Experimental Brain Research, Journal Year: 2023, Volume and Issue: 241(2), P. 629 - 647
Published: Jan. 13, 2023
Language: Английский
Frontiers in Neurology, Journal Year: 2023, Volume and Issue: 14
Published: July 11, 2023
Stroke is a central nervous system disease that causes structural lesions and functional impairments of the brain, resulting in varying types, degrees dysfunction. The bimodal balance-recovery model (interhemispheric competition vicariation model) has been proposed as mechanism recovery after stroke. We analyzed how combinations motor observation treatment approaches, transcranial electrical (TES) or magnetic (TMS) stimulation peripheral (PES) (PMS) techniques can be taken accessorial physical therapy methods on symptom reduction stroke patients. suggest top-down bottom-up combined with action synergistically might develop into valuable strategies neurorehabilitation explored TES TMS intervention over contralesional hemisphere lesioned PES PMS paretic limbs during followed by execution have super-additive effects to potentiate effect conventional paradigm could an innovative adjunctive approach rehabilitation treatment, especially for those patients severe deficits.
Language: Английский
Citations
13
European Journal of Physical and Rehabilitation Medicine, Journal Year: 2024, Volume and Issue: 60(2)
Published: March 14, 2024
Shoulder subluxation caused by paralysis after stroke is a serious issue affecting shoulder pain and functional prognosis. However, its preventive treatment has not been fully investigated.
Language: Английский
Citations
4
Cochrane library, Journal Year: 2022, Volume and Issue: 2022(9)
Published: Sept. 28, 2022
Language: Английский
Citations
18
Life, Journal Year: 2025, Volume and Issue: 15(3), P. 416 - 416
Published: March 7, 2025
Peripheral magnetic stimulation (PMS) is commonly used for neurological conditions, but its effectiveness in enhancing functional mobility and morphology children with spastic diplegia remains underexplored. This study assessed the impact of PMS physical therapy (PT) versus PT alone on diplegia. Forty-five (mean age 12.7 ± 3.8 years) were randomly assigned to one three intervention groups: + PT, or control, fifteen each group. The training was conducted thrice weekly eight weeks, included muscle assessments, 30 s sit-to-stand test (30sSTS), reach (FRT), 10 m walk (10MWT), 6 min (6MWT). revealed increased left quadricep calf thickness following (d = 0.19, 0.39, respectively; all p < 0.05). Improvement 30sSTS observed after both 0.56) 1.43). FRT demonstrated increases interventions 1.52, 0.93, respectively). Furthermore, improvements 10MWT 1.20, 0.78), while 6MWT 0.82). control group showed declines 6MWT. treatment significantly impacted FRT, 10MWT, While may not enhance capacities beyond alone, it improve outcomes.
Language: Английский
Citations
0
PM&R, Journal Year: 2025, Volume and Issue: unknown
Published: May 21, 2025
Abstract Objectives To pool and rank the efficacy of various stimulation therapies, including repetitive peripheral magnetic (rPMS), neuromuscular electrical (NMES), functional (FES), transcranial (TMS), combinations these interventions on upper extremity function, activities daily living (ADL), spasticity after stroke relative to sham/conventional rehabilitation. Literature Survey MEDLINE, Scopus, Physiotherapy Evidence Database, Cochrane Central Register Controlled Clinical Trials, Google Scholar were searched from inception July 2022. Methodology Randomized controlled trials comparing any mentioned above (rPMS, NMES, FES, TMS, NMES+rPMS, NMES+TMS, FES+TMS, conventional rehabilitation) ADL, or five databases systematically reviewed collected. Two‐stage network meta‐analysis was applied. Synthesis Thirty‐four studies involving 1476 patients reporting function with Fugl‐Meyer Assessment pooled. NMES combined rPMS, FES showed significantly higher improvement than rehabilitation, pooled mean differences (95% confidence intervals) 14.69 (9.94–19.45), 9.09 (6.01–12.18), 6.10 (2.51–9.69), 4.07 (0.33–7.81), 3.61 (0.14–7.07) respectively. rPMS had highest probability for improving function. plus TMS but none significant in spasticity. Conclusions might be best intervention improve functions, most likely lead improved ADL quality evidence is low.
