Efficacy of rTMS and tDCS as Adjunctive Rehabilitation for Cerebrovascular Disease-related Gait Dysfunction

Inclusion Criteria

• •1. Group A: Gait Dysfunction of Hemiplegia
• •* Age ≥ 35 years old, ≤ 75 years old;
• •* There was a cerebral infarction event in the past ≥ 2 months, leaving unilateral lower extremity paralysis, muscle strength IV to V- grade;
• •* Brunnstrom staging: lower limb of paralysis (IV-V grade), lower limb of healthy side (IV-V grade), upper limbs (IV-V grade), hands (IV-V grade);
• •* Able to stand for 5 minutes without assistance, without gait aid, and to walk independently for 5 minutes without stopping;
• •* Mini-mental state examination (MMSE) \> 17 points, able to complete cognitive and gait assessments.
• •2. Group B: Frontal Gait Dysfunction
• •* Age ≥ 35 years old, ≤ 75 years old;
• •* Meet the frontal gait characteristics: a) Balance dysfunction: wide step base, trunk swing, increased fall, decreased trunk movement control, and autonomous activity dysfunction; b) difficulty in starting, dragging and freezing; c) without limb ataxia, dysarthria, nystagmus, decreased facial expression, decreased upper limb joint activity, upper motor neuron impaired signs, and resting tremor;
• •* There was a cerebral infarction event ≥ 2 months, or asymptomatic stroke event but the head MRI suggested single or multiple lacunar infarction or ischemic lesion (diameter ≤ 2cm);
• •* limb muscle strength V- to V grade, and the muscle strength of both limbs is the same;
• •* Able to stand for 5 minutes without assistance, without gait aid, to walk independently for 5 minutes;
• •* Able to complete cognitive and gait assessments.