Effect of Transcranial Magnetic Stimulation on Parkinson Motor Function-Systematic Review of Controlled Clinical Trials

被引：183
作者：
Elahi, Behzad [1 ,2 ]
Elahi, Behrad [3 ]
Chen, Robert [1 ,2 ]
机构：
[1] Univ Toronto, Div Neurol, Toronto, ON, Canada
[2] Toronto Western Res Inst, Toronto, ON, Canada
[3] Iran Univ Med Sci, Fac Med, Tehran, Iran
来源：
MOVEMENT DISORDERS | 2009年 / 24卷 / 03期
关键词：
Parkinson's disease; meta-analysis; motor function; tremor; DISEASE; CORTEX; EXCITABILITY; RTMS; METAANALYSIS; IMPROVEMENT; FLUOXETINE; DEPRESSION; AREA;
D O I：
10.1002/mds.22364
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
The objective of this study was to evaluate the effects of repetitive Transcranial Magnetic Stimulation (rTMS) oil motor signs in Parkinson's disease (PD). Medline, Embase, CINAHL, Web of Science, Scopus bibliographic, and Google Scholar databases were searched. Relevant controlled clinical trials published between January 1985 and October 2007 were extracted, reviewed, and validated according to the study protocol. The outcome of interest wits the motor section of the Unified Parkinson's Disease Rating Scale (UPDRS). We calculated the effect size for the included Studies. Sensitivity analysis was per-formed to further assess factors that may change the results. Ten randomized, controlled clinical trials were included in the meta-analysis. Pooling of the results from these trials yielded an effect size of -0.58 in UPDRS for high-frequency rTMS studies and no significant effects for low-frequency rTMS studies. The benefit of high-frequency rTMS on motor signs in PD was confirmed by the meta-analysis. Lower frequency rTMS had little effect on motor signs in PD. (C) 2008 Movement Disorder Society
引用
收藏
页码：357 / 363
页数：7
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