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Repetitive transcranial magnetic stimulation on motor recovery for patients with stroke: A prisma compliant systematic review and meta-analysis

American Journal of Physical Medicine & Rehabilitation Jan 24, 2020

He Y, et al. - Experts performed a systematic review and meta-analysis to ascertain the efficacy of repetitive transcranial magnetic stimulation in recovering motor function in individuals with stroke. They conducted a comprehensive literature search to distinguish studies published before September 20, 2018. They applied standard mean differences and 95% confidence intervals to assess the impacts of repetitive transcranial magnetic stimulation. They further examined the stability and sensitivity of the results and sources of heterogeneity. They used the Cochrane Risk of Bias Tool to determine the quality of the studies. In these randomized controlled trials, they enrolled a sum of 841 individuals. The data indicated that repetitive transcranial magnetic stimulation is useful to individuals with poststroke hemiplegia, as illustrated by the following four scales: the Fugl-Meyer Assessment; grip strength; Barthel Index; and National Institutes of Health Stroke Scale. However, they found a few adverse events. Low-frequency repetitive transcranial magnetic stimulation was showed to be a positive effect on grip strength and lower limb function as evaluated by FMA.
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