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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >The Use of Repetitive Transcranial Magnetic Stimulation for Stroke Rehabilitation: A Systematic Review
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The Use of Repetitive Transcranial Magnetic Stimulation for Stroke Rehabilitation: A Systematic Review

机译：使用重复的经颅磁刺激进行中风康复：系统评价

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摘要

Stroke is a leading cause of disability. Alternative and more effective techniques for stroke rehabilitation have been sought to overcome limitations of conventional therapies. Repetitive transcranial magnetic stimulation (rTMS) arises as a promising tool in this context. This systematic review aims to provide a state of the art on the application of rTMS in stroke patients and to assess its effectiveness in clinical rehabilitation of motor function. Methods: Studies included in this review were identified by searching PubMed and ISI Web of Science. The search terms were (rTMS OR "repetitive transcranial magnetic stimulation") AND (stroke OR "cerebrovascular accident" OR CVA) AND (rehab OR rehabilitation OR recover*). The retrieved records were assessed for eligibility and the most relevant features extracted to a summary table. Results: Seventy out of 691 records were deemed eligible, according to the selection criteria. The majority of the articles report rTMS showing potential in improving motor function, although some negative reports, all from randomized controlled trials, contradict this claim. Future studies are needed because there is a possibility that a bias for non-publication of negative results may be present. Conclusions: rTMS has been shown to be a promising tool for stroke rehabilitation, in spite of the lack of standard operational procedures and harmonization. Efforts should be devoted to provide a greater understanding of the underlying mechanisms and protocol standardization.
机译：中风是残疾的主要原因。已经寻求替代和更有效的中风康复技术来克服常规疗法的限制。在这种情况下，重复的经颅磁刺激（RTMS）作为有前途的工具。该系统审查旨在为rtms在中风患者中的应用提供最新技术，并评估其在运动功能的临床康复中的有效性。方法：通过搜索PubMed和ISI科学网络来确定本综述中的研究。搜索术语是（RTMS或“重复的经颅磁刺激”）和（中风或“脑血管事故”或CVA）和（康复或康复或回收*）。检索到的记录被评估以获得资格，并提取到摘要表的最相关的功能。结果：根据选择标准，691条记录中的七十七名记录被视为符合条件。大多数文章报告说明了在随机对照试验中的一些负面报告，虽然来自随机对照试验的一些负面报告，但大多数有大多数情况下表现出潜力。需要未来的研究，因为可能存在可能存在对不公布的负面结果的偏差。结论：RTMS已被证明是卒中康复的有希望的工具，尽管缺乏标准的运营程序和协调。应致力于努力提供对潜在机制和协议标准化的更大了解。

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