Transcranial and spinal cord magnetic stimulation in treatment of spasticity: a literature review and meta-analysis

Korzhova, J.; Синицын, Д. О.; Chervyakov, A. V.; Poydasheva, A.; Zakharova, M. N.; Супонева, Н. А.; Черникова, Л. А.; Piradov, М. А.

doi:10.23736/s1973-9087.16.04433-6

Cited by 39 publications

(16 citation statements)

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“…With regard to spasticity, several potential therapies exist showing promise in other comparable neurological diseases, for example TMS, locomotor training, and vibration therapies. 42 , 83 In a recently published meta-analysis, TMS demonstrated greater effectiveness in reducing spasticity for SCI compared to a sham procedure. In one particular study by Benito et al, 84 the authors demonstrated a 40% reduction in spasticity coherent with the overall reduction in spasticity of the meta-analysis.…”

Section: Spasticitymentioning

confidence: 99%

“…These are often examined in the context of neurological injury; however, a recent meta-analysis found there was no effect of either on neuropathic pain. 125 Thus, while TMS may be effective in treating spasticity, 83 its effectiveness outside this target may be limited. Other therapies, such as transcutaneous electrical stimulation, and acupuncture, have few studies showing effectiveness or the research is of very low quality.…”

Section: Future Directionsmentioning

confidence: 99%

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Developing Peri-Operative Rehabilitation in Degenerative Cervical Myelopathy [AO Spine RECODE-DCM Research Priority Number 6]: An Unexplored Opportunity?

Boerger

Hyngstrom

Furlan

et al. 2022

Global Spine Journal

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Study Design Narrative review. Objective Degenerative cervical myelopathy is one of the most frequent impairments of the spinal cord encountered internationally in adults. Currently, surgical decompression is the recommended treatment for people with DCM (PwCM) presenting with moderate to severe symptoms or neurological deficits. However, despite surgical intervention, not all patients make a complete recovery due to the irreversible tissue damage within the spinal cord. The objective of this review is to describe the state and gaps in the current literature on rehabilitation for PwCM and possible innovative rehabilitation strategies. Methods Literature search. Results In other neurological disorders such as stroke and acute traumatic spinal cord injury (SCI), timely and strategic rehabilitation has been shown to be indispensable for maximizing functional outcomes, and it is imperative that appropriate perioperative rehabilitative interventions accompany surgical approaches in order to enable the best outcomes. In this review, the current state of knowledge regarding rehabilitation for PwCM is described. Additionally, various therapies that have shown to improve outcomes in comparable neurological conditions such as stroke and SCI which may be translated to DCM will be reviewed. Conclusions We conclude that locomotor training and arm/hand therapy may benefit PwCM. Further, we conclude that body weight support, robotic assistance, and virtual/augmented reality therapies may be beneficial therapeutic analogs to locomotor and hand therapies.

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Section: Spasticitymentioning

confidence: 99%

Section: Future Directionsmentioning

confidence: 99%

Developing Peri-Operative Rehabilitation in Degenerative Cervical Myelopathy [AO Spine RECODE-DCM Research Priority Number 6]: An Unexplored Opportunity?

Boerger

Hyngstrom

Furlan

et al. 2022

Global Spine Journal

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“…A espasticidade é uma das complicações de várias doenças do sistema nervoso central e sua causa decorre dos danos aos neurônios motores superiores, acarretando a síndrome do neurônio motor superior. Isso pode ocorrer tanto em lesões adquiridas, como acidente vascular encefálico (AVE) ou traumatismo cranioencefálico (TCE), quanto em condições congênitas, como por exemplo, a paralisia cerebral (PC), também denominada encefalopatia crônica não progressiva (Flanigan et al, 2020;Korzhova et al, 2018;Synnot et al, 2017;Trompetto et al, 2014).…”

Section: Introductionunclassified

“…As alterações decorrentes de disfunções neurológicas que acometem os motonerônios motores superiores, englobam a área cognitiva-comportamental e causam, em muitos casos, fraqueza muscular, hiperreflexia, espasmos, distonia, alteração da inibição recíproca e da destreza (Trompetto et al, 2014). Com todas essas modificações consequente à lesão cortical, outras complicações secundárias ocorrem, como dor crônica, fadiga, diminuição da aptidão cardiorrespiratória, maior prevalência de doenças crônicas musculoesqueléticas, metabólicas e cardiopulmonares (Peterson e tal., 2015;Korzhova et al, 2018;Hamel;Smoliga, 2019;Khan et al, 2019).…”

