Transcranial magnetic stimulation in stroke rehabilitation

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Objective: To review the use of transcranial magnetic stimulation (TMS) in stroke rehabilitation, current evidence of its effectiveness and mechanisms of neuroplasticity that could be induced. Search strategy: Bibliographic search of articles published over the last ten years in PubMed, Tripdatabase, and The Cochrane Library databases. MesH key words used were: neuroplasticity, rehabilitation, stroke, transcranial magnetic stimulation. Study selection: Randomized controlled trials, cohorts studies, and case-control studies, in acute, subacute and chronic poststroke patients. Data synthesis: TMS and motor training can induce neuroplasticity mechanisms (long-term potentiation [LTP], long-term depression [LTD]). Repetitive 1 Hz TMS reduces transcallosal inhibition from the contralesional hemisphere to the affected cortex. The result is an augmented excitability of damaged brain areas that facilitates recovery of motor impairment, neglect, aphasia, and dysphagia in poststroke patients. Conclusions: TMS could be used in stroke rehabilitation as an adjunct therapy. Future studies are needed to confirm its real effectiveness. © 2010 Elsevier España, S.L. y SERMEF. Todos los derechos reservados.




Bayón, M. (2011). Transcranial magnetic stimulation in stroke rehabilitation. Rehabilitacion. Ediciones Doyma, S.L.

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