The Effect of Repetitive Transcranial Magnetic Stimulation on Dysphagia After Stroke: A Systematic Review and Meta-Analysis

Objective: The primary purpose of our study is to systemically evaluate the effect of repetitive transcranial magnetic stimulation (rTMS) on recovery of dysphagia after stroke.Search Methods: We searched randomized controlled trials (RCTs) and non-RCTs published by PubMed, the Cochrane Library, Scie...

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Autores principales:	Weiwei Yang, Xiongbin Cao, Xiaoyun Zhang, Xuebing Wang, Xiaowen Li, Yaping Huai
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	deglutition disorders transcranial magnetic stimulation stroke meta-analysis systematic review Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571
Acceso en línea:	https://doaj.org/article/e3983813ba4e4bf3b946423198f22732
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spelling	oai:doaj.org-article:e3983813ba4e4bf3b946423198f227322021-11-15T06:38:23ZThe Effect of Repetitive Transcranial Magnetic Stimulation on Dysphagia After Stroke: A Systematic Review and Meta-Analysis1662-453X10.3389/fnins.2021.769848https://doaj.org/article/e3983813ba4e4bf3b946423198f227322021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fnins.2021.769848/fullhttps://doaj.org/toc/1662-453XObjective: The primary purpose of our study is to systemically evaluate the effect of repetitive transcranial magnetic stimulation (rTMS) on recovery of dysphagia after stroke.Search Methods: We searched randomized controlled trials (RCTs) and non-RCTs published by PubMed, the Cochrane Library, ScienceDirect, MEDLINE, and Web of Science from inception until April 24, 2021. Language is limited to English. After screening and extracting the data, and evaluating the quality of the selected literature, we carried out the meta-analysis with software RevMan 5.3 and summarized available evidence from non-RCTs.Results: Among 205 potentially relevant articles, 189 participants (from 10 RCTs) were recruited in the meta-analysis, and six non-RCTs were qualitatively described. The random-effects model analysis revealed a pooled effect size of SMD = 0.65 (95% CI = 0.04–1.26, p = 0.04), which indicated that rTMS therapy has a better effect than conventional therapy. However, the subgroup analysis showed that there was no significant difference between low-frequency and high-frequency groups. Even more surprisingly, there were no statistically significant differences between the two groups and the conventional training group in the subgroup analysis, but the combined effect was positive.Conclusion: Our study suggests that rTMS might be effective in treating patients with dysphagia after stroke.Weiwei YangXiongbin CaoXiaoyun ZhangXuebing WangXiaowen LiYaping HuaiFrontiers Media S.A.articledeglutition disorderstranscranial magnetic stimulationstrokemeta-analysissystematic reviewNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571ENFrontiers in Neuroscience, Vol 15 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	deglutition disorders transcranial magnetic stimulation stroke meta-analysis systematic review Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571
spellingShingle	deglutition disorders transcranial magnetic stimulation stroke meta-analysis systematic review Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Weiwei Yang Xiongbin Cao Xiaoyun Zhang Xuebing Wang Xiaowen Li Yaping Huai The Effect of Repetitive Transcranial Magnetic Stimulation on Dysphagia After Stroke: A Systematic Review and Meta-Analysis
description	Objective: The primary purpose of our study is to systemically evaluate the effect of repetitive transcranial magnetic stimulation (rTMS) on recovery of dysphagia after stroke.Search Methods: We searched randomized controlled trials (RCTs) and non-RCTs published by PubMed, the Cochrane Library, ScienceDirect, MEDLINE, and Web of Science from inception until April 24, 2021. Language is limited to English. After screening and extracting the data, and evaluating the quality of the selected literature, we carried out the meta-analysis with software RevMan 5.3 and summarized available evidence from non-RCTs.Results: Among 205 potentially relevant articles, 189 participants (from 10 RCTs) were recruited in the meta-analysis, and six non-RCTs were qualitatively described. The random-effects model analysis revealed a pooled effect size of SMD = 0.65 (95% CI = 0.04–1.26, p = 0.04), which indicated that rTMS therapy has a better effect than conventional therapy. However, the subgroup analysis showed that there was no significant difference between low-frequency and high-frequency groups. Even more surprisingly, there were no statistically significant differences between the two groups and the conventional training group in the subgroup analysis, but the combined effect was positive.Conclusion: Our study suggests that rTMS might be effective in treating patients with dysphagia after stroke.
format	article
author	Weiwei Yang Xiongbin Cao Xiaoyun Zhang Xuebing Wang Xiaowen Li Yaping Huai
author_facet	Weiwei Yang Xiongbin Cao Xiaoyun Zhang Xuebing Wang Xiaowen Li Yaping Huai
author_sort	Weiwei Yang
title	The Effect of Repetitive Transcranial Magnetic Stimulation on Dysphagia After Stroke: A Systematic Review and Meta-Analysis
title_short	The Effect of Repetitive Transcranial Magnetic Stimulation on Dysphagia After Stroke: A Systematic Review and Meta-Analysis
title_full	The Effect of Repetitive Transcranial Magnetic Stimulation on Dysphagia After Stroke: A Systematic Review and Meta-Analysis
title_fullStr	The Effect of Repetitive Transcranial Magnetic Stimulation on Dysphagia After Stroke: A Systematic Review and Meta-Analysis
title_full_unstemmed	The Effect of Repetitive Transcranial Magnetic Stimulation on Dysphagia After Stroke: A Systematic Review and Meta-Analysis
title_sort	effect of repetitive transcranial magnetic stimulation on dysphagia after stroke: a systematic review and meta-analysis
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/e3983813ba4e4bf3b946423198f22732
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The Effect of Repetitive Transcranial Magnetic Stimulation on Dysphagia After Stroke: A Systematic Review and Meta-Analysis

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