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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Repetitive Transcranial Magnetic Stimulation for the Treatment of Lower Limb Dysfunction in Patients Poststroke: A Systematic Review with Meta-Analysis
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Repetitive Transcranial Magnetic Stimulation for the Treatment of Lower Limb Dysfunction in Patients Poststroke: A Systematic Review with Meta-Analysis

机译：重复的经颅磁刺激治疗患者患者后肢体功能障碍：META分析系统综述

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Purpose: To investigate the effectiveness of repetitive transcranial magnetic stimulation (rTMS) in recovery of lower limb dysfunction in patients poststroke. Participants and Methods: Cochrane Central Register of Controlled Trials, Medline, ISI web of knowledge, EBSCO, Embase, Cumulative Index to Nursing and Allied Health Literature and Scopus. Results: Fifteen trials with 385 patients were included. Results showed that rTMS had a significant effect on balance (standard mean difference [SMD] = .38; 95% confidence interval [CI], .07: .69; I-2 = 51%) and mobility (SMD: -.67; 95% CI, -1.08: -.26; I-2 = 72%). However, rTMS had no significant immediate effects on the lower limb subscale of the Fugl-Meyer Assessment (FMA-L) (SMD = .01; 95% CI, -.29: .31; I-2 = 0%). Continued effects of rTMS was also found to be significant during the follow-up period (SMD = .46; 95% CI, .09: .84; I-2 = 14%). Conclusion: rTMS was found to result in positive effects on mobility, balance and long-term prognosis of FMA-L. However data indicated that there is insufficient evidence for the effectiveness of rTMS in improving lower limb function.
机译：目的：探讨重复经颅磁刺激（RTMS）在术后患者患者下肢体功能障碍恢复中的有效性。参与者和方法：Cochrane Central Intence of受控试验，MEDLINE，ISI网络，EBSCO，EMBASE，护理和盟军卫生文学和SCOPUS的累积指数。结果：包括385名患者的十五项试验。结果表明，RTMS对平衡有显着影响（标准平均差异[SMD] = .38; 95％置信区间[CI]，.07：.69; I-2 = 51％）和移动性（SMD：-.67 ; 95％CI，-1.08：26; I-2 = 72％）。然而，RTMS对Fugl-Meyer评估（FMA-L）的下肢亚峰值没有显着的立即影响（SMD = .01; 95％CI，-29：.31; I-2 = 0％）。在随访期间也发现RTMS的持续影响是显着的（SMD = .46; 95％CI，.09：.84; I-2 = 14％）。结论：发现RTMS导致FMA-L的流动性，平衡和长期预后的积极影响。然而，数据表明，RTMS在改善下肢功能方面的有效性的证据不足。

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