Repetitive transcranial magnetic stimulation for motor recovery of the upper limb after stroke

被引:30
|
作者
Luedemann-Podubecka, Jitka [1 ]
Boesl, Kathrin [1 ]
Nowak, Dennis Alexander [1 ,2 ]
机构
[1] HELIOS Klin Kipfenberg, Kipfenberg, Germany
[2] Univ Marburg, Univ Hosp, Dept Neurol, Marburg, Germany
关键词
repetitive transcranial magnetic stimulation; stroke; motor recovery; upper limb; THETA-BURST STIMULATION; DORSAL PREMOTOR CORTEX; CONTROLLED TRIAL; FUNCTIONAL CONNECTIVITY; CORTICAL CONNECTIVITY; INHIBITORY RTMS; NEURAL ACTIVITY; PARETIC HAND; TMS; HEMIPARESIS;
D O I
10.1016/bs.pbr.2014.12.001
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Objective: Repetitive transcranial magnetic stimulation changes excitability of the motor cortex and it has hereby the potential to modulate changes in neural processing which impede motor recovery after stroke. Methods: This chapter presents an up-to-day systematic review of the treatment effects of repetitive transcranial magnetic stimulation (rTMS) in promoting motor recovery of the affected upper limb after stroke. Results: Thirty-seven trials were included in the analysis. The selected studies involved a total of 871 stroke subjects. All stimulation protocols pride on interhemispheric imbalance model. Interpretation: rTMS enhances motor recovery of the affected hand after stroke; however, the data available until today is too limited to support its routine use.
引用
收藏
页码:281 / 311
页数:31
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