Effects of repetitive transcranial magnetic stimulation combined with repetitive peripheral magnetic stimulation on upper limb motor function after stroke: a systematic review and meta-analysis DOI Creative Commons

Shanshan Luo,

Wen Zhu,

Ying Liu

et al.

Frontiers in Neurology, Journal Year: 2024, Volume and Issue: 15

Published: Nov. 12, 2024

Objective To evaluate the effectiveness of repetitive transcranial magnetic stimulation (rTMS) combined with peripheral (rPMS) on upper limb motor dysfunction after stroke. Methods We systematically searched databases up to May 2024, including PubMed, Embase, Cochrane Library, Web Science, CNKI, VIP, Wanfang, and CBM. Randomized controlled trials (RCTs) examining application rTMS rPMS stroke were included based predefined inclusion criteria. used Risk Bias 2 tool assess bias risk RCTs. Meta-analysis was conducted using RevMan 5.4 Stata 17.0 software. Results A total 9 RCTs involving 483 participants in this study. Compared control groups that either conventional therapy or alone, experimental group showed significant improvements patients' function [MD = 3.65, 95% CI (2.75, 4.54), P < 0.05], ability daily living 4.50, (3.50, 5.50), spasticity –0.34, (−0.48, −0.20), 0.05]. Meanwhile, terms neurophysiological indicators, differences found both for evoked potential latency −1.77, (−3.19, −0.35), 0.05] amplitude 0.25, (0.01, 0.49), Conclusion This study provides low-level evidence LF-rTMS HF-rTMS can improve patients. However, given low quality evaluation results, further from high-quality studies is needed substantiate conclusion. Systematic review registration https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42024539195 , PROSPERO Platform [CRD42024539195].

Language: Английский

Efficacy of repeated peripheral magnetic stimulation on upper limb motor function after stroke: a systematic review and meta-analysis of randomized controlled trials DOI Creative Commons

Defu Liao,

Ziyan He,

Shichang Yan

et al.

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
Effect of intermittent theta burst stimulation on upper limb function in stroke patients: a systematic review and meta-analysis DOI Creative Commons
Junyue Lu, Jiahao Huang,

Anqi Ye

et al.

Frontiers in Neurology, Journal Year: 2024, Volume and Issue: 15

Published: Oct. 11, 2024

Background Stroke is a serious health issue that affects individuals, families, and society. Particularly, the upper limb dysfunction caused by stroke significantly reduces quality of life for patients may lead to psychological issues. Current treatment modalities are not fully effective in helping regain motor function optimal levels. Therefore, there an urgent need explore new rehabilitation methods address this issue. Objective The purpose meta-analysis systematic review effects intermittent theta burst stimulation (iTBS) on patients. Methods We searched PubMed, Cochrane Library, Embase, Web Science, PEDro China National Knowledge Internet as April 8, 2024. Retrieved total 100 articles. Standardized mean differences (SMDs) 95% confidence intervals (CI) were calculated. Results study included 9 trials involved 224 results demonstrate compared control group, iTBS therapy improved Fugl-Meyer assessment-upper extremity (FMA-UE) scores (SMD = 0.88; CI 0.11–1.66; P 0.03, I 2 84%), Action Research Arm Test (ARAT) 0.83; 0.16–1.50; 0.02, 57%), Barthel Index (BI) 0.93; 0.53–1.32; < 0.0001, 0%) Conclusions comprehensive evidence suggests has superior improving activities daily living

Language: Английский

Citations

1
Repetitive peripheral magnetic stimulation alone or in combination with repetitive transcranial magnetic stimulation in poststroke rehabilitation: a systematic review and meta-analysis DOI Creative Commons

Yong Wang,

Tommy Kwan Hin Fong, Youxin Sui

et al.

Journal of NeuroEngineering and Rehabilitation, Journal Year: 2024, Volume and Issue: 21(1)

Published: Oct. 16, 2024

Abstract Objective This study aimed to comprehensively review the effects of repetitive peripheral magnetic stimulation (rPMS) alone or in combination with transcranial (rTMS) on improving upper limb motor functions and activities daily living (ADL) patients stroke, explore possible efficacy-related modulators. Methods A literature search from 1st January 2004 June 2024 was performed identified studies that investigated rPMS ADL poststroke patients. Results Seventeen were included. Compared control, both rTMS significantly improved function (rPMS: Hedge’s g = 0.703, p 0.015; + rTMS: 0.892, < 0.001) 0.923, 0.013; 0.001). However, combined not superior (Hedge’s 0.273, 0.123). Meta-regression revealed total pulses ( 0.003) number per session correlated effect sizes ADL. Conclusions Using appears effectively improve extremity functional recovery activity independence after stroke. a simple these two interventions may produce additive benefits than use alone. Optimization protocols, such as applying appropriate dosage, lead more favourable outcome rehabilitation.

Language: Английский

Citations

0
Effects of repetitive transcranial magnetic stimulation combined with repetitive peripheral magnetic stimulation on upper limb motor function after stroke: a systematic review and meta-analysis DOI Creative Commons

Shanshan Luo,

Wen Zhu,

Ying Liu

et al.

Frontiers in Neurology, Journal Year: 2024, Volume and Issue: 15

Published: Nov. 12, 2024

Objective To evaluate the effectiveness of repetitive transcranial magnetic stimulation (rTMS) combined with peripheral (rPMS) on upper limb motor dysfunction after stroke. Methods We systematically searched databases up to May 2024, including PubMed, Embase, Cochrane Library, Web Science, CNKI, VIP, Wanfang, and CBM. Randomized controlled trials (RCTs) examining application rTMS rPMS stroke were included based predefined inclusion criteria. used Risk Bias 2 tool assess bias risk RCTs. Meta-analysis was conducted using RevMan 5.4 Stata 17.0 software. Results A total 9 RCTs involving 483 participants in this study. Compared control groups that either conventional therapy or alone, experimental group showed significant improvements patients' function [MD = 3.65, 95% CI (2.75, 4.54), P &lt; 0.05], ability daily living 4.50, (3.50, 5.50), spasticity –0.34, (−0.48, −0.20), 0.05]. Meanwhile, terms neurophysiological indicators, differences found both for evoked potential latency −1.77, (−3.19, −0.35), 0.05] amplitude 0.25, (0.01, 0.49), Conclusion This study provides low-level evidence LF-rTMS HF-rTMS can improve patients. However, given low quality evaluation results, further from high-quality studies is needed substantiate conclusion. Systematic review registration https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42024539195 , PROSPERO Platform [CRD42024539195].

Language: Английский

Citations

0