Low-frequency repetitive transcranial magnetic stimulation for patients with aphasia after stoke: A meta-analysis

Li, Yang; Qu, Yun; Yuan, Mengwei; Du, Tianhui

doi:10.2340/16501977-1988

Cited by 41 publications

(51 citation statements)

References 31 publications

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“…In a review article by Galhardoni et al (23), it was demonetarized that rTMS has a high effect on the management of chronic pain. Also, the low frequency of rTMS is an effective method for patients with aphasia after stroke (24).…”

Section: Discussionmentioning

confidence: 99%

Effect of Short Term Use of Repetitive Transcranial Stimulation as an Adjuvant Therapy for Bell’s Palsy

et al. 2018

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Background: There is limited therapy for management of Bell' palsy. However, none of the treatment modalities are effective, thus, the aim of this study was to evaluate the effect of repetitive transcranial stimulation (rTMS), as an adjuvant therapy, for management of Bell's palsy. Methods: In this randomized controlled trial, 46 patients with unilateral Bell's palsy were enrolled and were divided to two parallel groups an intervention and control groups. The intervention group was under treatment with oral prednisolone 1 mg/kg/day for two weeks and, continued with physical therapy/daily and rTMS/five sessions a week (1000 stimuli, 120% motor threshold) for two weeks and the control group was under treatment with oral prednisolone 1 mg/kg/day for two weeks and continued with physical therapy/daily for two weeks. The outcome was measured with the facial disability index (FDI), House-Brackmann (H-B) scale and World Health Organization quality of life (WHOQOL)-BREF questionnaire at baseline, and two and four weeks after therapy. Results: The physical and social functions of FDI and WHOQOL-BREF questionnaire in the intervention group were significantly higher than the control group after four weeks. Also, H-B grading in the intervention group was better than the control group after four weeks. Conclusions: The rTMS as adjuvant therapy may be an active, non-invasive, and safe method for management of Bell's palsy.

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Section: Discussionmentioning

confidence: 99%

Effect of Short Term Use of Repetitive Transcranial Stimulation as an Adjuvant Therapy for Bell’s Palsy

et al. 2018

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“…Across 4 articles and 132 patients inhibitory TMS facilitated improvements in naming more so than repetition or comprehension (Li et al, 2015). A second meta-analysis focused specifically on studies that applied low-frequency TMS to the right inferior frontal gyrus of patients with subacute and chronic aphasia after stroke.…”

Section: Tms and Tdcs In The Treatment Of Post-stroke Aphasiamentioning

confidence: 99%

Non-invasive Brain Stimulation in the Treatment of Post-stroke and Neurodegenerative Aphasia: Parallels, Differences, and Lessons Learned

Norise

Hamilton

2017

Front. Hum. Neurosci.

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Numerous studies over the span of more than a decade have shown that non-invasive brain stimulation (NIBS) techniques, namely transcranial magnetic stimulation (TMS) and transcranial direct current stimulation (tDCS), can facilitate language recovery for patients who have suffered from aphasia due to stroke. While stroke is the most common etiology of aphasia, neurodegenerative causes of language impairment—collectively termed primary progressive aphasia (PPA)—are increasingly being recognized as important clinical phenotypes in dementia. Very limited data now suggest that (NIBS) may have some benefit in treating PPAs. However, before applying the same approaches to patients with PPA as have previously been pursued in patients with post-stroke aphasia, it will be important for investigators to consider key similarities and differences between these aphasia etiologies that is likely to inform successful approaches to stimulation. While both post-stroke aphasia and the PPAs have clear overlaps in their clinical phenomenology, the mechanisms of injury and theorized neuroplastic changes associated with the two etiologies are notably different. Importantly, theories of plasticity in post-stroke aphasia are largely predicated on the notion that regions of the brain that had previously been uninvolved in language processing may take on new compensatory roles. PPAs, however, are characterized by slow distributed degeneration of cellular units within the language system; compensatory recruitment of brain regions to subserve language is not currently understood to be an important aspect of the condition. This review will survey differences in the mechanisms of language representation between the two etiologies of aphasia and evaluate properties that may define and limit the success of different neuromodulation approaches for these two disorders.

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“…For all dichotomous variables (postoperative vomiting, numbers who need rescue analgesics, and side effects), we used the odds ratio (OR) with 95% confidence interval (CI) to estimate the summary effect size (SES); For all continuous variables (the duration of postoperative analgesia), we used weighted mean difference (WMD) with 95% confidence interval (CI) to estimate the summary effect size (SES). Effect sizes were classified as small (<0.2), medium (0.2–0.8), or large (>0.8) . The OR or WMD was considered statistically significant if the corresponding P ‐value was <.05 and if the 95% confidence interval (CI) was not equal to 1 for the OR.…”

Section: Methodsmentioning

confidence: 99%

“…Effect sizes were classified as small (<0.2), medium (0.2-0.8), or large (>0.8). 16 The OR or WMD was considered statistically significant if the corresponding P-value was <.05 and if the 95% confidence interval (CI) was not equal to 1 for the OR. We used I 2 statistics for all comparisons to quantify heterogeneity.…”

Section: Meta-analysis and Statistical Methodsmentioning

confidence: 99%

Caudal and intravenous dexamethasone as an adjuvant to pediatric caudal block: A systematic review and meta‐analysis

Zhu

Zhang

et al. 2018

Pediatric Anesthesia

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Caudal and intravenous dexamethasone could provide longer duration of postoperative analgesia and reduced the incidence of postoperative vomiting with comparable adverse effects than plain caudal block. However, any additive to the caudal space carries with it the potential for neurotoxicity and that caution should always be exercised when weighting the risks and benefits of any additive. The result was influenced by small numbers of participants and significant heterogeneity.

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Low-frequency repetitive transcranial magnetic stimulation for patients with aphasia after stoke: A meta-analysis

Cited by 41 publications

References 31 publications

Effect of Short Term Use of Repetitive Transcranial Stimulation as an Adjuvant Therapy for Bell’s Palsy

Effect of Short Term Use of Repetitive Transcranial Stimulation as an Adjuvant Therapy for Bell’s Palsy

Non-invasive Brain Stimulation in the Treatment of Post-stroke and Neurodegenerative Aphasia: Parallels, Differences, and Lessons Learned

Caudal and intravenous dexamethasone as an adjuvant to pediatric caudal block: A systematic review and meta‐analysis

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