Repetitive peripheral magnetic stimulation for impairment and disability in people after stroke

Cochrane library, Год журнала: 2022, Номер 2022(9)

Опубликована: Сен. 28, 2022

Язык: Английский

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Top-down and bottom-up stimulation techniques combined with action observation treatment in stroke rehabilitation: a perspective

Frontiers in Neurology, Год журнала: 2023, Номер 14

Опубликована: Июль 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.

Язык: Английский

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Repetitive peripheral magnetic stimulation for preventing shoulder subluxation after stroke: a randomized controlled trial

European Journal of Physical and Rehabilitation Medicine, Год журнала: 2024, Номер 60(2)

Опубликована: Март 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.

Язык: Английский

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Repetitive peripheral magnetic stimulation for impairment and disability in people after stroke

Cochrane library, Год журнала: 2019, Номер 2019(11)

Опубликована: Ноя. 30, 2019

Язык: Английский

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The Effect of Peripheral Magnetic Stimulation on Functional Mobility and Morphology in Cerebral Palsy with Spastic Diplegia: A Randomized Controlled Trial

Life, Год журнала: 2025, Номер 15(3), С. 416 - 416

Опубликована: Март 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.

Язык: Английский

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

Frontiers in Neurology, Год журнала: 2025, Номер 16

Опубликована: Апрель 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 &lt; 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 &gt; 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.

Язык: Английский

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Effects of electrical and magnetic stimulation on upper extremity function after stroke: A systematic review and network meta‐analysis

PM&R, Год журнала: 2025, Номер unknown

Опубликована: Май 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.

Язык: Английский

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The effects of repetitive peripheral magnetic stimulation combined with repetitive transcranial magnetic stimulation on lower limb motor function and balance in patients with chronic stroke: A pilot randomized controlled trial

PM&R, Год журнала: 2025, Номер unknown

Опубликована: Май 26, 2025

Abstract Background In the chronic phase of stroke, repetitive transcranial magnetic stimulation (rTMS) exhibits limited effectiveness in improving motor recovery due to reduced brain plasticity. Patients with stroke also typically present lower limb dysfunction and disability. Recent studies suggest that peripheral (rPMS) can promote plasticity potentially offer additional improvement patients stroke. Objective To investigate whether combining a designed rPMS program rTMS could further improve function, mobility, balance function Design Two‐arm randomized controlled trial. Setting Inpatient clinic. Participants 20 hemiparesis were recruited. Interventions One group received ipsilateral rTMS, other based on myofascial chain neural pathways. Main Outcome Measures The primary outcome measure was extremity section Fugl‐Meyer Assessment (FMA‐LE), evaluating function. Secondary outcomes included timed up go test (TUG), 10‐meter walking (10MWT), 6‐minute (6MWT), Berg scale (BBS), parameters measured by training evaluation system (Rx, mediolateral sway; Ry, anteroposterior RecArea, total sway area). All assessments conducted at baseline, 2 weeks post intervention, 4 intervention. Two‐way repeated measures analysis variance (ANOVA) then performed analyze any differences over time. Results ANOVA revealed significant interaction effect between time for FMA‐LE ( p = .001), 6MWT < TUG .015), BBS .046), Rx .008), Ry .009), RecArea .001). Effect size (the value partial ɳ ) 0.40. Conclusions This study provides evidence may be more practical approach ambulation, compared alone.

Язык: Английский

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Effects of repetitive peripheral magnetic stimulation on spasticity evaluated with modified Ashworth scale/Ashworth scale in patients with spastic paralysis: A systematic review and meta-analysis

Frontiers in Neurology, Год журнала: 2022, Номер 13

Опубликована: Ноя. 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.

Язык: Английский

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Checklist on the Quality of the Repetitive Peripheral Magnetic Stimulation (rPMS) Methods in Research: An International Delphi Study

Frontiers in Neurology, Год журнала: 2022, Номер 13

Опубликована: Март 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.

Язык: Английский

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