A topical reappreasal on use of repetitive Transcranial Magnetic Stimulation in elderly patients with postischemic stroke statuses - a systematic literature review

Introduction: Stroke is a cerebrovascular disease with an impressive potential of disabil-ity, (multi)morbidity, and mortality among elderly patients. After stroke, a series of seque-lae rep-resents a dynamic challenge for rehabilitation, especially for improving motor, cognitive and depressive diso...

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Main Authors: Valeria Mădălina Alecu-Mihai, Andreea Zamfirescu, Sorina Maria Aurelian, Gelu Onose
Format: Article
Language:English
Published: Romanian Association of Balneology, Editura Balneara 2024-03-01
Series:Balneo and PRM Research Journal
Subjects:
Online Access:https://bioclima.ro/Balneo679.pdf
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author Valeria Mădălina Alecu-Mihai
Andreea Zamfirescu
Sorina Maria Aurelian
Gelu Onose
author_facet Valeria Mădălina Alecu-Mihai
Andreea Zamfirescu
Sorina Maria Aurelian
Gelu Onose
author_sort Valeria Mădălina Alecu-Mihai
collection DOAJ
description Introduction: Stroke is a cerebrovascular disease with an impressive potential of disabil-ity, (multi)morbidity, and mortality among elderly patients. After stroke, a series of seque-lae rep-resents a dynamic challenge for rehabilitation, especially for improving motor, cognitive and depressive disorders (1,2). Repetitive Transcranial Magnetic Stimulation (rTMS) is a non-invasive, painless, neuromodulations and neurostimulation method, which uses electro-magnetic induction to administer repeated trains of pulses, with thera-peutic, diagnostic and re-search purposes (3–5). Method: We performed a systematic literature review of the related literature using a widely international accepted method - Preferred Reporting Items for Systematic Reviews and Me-ta-Analyses (PRISMA)(6), by searching, filtering, and selecting profile documen-tary material. Combinations/syntaxes of keywords were searched in the following interna-tional databases: Elsevier(7), PubMed(8), PMC(9), PEDro(10), in ISI indexed journals by Web of Knowledge/Science(11) during 1/01/2019-31/12/2021. Besides the 9 articles selected to enhance our related knowledge base we have also used some works freely identified in the literature. Results and discussions: 9 articles satisfied all the previous filtering criteria/ PRISMA steps and were selected for qualitative and detailed analysis. The benefits of rTMS, aiming to bring further insight into the responsiveness of motor deficit, depression, and cognitive impairment of the treatment, and through the favorable dynamic progress of the scores of the quantification scales used: HAMD-17/ HDRS, Hamilton Depression Scale; MMSE, Mini-Mental State Examination; MoCA, Montreal Cognitive Assesment; SCWT, Stroop Color-Word Interference Test; WAIS, Wechsler Adult Intelligence Scale; NIHSS, National Institutes of Health Stroke Scale; Barthel In-dex Score; ADL, Activities of Daily Living; mRS, modified Rankin Scale; FIM, Functional Inde-pendence Measures. Conclusions: Through this systematic review, we wish to present the perspective of the success-ful use of rTMS among elderly patients. We also intend for this work to be the start-ing point in the development of a doctoral study, which will include post-stroke sequelae, such as motor def-icits, depressive and cognitive disorders, and through which we will strengthen scientific confi-dence in the tolerability and effectiveness of this type of stimula-tion for this segment of age.
