Low-Frequency Repetitive Transcranial Magnetic Stimulation for Stroke-Induced Upper Limb Motor Deficit: A Meta-Analysis
المؤلفون المشاركون
Xing, Guoqiang
Guo, Zhiwei
Chen, Huaping
McClure, Morgan A.
Mu, Qiwen
Zhang, Lan
Shuai, Shiquan
Chen, Xiaojuan
المصدر
العدد
المجلد 2017، العدد 2017 (31 ديسمبر/كانون الأول 2017)، ص ص. 1-12، 12ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2017-12-21
دولة النشر
مصر
عدد الصفحات
12
التخصصات الرئيسية
الملخص EN
Background and Purpose.
This meta-analysis aimed to evaluate the therapeutic potential of low-frequency repetitive transcranial magnetic stimulation (LF-rTMS) over the contralesional hemisphere on upper limb motor recovery and cortex plasticity after stroke.
Methods.
Databases of PubMed, Medline, ScienceDirect, Cochrane, and Embase were searched for randomized controlled trials published before Jun 31, 2017.
The effect size was evaluated by using the standardized mean difference (SMD) and a 95% confidence interval (CI).
Resting motor threshold (rMT) and motor-evoked potential (MEP) were also examined.
Results.
Twenty-two studies of 1 Hz LF-rTMS over the contralesional hemisphere were included.
Significant efficacy was found on finger flexibility (SMD = 0.75), hand strength (SMD = 0.49), and activity dexterity (SMD = 0.32), but not on body function (SMD = 0.29).
The positive changes of rMT (SMD = 0.38 for the affected hemisphere and SMD = −0.83 for the unaffected hemisphere) and MEP (SMD = −1.00 for the affected hemisphere and SMD = 0.57 for the unaffected hemisphere) were also significant.
Conclusions.
LF-rTMS as an add-on therapy significantly improved upper limb functional recovery especially the hand after stroke, probably through rebalanced cortical excitability of both hemispheres.
Future studies should determine if LF-rTMS alone or in conjunction with practice/training would be more effective.
Clinical Trial Registration Information.
This trial is registered with unique identifier CRD42016042181.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Zhang, Lan& Xing, Guoqiang& Shuai, Shiquan& Guo, Zhiwei& Chen, Huaping& McClure, Morgan A.…[et al.]. 2017. Low-Frequency Repetitive Transcranial Magnetic Stimulation for Stroke-Induced Upper Limb Motor Deficit: A Meta-Analysis. Neural Plasticity،Vol. 2017, no. 2017, pp.1-12.
https://search.emarefa.net/detail/BIM-1192942
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Zhang, Lan…[et al.]. Low-Frequency Repetitive Transcranial Magnetic Stimulation for Stroke-Induced Upper Limb Motor Deficit: A Meta-Analysis. Neural Plasticity No. 2017 (2017), pp.1-12.
https://search.emarefa.net/detail/BIM-1192942
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Zhang, Lan& Xing, Guoqiang& Shuai, Shiquan& Guo, Zhiwei& Chen, Huaping& McClure, Morgan A.…[et al.]. Low-Frequency Repetitive Transcranial Magnetic Stimulation for Stroke-Induced Upper Limb Motor Deficit: A Meta-Analysis. Neural Plasticity. 2017. Vol. 2017, no. 2017, pp.1-12.
https://search.emarefa.net/detail/BIM-1192942
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1192942
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر