of physical activity and balance ability with disability: a cross-sectional study based on NHANES [J]. Chinese Journal of Rehabilitation Theory and Practice, 2026, 32(1): 1-12.

变量	组别	n	干预前		干预后
变量	组别	n	均值	标准差	均值	标准差
稳定极限范围/%	对照组	15	52.77	7.89	55.85	6.70
	A组	15	53.54	7.14	61.92	4.72
	B组	15	53.46	8.46	67.77	5.31
方向控制分数/%	对照组	15	32.37	4.79	34.39	4.56
	A组	15	33.68	4.49	38.81	3.27
	B组	15	33.45	6.91	43.65	5.51
反应时/s	对照组	15	57.38	7.05	54.38	6.44
	A组	15	56.08	4.92	49.08	5.09
	B组	15	57.85	5.15	43.95	3.50

变量	组别	干预前后平均差值	干预前后平均差值标准差	P值	95%CI
变量	组别	干预前后平均差值	干预前后平均差值标准差	P值	下限	上限
稳定极限范围	对照组	3.077	1.321	0.003	1.131	5.023
	A组	8.385	3.820	<0.001	6.439	10.330
	B组	14.308	4.423	<0.001	12.362	16.253
方向控制分数	对照组	2.007	0.725	<0.001	1.140	2.874
	A组	5.131	1.740	<0.001	4.231	6.030
	B组	10.208	2.074	<0.001	9.308	11.107
反应时	对照组	-3.000	1.154	<0.001	-3.973	-2.027
	A组	-7.000	1.154	<0.001	-7.973	-6.027
	B组	-13.892	2.523	<0.001	-14.866	-12.919

变量	组别	n	干预前		干预后
变量	组别	n	均值	标准差	均值	标准差
BBS	对照组	15	33.67	4.04	35.67	4.47
	A组	15	34.07	7.15	40.87	6.23
	B组	15	34.13	5.99	44.67	5.83
TUGT/s	对照组	15	30.56	5.11	29.19	5.06
	A组	15	29.14	4.61	24.52	4.04
	B组	15	29.22	5.98	22.77	5.19
10MWT/s	对照组	15	25.29	5.52	23.94	5.93
	A组	15	24.76	5.69	19.56	4.13
	B组	15	24.62	5.95	17.11	3.92

变量	组别	干预前后平均差值	干预前后平均差值标准差	P值	95%CI
变量	组别	干预前后平均差值	干预前后平均差值标准差	P值	下限	上限
BBS	对照组	2.000	0.655	<0.001	1.031	2.436
	A组	6.800	1.698	<0.001	5.764	7.169
	B组	10.533	1.187	<0.001	9.831	11.236
TUGT	对照组	-1.369	1.243	0.001	-2.140	-5.990
	A组	-4.613	1.259	<0.001	-5.384	-3.843
	B组	-6.456	1.851	<0.001	-7.226	-5.686
10MWT	对照组	-1.357	0.818	0.014	-2.422	-0.293
	A组	-5.207	1.911	<0.001	-6.271	-4.142
	B组	-7.522	2.864	<0.001	-8.587	-6.453