Effects of repetitive transcranial magnetic stimulation on motor function and language ability in cerebral palsy: A systematic review and meta-analysis

磁刺激 脑瘫 医学 科克伦图书馆 随机对照试验 物理疗法 荟萃分析 物理医学与康复 人口 梅德林 内科学 刺激 政治学 环境卫生 法学
作者
Ying-Ying Sun,Lei Wang,Jin-lin Peng,Yi-jie Huang,Fu-qiang Qiao,Pu Wang
出处
期刊:Frontiers in Pediatrics [Frontiers Media]
卷期号:11
标识
DOI:10.3389/fped.2023.835472
摘要

This review was conducted to assess the quality of the evidence of effectiveness of repetitive transcranial magnetic stimulation (rTMS) in treating motor and language ability of cerebral palsy (CP).Medline, Cochrane library, Web of Science, Embase, PubMed, and CNKI databases were searched up to July 2021 by two independent reviewers. Randomized controlled trials (RCTs) that were published in English and Chinese and met the following criteria were included. The population comprised patients who met the diagnostic criteria for CP. Intervention included the following: comparison about rTMS and sham rTMS or comparison about rTMS combine with other physical therapy and other physical therapy. Outcomes included motor function, as follows: gross motor function measure (GMFM), Gesell Development Diagnosis Scale, fine motor function measure (FMFM), Peabody developmental motor scale, and Modified Ashworth scale. For language ability, sign-significant relation (S-S) was included. Methodological quality was assessed using the Physiotherapy Evidence Database (PEDro) scale.Finally, 29 studies were included in the meta-analysis. Results of evaluation using the Cochrane Collaborative Network Bias Risk Assessment Scale showed that 19 studies specifically explained randomization, among which two studies described allocation concealment, four studies blinded participants and persons and had low risk of bias, and six studies explained that the assessment of outcome measures was blinded. Significant improvements in motor function were observed. The GMFM of total score was determined by using the random-effect model [I2 = 88%; MD = -1.03; 95% CI (-1.35, -0.71); P < 0.0001] and FMFM was determined by using the fixed-effect model [P = 0.40 and I2 = 3%; SMDs = -0.48, 95% CI (-0.65, -0.30); P < 0.01]. For language ability, the language improvement rate was determined using a fixed-effect model [P = 0.88 and I2 = 0%; MD = 0.37, 95% CI (0.23, 0.57); P < 0.01]. According to the PEDro scale, 10 studies had low-quality, four studies had excellent quality, and the other studies had good quality. Using the GRADEpro GDT online tool, we included a total of 31 outcome indicators, as follows: 22 for low quality, seven for moderate quality, and two for very low quality.The rTMS could improve the motor function and language ability of patients with CP. However, rTMS prescriptions varied, and the studies had low sample sizes. Studies using rigorous and standard research designs about prescriptions and large samples are needed to collect sufficient evidence about the effectiveness of using rTMS to treat patients with CP.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
XINYULIU关注了科研通微信公众号
刚刚
1秒前
小姜完成签到,获得积分10
2秒前
2秒前
穆晴筱筱发布了新的文献求助10
2秒前
1789完成签到,获得积分20
3秒前
uuinn发布了新的文献求助10
4秒前
yuyuyu发布了新的文献求助10
5秒前
5秒前
6秒前
Iceberg完成签到 ,获得积分10
6秒前
隐形曼青应助Julien采纳,获得10
7秒前
8秒前
10秒前
10秒前
明亮夏旋完成签到,获得积分10
13秒前
14秒前
榴莲发布了新的文献求助10
15秒前
16秒前
19秒前
桐桐应助Dora采纳,获得10
19秒前
香蕉觅云应助糟糕的铁锤采纳,获得10
19秒前
21秒前
24秒前
24秒前
27秒前
沉静白卉完成签到,获得积分10
28秒前
guo发布了新的文献求助200
28秒前
隐形曼青应助渡川采纳,获得10
28秒前
大海完成签到,获得积分10
28秒前
30秒前
yuyuyu完成签到,获得积分10
31秒前
赘婿应助morena采纳,获得30
31秒前
masheng发布了新的文献求助10
31秒前
落后凝莲完成签到,获得积分20
32秒前
33秒前
隐形曼青应助动听的世立采纳,获得10
34秒前
34秒前
34秒前
西瓜妈妈完成签到,获得积分20
36秒前
高分求助中
A new approach to the extrapolation of accelerated life test data 1000
Picture Books with Same-sex Parented Families: Unintentional Censorship 700
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
Nucleophilic substitution in azasydnone-modified dinitroanisoles 500
不知道标题是什么 500
Indomethacinのヒトにおける経皮吸収 400
Phylogenetic study of the order Polydesmida (Myriapoda: Diplopoda) 370
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3976235
求助须知:如何正确求助?哪些是违规求助? 3520399
关于积分的说明 11203166
捐赠科研通 3256989
什么是DOI,文献DOI怎么找? 1798580
邀请新用户注册赠送积分活动 877738
科研通“疑难数据库(出版商)”最低求助积分说明 806516