2022
DOI: 10.3389/fnagi.2022.1006696
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Repetitive transcranial magnetic stimulation combined with respiratory muscle training for pulmonary rehabilitation after ischemic stroke—A randomized, case-control study

Abstract: Respiratory muscle weakness often occurs after stroke, which can lead to pulmonary dysfunction (PD). Pulmonary dysfunction prolongs the length of hospital stay and increases the risk of death. In a prospective, randomized, case-control study, we used musculoskeletal ultrasonography (MSUS), and pulmonary function tester to objectively evaluate the efficacy of repetitive transcranial magnetic stimulation (rTMS) combined with respiratory muscle training (RMT) in the treatment of PD in patients with acute ischemic… Show more

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Cited by 7 publications
(4 citation statements)
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“…A newly reported clinical study on the application of TMS in stroke patients with respiratory dysfunction found that rTMS acting on the diaphragmatic cortical center five times a week for 8 weeks could improve pulmonary function after acute ischemic stroke. However, this study did not measure DiMEPs;therefore it cannot confirm the direct effect of TMS on the diaphragm ( Cao et al, 2022 ).…”
Section: Non-invasive Neuromodulation Techniques As Interventions In ...mentioning
confidence: 85%
“…A newly reported clinical study on the application of TMS in stroke patients with respiratory dysfunction found that rTMS acting on the diaphragmatic cortical center five times a week for 8 weeks could improve pulmonary function after acute ischemic stroke. However, this study did not measure DiMEPs;therefore it cannot confirm the direct effect of TMS on the diaphragm ( Cao et al, 2022 ).…”
Section: Non-invasive Neuromodulation Techniques As Interventions In ...mentioning
confidence: 85%
“…[22] Other studies have shown that each hemidiaphragm is regulated primarily by a unilateral contralateral brain area. [23] The rTMS study showed that the diaphragmatic response to stimulation of the cerebral hemispheres was mainly contralateral. [17] Diaphragmatic response enhancement is caused by the activation of neural pathways that modulate respiratory muscle activity.…”
Section: Discussionmentioning
confidence: 99%
“…A randomized controlled trial compared the effects of rTMS combined with respiratory training and respiratory training alone on pulmonary function in patients with ischemic stroke. Combined therapy significantly improved the pulmonary function of patients with ischemic stroke, and the effect was significantly better than that of patients in the respiratory training group ( 105 ). Therefore, rTMS seems to be an auxiliary method of respiratory function improvement.…”
Section: Application Of Tms In the Rehabilitation Of Scimentioning
confidence: 93%