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首页> 外文期刊>Cerebrovascular diseases >Transcranial Magnetic Stimulation as an Intervention Tool to Recover from Language, Swallowing and Attentional Deficits after Stroke: A Systematic Review
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Transcranial Magnetic Stimulation as an Intervention Tool to Recover from Language, Swallowing and Attentional Deficits after Stroke: A Systematic Review

机译：经颅磁刺激作为卒中后吞咽，吞咽和注意力缺陷的干预工具：系统审查

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摘要

Background: Following a stroke event, patients often are severely affected by disabilities that hinder their quality-of-life. There are currently several rehabilitative options and strategies, and it is crucial to find the most effective interventions. The applicability of transcranial magnetic stimulation (TMS) to the recovery of nonmotor functions such as communication skills, swallowing ability and spatial attention after stroke remains important clinical questions. Summary: We searched PubMed and ISI Web of Science for articles that used repetitive TMS protocols to rehabilitate post-stroke deficits. We analysed qualitatively 38 articles that met the eligibility criteria; of these, 21 dealt with aphasia, 8 with dysphagia, 8 with neglect and 1 with visual extinction. The efficacy of TMS as an intervention for post-stroke rehabilitation of these nonmotor deficits was studied as well as the current limitations were assessed. Key Messages: Most part of the included studies reported statistically significant functional improvements, supporting the use of TMS for the rehabilitation of aphasia, dysphagia and neglect. Future research, with larger sample sizes, is mandatory to confirm its efficacy, determine the optimal stimulation parameters and investigate inter-subject variability.
机译：背景：在中风事件之后，患者经常受到妨碍他们生活质量的残疾的严重影响。目前有几种康复选择和策略，找到最有效的干预措施至关重要。经颅磁刺激（TMS）的适用性在中风后促进沟通技巧，吞咽能力和空间关注等非等功能的适用性仍然是重要的临床问题。摘要：我们搜索了使用重复TMS协议来恢复冲程赤字的文章的PubMed和Isi Web。我们分析了38次符合资格标准的38篇文章;其中，21例涉及障碍症，8例吞咽困难，8个，忽视和1次视力灭绝。研究了TMS作为这些非热源缺陷后冲程恢复的干预的疗效以及评估目前的限制。关键消息：包括的大部分研究报告报告了统计上显着的功能改进，支持使用TMS康复，吞咽困难和忽视。具有较大样本尺寸的未来研究是强制性的，以确认其功效，确定最佳刺激参数并调查对象间变异性。

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