Comparative Effects of Repetitive Transcranial Magnetic Stimulation and Theta-Burst Stimulation on Post-Stroke Dysphagia: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.
Objectives: To systematically review the effects of transcranial magnetic stimulation (TMS) on post-stroke dysphagia, focusing on stimulation mode, frequency, and target region. Methods: This systematic review followed PRISMA guidelines and was registered in PROSPERO (CRD42025631286). We systematica...
| Publicado en: | NeuroRehabilitation Vol. 57; no. 4; pp. 453 - 472 |
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| Autores principales: | , , , , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
Dec2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=189710269&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 189710269 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10538135 3RE jtl: NeuroRehabilitation issn: 10538135 maglogo: N pubinfo: dt: Dec2025 vid: 57 iid: 4 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 189710269 188662918 189710269 189710269 10.1177/10538135251382914 189710269 ppf: 453 ppct: 19 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Comparative Effects of Repetitive Transcranial Magnetic Stimulation and Theta-Burst Stimulation on Post-Stroke Dysphagia: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. aug: au: Liu, Chunhua Wang, Jiayan Lin, Huajian Ye, Zegen Wang, Liqin Liu, Xilin Zheng, Yongfei affil: Lishui Hospital of Traditional Chinese Medicine Affiliated to Zhejiang University of Chinese Medicine, Lishui City, China sug: subj: Stroke Rehabilitation Stroke Complications Deglutition Disorders Rehabilitation Transcranial Magnetic Stimulation Methods Treatment Outcomes Human Systematic Review PubMed Embase Cochrane Library Meta Analysis Descriptive Statistics Confidence Intervals Deglutition Physiology Stroke Patients After Care Checklists Funding Source ab: Objectives: To systematically review the effects of transcranial magnetic stimulation (TMS) on post-stroke dysphagia, focusing on stimulation mode, frequency, and target region. Methods: This systematic review followed PRISMA guidelines and was registered in PROSPERO (CRD42025631286). We systematically searched PubMed, Cochrane Central, and Embase for RCTs on TMS for post-stroke dysphagia up to December 11, 2024. Meta-analysis was conducted using Stata 16, with heterogeneity assessed via the I2 statistic. Subgroup and sensitivity analyses explored sources of heterogeneity. Risk of bias and study quality were evaluated using the Cochrane Risk of Bias 2.0 (RoB 2) tool and the Physiotherapy Evidence Database (PEDro) scale. Results: This meta-analysis included 14 RCTs with 882 stroke patients, assessing swallowing function using the Penetration-Aspiration Scale (PAS), Standardized Swallowing Assessment (SSA), Functional Dysphagia Scale (FDS), Fiberoptic Endoscopic Dysphagia Severity Scale (FEDSS), and Functional Oral Intake Scale (FOIS). The results showed that TMS significantly improved swallowing function across all scales: PAS (MD = −1.32, 95% CI: −1.50 to −1.14, P < 0.001), SSA (MD = −1.97, 95% CI: −2.43 to −1.50, P < 0.001), FEDSS (MD = −0.65, 95% CI: −0.84 to −0.46, P < 0.001), FOIS (MD = 0.92, 95% CI: 0.72 to 1.13, P < 0.001), and FDS (MD = −5.54, 95% CI: −7.48 to −3.60, P < 0.001). Conclusion: This meta-analysis demonstrates that TMS significantly improves swallowing function in stroke patients, with consistent effects across scales, interventions, stimulation modes, and targets. However, variability in protocols and short follow-up periods may limit the generalizability of the findings. pubtype: Academic Journal doctype: meta analysis research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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