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联合使用不同的无创性脑刺激治疗脑卒中患者上肢运动功能恢复:系统评价。

Combination of different noninvasive brain stimulation treatments for upper limb recovery in stroke patients: A systematic review.

机构信息

Departamento de Fisioterapia, Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, Aravaca, Madrid, Spain.

Clínica Neuron Madrid Río, Madrid, Spain.

出版信息

Brain Behav. 2024 Jan;14(1):e3370. doi: 10.1002/brb3.3370.

DOI:10.1002/brb3.3370
PMID:38376018
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10823455/
Abstract

We report a review of Pubmed (Medline), CENTRAL, Web of Science, and Scopus to test the effectiveness of the combined application of repetitive transcranial magnetic stimulation and transcranial direct current stimulation in the improvement of different functional variables of the upper limb in people with stroke. Two independent reviewers assessed eligibility and evaluated the quality of the studies. Five articles were included in the final review according to the inclusion criteria: Most show statistically significant differences in motor function improvement in favor of the experimental group, but not in activity. Due to the heterogeneity of the observed studies, the results should be interpreted with caution-more high-quality studies are needed to investigate the effectiveness of these interventions in different stages of stroke patients.

摘要

我们回顾了 Pubmed(医学在线)、CENTRAL、Web of Science 和 Scopus,以测试重复经颅磁刺激和经颅直流电刺激联合应用在改善脑卒中患者上肢不同功能变量方面的效果。两名独立的审查员评估了研究的合格性并评估了其质量。根据纳入标准,最终综述纳入了 5 篇文章:大多数研究显示运动功能改善方面存在统计学显著差异,有利于实验组,但在活动方面则不然。由于观察研究的异质性,结果应谨慎解释——需要更多高质量的研究来调查这些干预措施在脑卒中患者不同阶段的有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aec7/10823455/899c22082c34/BRB3-14-e3370-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aec7/10823455/d26d7fa443df/BRB3-14-e3370-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aec7/10823455/899c22082c34/BRB3-14-e3370-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aec7/10823455/d26d7fa443df/BRB3-14-e3370-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aec7/10823455/899c22082c34/BRB3-14-e3370-g001.jpg

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Arch Phys Med Rehabil. 2023 Oct;104(10):1683-1697. doi: 10.1016/j.apmr.2023.04.027. Epub 2023 May 26.
2
Guidelines: basic principles of neurorehabilitation for patients with acquired brain injury. Recommendations of the Spanish Society of Neurorehabilitation.指南:获得性脑损伤患者神经康复的基本原则。西班牙神经康复学会的建议。
Neurologia (Engl Ed). 2024 Apr;39(3):261-281. doi: 10.1016/j.nrleng.2023.04.002. Epub 2023 Apr 26.
3
Efficacy of Neurostimulations for Upper Extremity Function Recovery after Stroke: A Systematic Review and Network Meta-Analysis.
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J Clin Med. 2022 Oct 19;11(20):6162. doi: 10.3390/jcm11206162.
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J Pak Med Assoc. 2022 Jul;72(7):1406-1415. doi: 10.47391/JPMA.3864.
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