Effects of Repetitive Transcranial Magnetic Stimulation on Upper Extremity Spasticity Post-Stroke: A Systematic Review

IF 0.5 4区医学 Q4 REHABILITATION

Physikalische Medizin Rehabilitationsmedizin Kurortmedizin Pub Date : 2021-12-15 DOI:10.1055/a-1691-9641

A. Alashram, E. Padua, C. Romagnoli, Manikandan Raju, G. Annino

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引用次数: 0

Abstract

Abstract Upper extremity spasticity is one of the most popular impairments following stroke. It can reduce patients' functional level. Recently, repetitive transcranial magnetic stimulation (rTMS) has emerged as a promising tool in stroke rehabilitation. This review was conducted to investigate the immediate and long-term effects of rTMS on the upper extremity spasticity post-stroke and determine the optimal treatment protocols. PubMed, SCOPUS, PEDro, CINAHL, MEDLINE, REHABDATA, AMED, and Web of Science databases were searched for randomized controlled trials investigating the effect of rTMS on the upper extremity spasticity in patients with stroke. The methodological quality was assessed using the Cochrane Collaboration’s tool. Ten randomized clinical trials were met the inclusion criteria. A total of 225 patients were included in this analysis, 35.30% of whom were females. The mean age for all patients was 60.14 years. The findings showed heterogeneous evidence on the benefits of rTMS intervention in the upper extremity spasticity post-stroke. The evidence for the effect of rTMS on the upper extremity spasticity post-stroke is promising. Combining rTMS with other rehabilitation interventions may show a superior effect in reducing the upper extremity spasticity compared with rTMS intervention alone. Further randomized controlled trials with long-term follow-ups are warranted.

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反复经颅磁刺激对脑卒中后上肢痉挛的影响:一项系统综述

摘要上肢痉挛是中风后最常见的损伤之一。它可以降低患者的功能水平。近年来，重复性经颅磁刺激（rTMS）已成为中风康复的一种很有前途的工具。本综述旨在研究rTMS对卒中后上肢痉挛的即时和长期影响，并确定最佳治疗方案。检索PubMed、SCOPUS、PEDro、CINAHL、MEDLINE、REHABDATA、AMED和Web of Science数据库进行随机对照试验，研究rTMS对中风患者上肢痉挛的影响。方法学质量使用Cochrane协作的工具进行评估。10项随机临床试验符合纳入标准。本分析共纳入225名患者，其中35.30%为女性。所有患者的平均年龄为60.14岁。研究结果显示了rTMS干预对卒中后上肢痉挛的益处的异质性证据。rTMS对脑卒中后上肢痉挛的影响是有希望的。与单独的rTMS干预相比，将rTMS与其他康复干预相结合可能在减少上肢痉挛方面显示出优越的效果。有必要进行进一步的随机对照试验和长期随访。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Physikalische Medizin Rehabilitationsmedizin Kurortmedizin 医学-康复医学

CiteScore

1.10

自引率

25.00%

发文量

审稿时长

3 months

期刊介绍： The Journal of Physical and Rehabilitation Medicine offers you the most up-to-date information about physical medicine in clinic and practice, as well as interdisciplinary information about rehabilitation medicine and spa medicine. Publishing 6 issues a year, the journal includes selected original research articles and reviews as well as guidelines and summaries of the latest research findings. The journal also publishes society news and editorial material. “Online first” publication ensures rapid dissemination of knowledge.