Language: Английский
Citations
0
Cochrane library, Journal Year: 2019, Volume and Issue: 2019(11)
Published: Nov. 30, 2019
Language: Английский
Citations
29
Frontiers in Neurology, Journal Year: 2025, Volume and Issue: 16
Published: April 3, 2025
Background Post-stroke patients with upper motor neuron lesions have limited function in the limbs, and spasticity occurs thus affecting functional recovery activities of daily living. Repetitive peripheral magnetic stimulation (rPMS) is a non-invasive treatment often used clinical rehabilitation. Recent studies shown that it can reduce improve patients. Objective This study aimed to evaluate effectiveness rPMS on limb stroke by meta-analysis. Materials methods Randomized controlled trials (RCTs) post-stroke were searched PubMed, Embase, Cochrane Library, Web Science, Clinical Trials. Databases from date creation 25 August 2024 evaluated using Collaboration tool. Methodological quality was assessed tools, meta-analyses performed RevMan (version 5.4) Stata 14.0). Results A total 8 included. RPMS improved patients’ FMA-UE scores compared controls (MD = 3.34, 95% CI [0.53, 6.15], p 0.02 < 0.05). also reduced −0.66, [−1.16, −0.15], 0.01 0.05) increased ability live independently 0.85, [0.19, 1.51], Subgroup analyses showed efficacy frequency ≤ 20 Hz better than > Hz; time 15–20 min more effective 30 min; application round coil other types coils. Conclusion The results suggest if patients, their may improve. However, number small, further research needed extend current analysis results. Systematic review registration https://www.crd.york.ac.uk/prospero/ , CRD42024584040.
Language: Английский
Citations
0
Frontiers in Neurology, Journal Year: 2022, Volume and Issue: 13
Published: Nov. 8, 2022
Spasticity is a common motor disorder resulting from upper neuron lesions. It has serious influence on an individual's function and daily activity. Repetitive peripheral magnetic stimulation (rPMS) non-invasive painless approach developed for therapeutic intervention in clinical rehabilitation. However, the effectiveness of this spasticity patients with spastic paralysis remains uncertain.This study aimed to investigate rPMS spasticity, function, activities living individuals paralysis.PubMed, PEDro, Embase, Cochrane Library, Web Science were searched eligible papers date up March 31, 2022. Two independent researchers conducted screening, data extraction, methodological quality assessment. RCTs that explored effects included review. The collaboration tool was used assess quality. cumulative available processed meta-analysis using Reedman software.Eight studies 297 participants included. Most presented low moderate risk bias. Compared control group, results showed had significant effect (all outcomes: standardized mean difference [SMD] = -0.55, 95% confidence interval [CI]: -0.94 -0.16, I2 40%, P 0.006, Modified Ashworth Scale: [MD] -0.48, CI: -0.82 -0.14, 0%, 0.006), (Fugl-Meyer Assessment: MD 4.17, 0.89 7.46, 28%, 0.01), (Barthel Index: 5.12, 2.58 7.67, < 0.0001). No side reported.The demonstrated evidence supported improving especially passive muscle properties evaluated Scale/Ashworth Scale, as well activity paralysis.The reviewed protocol registered international prospective register systematic reviews (PROSPERO) (CRD42022322395).https://www.crd.york.ac.uk/PROSPERO/#recordDetails, identifier CRD42022322395.
Language: Английский
Citations
13
Frontiers in Neurology, Journal Year: 2022, Volume and Issue: 13
Published: March 22, 2022
An increasing number of clinical research studies have used repetitive peripheral magnetic stimulation (rPMS) in recent years to alleviate pain or improve motor function. rPMS is non-invasive, painless, and administrated over nerve, spinal cord roots, a muscle using coil affixed the skin connected rapid-rate stimulator. Despite impact scientific interest, methodological inconsistencies incomplete details findings between could make demonstration difficult replicate. Given lack guidelines literature, present study aimed at developing checklist quality methods research. international panel experts identified among those who had previously published on topic were enrolled two-round web-based Delphi with aim reaching consensus items that should be reported controlled any study. The consensual obtained comprises 8 subject-related (e.g., age, sex), 16 type, pulse duration), 11 protocol paradigm stimulation, pulses). This will contribute new interventional exploratory guide researchers clinicians use test publish after-effects. Overall, peer-review process publication. dynamic nature experts, it expected future affine checklist.
Language: Английский
Citations
12
Medical Devices Evidence and Research, Journal Year: 2020, Volume and Issue: Volume 13, P. 439 - 447
Published: Dec. 1, 2020
Both repetitive peripheral magnetic stimulation (rPMS) and transcutaneous electrical current (TES) could elicit the limb movements; it is still unclear how subjective sensation changed according to amount of movements. We investigated pain discomfort induced by newly developed rPMS TES nerves in dorsal forearm.The subjects were 12 healthy adults. The stimulus site was right forearm; thus, when stimulated, wrist dorsiflexion induced. delivered new stimulator, Pathleader at 10 intensity levels, 1-mA increments. duration each 2 s. analysis parameters discomfort, measured a numerical rating scale. scale corresponding levels integrated range movement (iROM) or compared. values analyzed two-way repeated measures ANOVA with conditions (rPMS, TES) seven iROM (20-140 ºs).In experiments, stimuli administered all intensities. In none dropped out between 1 16 mA, but there dropouts intensities as follows: subject 17 20 22 23 27 29 mA 21 24 26 mA. main effects significant for discomfort. Post hoc demonstrated that significantly lower compared above 60 ºs 80 ºs, respectively.New Pathleader, caused less than TES, this only evident comparatively large joint movements occurred.
Language: Английский
Citations
16