Scalp Acupuncture Combined With rTMS for Upper Limb Motor Dysfunction in Stroke: A Brain Network Study

Inclusion Criteria: * Meet the diagnostic criteria for stroke (symptoms and signs, imaging indicators, etc.), and are independently diagnosed by two deputy chief physicians * Age 18-70 years old, first episode, duration 1-6 months * The diagnostic criteria for upper limb dysfunction align with the Brunnstrom staging system: patients in Brunnstrom stages II to IV. Stage II: patients exhibit associative responses and can perform coordinated movements, with minimal voluntary movements; Stage III: patients show voluntary coordinated movements, such as grasping with the hand but not extending; Stage IV: patients can perform isolated movements, such as pinching with the hand and limited extension * No severe visual or hearing impairment, able to cooperate with relevant assessments and tests * The score of the Mini-Mental State Examination is ≥20 points * Vital signs are stable, with no signs of progressive neurological symptoms * The patient or legal guardian agrees and signs the informed consent form Exclusion Criteria: * Severe visual impairment, hemispatial neglect, body image disorder * Individuals who cannot undergo rTMS treatment due to reasons such as metal implants, cardiac pacemakers, or skull defects * Previous history of brain tumor, brain trauma, epilepsy, and risk of epileptic seizures * Any other factors that affect assessment and treatment * Dysfunction of limb movement caused by other reasons (such as trauma, etc.)