Comparison of different stimulation parameters of repetitive transcranial magnetic stimulation for unilateral spatial neglect in stroke patients

Yang, Wei; Liu, Taotao; Song, Xiaobin; Zhang, Yan; Li, Zhaohui; Cui, Zhi-Hua; Qian, Hao; Liu, Hong Lei; Lei, Chun; Li, Jun

doi:10.1016/j.jns.2015.08.1541

Cited by 68 publications

(123 citation statements)

References 50 publications

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“…Spatial neglect, that is, the inability to attend, reply, react or orient to stimuli located in the contralesional portion of space, [1,2,8,9,[20][21][22] affects from 30 to 81% of patients in the acute phase [8,9] and it is sustained in approximately a third of them [9]. It appears most often due to right hemispheric lesions of the middle cerebral artery, damaging the neural substrates of space representation and awareness [2,8,23].…”

Section: Attentionmentioning

confidence: 99%

“…It appears most often due to right hemispheric lesions of the middle cerebral artery, damaging the neural substrates of space representation and awareness [2,8,23]. Additionally, it can emerge associated to damage of other areas such as the parietal or frontal lobe, thalamus or basal ganglia [2].…”

Section: Attentionmentioning

confidence: 99%

“…It is strongly believed that this imbalance of inter-hemispheric excitability limits considerably the recovery of function after stroke [25,27]. Transcranial magnetic stimulation (TMS), a technique for the non-invasive brain stimulation, arises as a novel approach to rehabilitate motor and non-motor deficits in stroke patients, due to its ability to modulate brain plasticity [25,26], either by increasing excitability (with high-frequency protocols or intermittent theta burst stimulation paradigms) or by decreasing it (low-frequency or continuous theta burst stimulation paradigms) [2,5,8,11,17,25,28].…”

Section: Attentionmentioning

confidence: 99%

“…The literature applied cTBS [1,20] or LF-rTMS [8,9,21,22] to the unaffected hemisphere over posterior parietal cortex or HF-rTMS to the stroke affected hemisphere, [8] as an adjuvant to conventional therapy. Moreover, Cha and Kim [23] applied LF-rTMS over P3, based on the International 10/20 system, and Yang et al [2] stimulated the contralateral posterior parietal cortex either with cTBS, LF-rTMS or HF-rTMS.…”

Section: Improvement Of Attentional Deficitsmentioning

confidence: 99%

“…Stroke, or cerebrovascular accident, represents the third leading cause of death and one of the most common sources of disability worldwide [1,2]. Motor deficits after stroke have been given particular attention; however, other types of deficits are also relevant such as communication skills [3][4][5], swallowing abilities [6,7] and attention [8,9].…”

Section: Introductionmentioning

confidence: 99%

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Transcranial Magnetic Stimulation as an Intervention Tool to Recover from Language, Swallowing and Attentional Deficits after Stroke: A Systematic Review

2018

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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.

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Section: Attentionmentioning

confidence: 99%

Section: Attentionmentioning

confidence: 99%

Section: Attentionmentioning

confidence: 99%

Section: Improvement Of Attentional Deficitsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Transcranial Magnetic Stimulation as an Intervention Tool to Recover from Language, Swallowing and Attentional Deficits after Stroke: A Systematic Review

2018

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Non-pharmacological interventions for spatial neglect or inattention following stroke and other non-progressive brain injury

Longley

Hazelton

Heal

et al. 2021

Cochrane Database of Systematic Reviews

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Applying transcranial magnetic stimulation to rehabilitation of poststroke lower extremity function and an improvement: Individual‐target TMS

Tian²,

Rao

et al. 2022

WIRES Cognitive Science

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Stroke is the leading cause of disability globally in need of novel and effective methods of rehabilitation. Intermittent theta burst stimulation (iTBS) has been adopted as a Level B recommendation for lower limb spasticity in guidelines on the therapeutic use of repetitive transcranial magnetic stimulation (rTMS). Nonetheless, the methodological differences and deficits of existing work bring about heterogenous results and therefore limit the universal clinical use of rTMS in lower extremity (LE) rehabilitation. The variation of stimulated targets across motor cortex contributes mainly to these heterogeneities. This narrative review includes studies of rTMS on LE motor function rehabilitation in patients after stroke until now. Some analyses of brain imaging and electromagnetic simulation and quantification through computational modeling were also performed. rTMS appears capable of fostering LE motor rehabilitation after stroke, but the actually stimulated targets are considerably bias making it difficult to confirm effectiveness. The main reason for this phenomenon is probably inaccurate targeting of motor cortical leg representation. An underlying updated method is proposed as Individual‐Target TMS (IT‐TMS) combined with brain imaging. rTMS is a promising validated method for LE function regaining. Future studies should systematically compare the effects of IT‐TMS with traditional rTMS using large samples in random clinical trials. This article is categorized under: Neuroscience > Clinical Neuroscience

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Comparison of different stimulation parameters of repetitive transcranial magnetic stimulation for unilateral spatial neglect in stroke patients

Cited by 68 publications

References 50 publications

Transcranial Magnetic Stimulation as an Intervention Tool to Recover from Language, Swallowing and Attentional Deficits after Stroke: A Systematic Review

Transcranial Magnetic Stimulation as an Intervention Tool to Recover from Language, Swallowing and Attentional Deficits after Stroke: A Systematic Review

Non-pharmacological interventions for spatial neglect or inattention following stroke and other non-progressive brain injury

Applying transcranial magnetic stimulation to rehabilitation of poststroke lower extremity function and an improvement: Individual‐target TMS

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