Section: Introductionunclassified

Avaliação comparativa da distância percorrida, da função pulmonar e da qualidade de vida após reabilitação cardiorrespiratória com e sem fotobiomodulação transcraniana em indivíduos com espasticidade – Estudo piloto

Pinto

Lemos²,

Fagundes³

et al. 2022

RSD

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O objetivo do estudo foi avaliar os efeitos da reabilitação cardiorrespiratória (RC) isolada e associada a fotobiomodulação transcraniana (Ft) na distância percorrida (DP), função pulmonar e qualidade de vida de indivíduos com espasticidade. Os participantes foram alocados em dois grupos: Grupo fotobiomodulação transcraniana (GF, RC + Ft ativa, n=8) e Grupo placebo (GP, RC + Ft simulada, n=7). A RC consistiu em 12 semanas de tratamento, 2x semana por 1 hora, incluindo exercícios aeróbicos, respiratórios e resistidos de membros inferiores. Para Ft utilizou-se o cluster de laser (λ= 680 nm e 3 Lasers no λ= 808 nm, energia total de 36 J/ponto) nos pontos F7, F8, AFz. Foram avaliadas a DP, espirometria, manovacuometria e SF-36 na avaliação basal e reavaliação com 8 e 12 semanas. A DP aumentou em 165,43 metros e 222,46m em 12 semanas para GF e GP, respectivamente, com diferenças estatísticas intragrupos (p<0,05) e sem diferença intergrupos (p>0,05). Observou-se aumento no índice pico de fluxo expiratório apenas no GF na análise basal x12 semanas (p<0,05). O GF apresentou aumento da PImax e PEmax em 20% (8 semanas) e 15% (12 semanas). No SF-36, a diferença em relação ao basal, verificou-se os domínios aspectos físicos e dor para o GF comportamento de crescimento, e para o GP de decréscimo. Concluiu-se que a DP melhorou no GF e GP pós-intervenção, sem efeito potencializador do desempenho no GF e que a Ft parece ter influenciado na mecânica respiratória do GF e nos aspectos físicos e dor do SF-36.

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“…[ 21 , 22 ] However, it has been reported that rTMS is effective in the spasticity seen associated with lesions at the level of the spinal cord and the brain stem (SCI, multiple sclerosis). [ 23 ] In the treatment of resistant central pain seen after SCI, rTMS has been shown to have pain-relieving effect in the short term. [ 24 , 25 ] In studies on motor recovery,[ 26 , 27 ] high-frequency rTMS lead to an increase in lower extremity motor scores and functional improvements in patients with incomplete SCI.…”

mentioning

confidence: 99%

Non-invasive brain stimulation in rehabilitation

Kesikburun¹

2022

Turk J Phys Med Rehab

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Non-invasive brain stimulation (NIBS) has been seen more common in rehabilitation settings. It can be used for the treatment of stroke, spinal cord injury, traumatic brain injury and multiple sclerosis, as well as for some diagnostic neurophysiological measurements. Two major modalities of NIBS are transcranial magnetic stimulation (TMS) and transcranial direct current stimulation (tDCS). As an add-on therapy to conventional rehabilitative treatments, the main goal of NIBS is to create neuromodulation by inhibiting or activating neural activity in the targeted cortical region. Indications for therapeutic NIBS in neurorehabilitation are motor recovery, aphasia, neglect, dysphagia, cognitive disorders, spasticity, and central pain. The NIBS can be regarded a safe technique with appropriate patient selection and defined treatment parameters. This review provides an overview on NIBS modalities, specifically TMS and tDCS, the working mechanisms, the stimulation techniques, areas of use, neuronavigation systems and safety considerations.

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Transcranial and spinal cord magnetic stimulation in treatment of spasticity: a literature review and meta-analysis

Cited by 39 publications

References 0 publications

Developing Peri-Operative Rehabilitation in Degenerative Cervical Myelopathy [AO Spine RECODE-DCM Research Priority Number 6]: An Unexplored Opportunity?

Developing Peri-Operative Rehabilitation in Degenerative Cervical Myelopathy [AO Spine RECODE-DCM Research Priority Number 6]: An Unexplored Opportunity?

Avaliação comparativa da distância percorrida, da função pulmonar e da qualidade de vida após reabilitação cardiorrespiratória com e sem fotobiomodulação transcraniana em indivíduos com espasticidade – Estudo piloto

Non-invasive brain stimulation in rehabilitation

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