Abstract:Objective To investigate the effect of functional electrical stimulation combined with repetitive transcranial magnetic stimulation (rTMS) on unilateral neglect in stroke patients.Methods Forty stroke survivors with unilateral neglect were randomly divided into experimental group (n=20) and control group (n=20). Both groups were given conventional rehabilitation treatment and rTMS, and the experimental group was given functional electrical stimulation additionally. The Behavioral Inattention Test (BIT), Catherine Bergego Scale (CBS), Modified Barthel Index (MBI), and Fugl-Meyer Assessment-Upper Extremity (FMA-UE) were used to assess the unilateral neglect before and after treatment.Results Before treatment, there were no significant differences in age, sex, course of disease, type of stroke, and Mini-Mental State Examination score between the two groups (P>0.05). After treatment, both experimental and control groups showed significant improvements in BIT score (93.7±6.5, 80.3±6.9), CBS score (13.0±2.6, 16.1±3.6), MBI score (43.5±4.0, 37.1±2.4), and FMA-UE score (26.6±5.2, 18.8±4.1). The experimental group had significantly better scores than the control group (P<0.05).Conclusions Functional electrical stimulation combined with rTMS is more effective than rTMS alone in improving unilateral neglect after stroke, and can be used as a combined treatment strategy for unilateral neglect.