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- Title
Theta burst stimulation: what role does it play in stroke rehabilitation? A systematic review of the existing evidence.
- Authors
Jiang, Tingting; Wei, Xiupan; Wang, Mingzhu; Xu, Jiang; Xia, Nan; Lu, Min
- Abstract
Various post-stroke dysfunctions often result in poor long-term outcomes for stroke survivors, but the effect of conventional treatments is limited. In recent years, lots of studies have confirmed the effect of repetitive transcranial magnetic stimulation (rTMS) in stroke rehabilitation. As a new pattern of rTMS, theta burst stimulation (TBS) was proved recently to yield more pronounced and long-lasting after-effects than the conventional pattern at a shorter stimulation duration. To explore the role of TBS in stroke rehabilitation, this review summarizes the existing evidence from all the randomized controlled trials (RCTs) so far on the efficacy of TBS applied to different post-stroke dysfunctions, including cognitive impairment, visuospatial neglect, aphasia, dysphagia, spasticity, and motor dysfunction. Overall, TBS promotes the progress of stroke rehabilitation and may serve as a preferable alternative to traditional rTMS. However, it's hard to recommend a specific paradigm of TBS due to the limited number of current studies and their heterogeneity. Further high-quality clinical RCTs are needed to determine the optimal technical settings and intervention time in stroke survivors.
- Subjects
STROKE rehabilitation; TRANSCRANIAL magnetic stimulation; UNILATERAL neglect; STROKE patients; RANDOMIZED controlled trials
- Publication
BMC Neurology, 2024, Vol 24, Issue 1, p1
- ISSN
1471-2377
- Publication type
Article
- DOI
10.1186/s12883-023-03492-0