Repetitive transcranial magnetic stimulation for lower limb dysfunction post stroke: a scoping review
10.3969/j.issn.1006-9771.2023.03.007
- VernacularTitle:重复经颅磁刺激治疗脑卒中后下肢运动功能障碍的Scoping综述
- Author:
Kaiqi HUANG
1
;
Rong XIN
1
;
Gengqiang LING
2
;
Pu WANG
1
Author Information
1. Department of Rehabilitation Medicine, the Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, Guangdong 518107, China
2. Brain Center, the Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, Guangdong 518107, China
- Publication Type:Journal Article
- Keywords:
stroke;
repetitive transcranial magnetic stimulation;
lower limb;
motor function;
scoping review
- From:
Chinese Journal of Rehabilitation Theory and Practice
2023;29(3):286-293
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo summarize and analyze the protocols of repetitive transcranial magnetic stimulation (rTMS) in the treatment of post-stroke lower limb dysfunction. MethodsLiterature about rTMS for lower limb dysfunction of patients post stroke were retrieved from Web of Science, PubMed, CNKI, and Wanfang Data from inception to August 17, 2022. The quality of the literature was evaluated with Physiotherapy Evidence Database (PEDro) scale. Literature quality, data extraction and scoping review were performed by two researchers. ResultsA total of 21 studies were included, in which 20 studies suggested that rTMS treatment could promote the recovery of lower limb motor function after stroke. One study showed negative result. rTMS interventions were reported safe, with no serious adverse reactions. There were great heterogeneity in the demographic and clinical information, study protocols, stimulation parameters, coil types, targets of stimulation, and motor-evoked potential measurement in the included studies. ConclusionThe future protocols of rTMS need to be combined with stroke stage and severity of injury. There is a demand for more real vs. sham rTMS studies, reporting similar designs with sufficient information, to achieve a significant level of evidence regarding the use of rTMS in post-stroke patients.