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spelling doaj.art-2688865d55cb402ba4176b536b3652982024-04-03T11:01:30ZengRomanian Association of Balneology, Editura BalnearaBalneo and PRM Research Journal2734-84582024-03-0115167910.12680/balneo.2024.679A topical reappreasal on use of repetitive Transcranial Magnetic Stimulation in elderly patients with postischemic stroke statuses - a systematic literature reviewValeria Mădălina Alecu-Mihai0Andreea Zamfirescu1Sorina Maria Aurelian2Gelu Onose3University of Medicine and Pharmacy “Carol Davila” (PhD Student), Bucharest, Romania; Faculty of Midwives and Nursing, University of Medicine and Pharmacy “Carol Davila”, Bucharest, RomaniaFaculty of Midwives and Nursing, University of Medicine and Pharmacy “Carol Davila”, Bucharest, Romania; Geriatrics and Gerontology Clinic, Chronic Diseases Hospital “Sfântul Luca”, Bucharest, Romania Faculty of Medicine, University of Medicine and Pharmacy “Carol Davila”, Bucharest, Romania; Geriatrics and Gerontology Clinic, Chronic Diseases Hospital “Sfântul Luca”, Bucharest, RomaniaFaculty of Medicine, University of Medicine and Pharmacy “Carol Davila”, Bucharest, Romania; Neuromuscular Rehabilitation Clinic Division, Teaching Emergency Hospital “Bagdasar-Arseni”, Bucharest, RomaniaIntroduction: Stroke is a cerebrovascular disease with an impressive potential of disabil-ity, (multi)morbidity, and mortality among elderly patients. After stroke, a series of seque-lae rep-resents a dynamic challenge for rehabilitation, especially for improving motor, cognitive and depressive disorders (1,2). Repetitive Transcranial Magnetic Stimulation (rTMS) is a non-invasive, painless, neuromodulations and neurostimulation method, which uses electro-magnetic induction to administer repeated trains of pulses, with thera-peutic, diagnostic and re-search purposes (3–5). Method: We performed a systematic literature review of the related literature using a widely international accepted method - Preferred Reporting Items for Systematic Reviews and Me-ta-Analyses (PRISMA)(6), by searching, filtering, and selecting profile documen-tary material. Combinations/syntaxes of keywords were searched in the following interna-tional databases: Elsevier(7), PubMed(8), PMC(9), PEDro(10), in ISI indexed journals by Web of Knowledge/Science(11) during 1/01/2019-31/12/2021. Besides the 9 articles selected to enhance our related knowledge base we have also used some works freely identified in the literature. Results and discussions: 9 articles satisfied all the previous filtering criteria/ PRISMA steps and were selected for qualitative and detailed analysis. The benefits of rTMS, aiming to bring further insight into the responsiveness of motor deficit, depression, and cognitive impairment of the treatment, and through the favorable dynamic progress of the scores of the quantification scales used: HAMD-17/ HDRS, Hamilton Depression Scale; MMSE, Mini-Mental State Examination; MoCA, Montreal Cognitive Assesment; SCWT, Stroop Color-Word Interference Test; WAIS, Wechsler Adult Intelligence Scale; NIHSS, National Institutes of Health Stroke Scale; Barthel In-dex Score; ADL, Activities of Daily Living; mRS, modified Rankin Scale; FIM, Functional Inde-pendence Measures. Conclusions: Through this systematic review, we wish to present the perspective of the success-ful use of rTMS among elderly patients. We also intend for this work to be the start-ing point in the development of a doctoral study, which will include post-stroke sequelae, such as motor def-icits, depressive and cognitive disorders, and through which we will strengthen scientific confi-dence in the tolerability and effectiveness of this type of stimula-tion for this segment of age.https://bioclima.ro/Balneo679.pdfelderlyischemic stroketranscranial magnetic stimulationtmsrepetitive transcranial magnet-ic stimulationrtms
spellingShingle Valeria Mădălina Alecu-Mihai
Andreea Zamfirescu
Sorina Maria Aurelian
Gelu Onose
A topical reappreasal on use of repetitive Transcranial Magnetic Stimulation in elderly patients with postischemic stroke statuses - a systematic literature review
Balneo and PRM Research Journal
elderly
ischemic stroke
transcranial magnetic stimulation
tms
repetitive transcranial magnet-ic stimulation
rtms
title A topical reappreasal on use of repetitive Transcranial Magnetic Stimulation in elderly patients with postischemic stroke statuses - a systematic literature review
title_full A topical reappreasal on use of repetitive Transcranial Magnetic Stimulation in elderly patients with postischemic stroke statuses - a systematic literature review
title_fullStr A topical reappreasal on use of repetitive Transcranial Magnetic Stimulation in elderly patients with postischemic stroke statuses - a systematic literature review
title_full_unstemmed A topical reappreasal on use of repetitive Transcranial Magnetic Stimulation in elderly patients with postischemic stroke statuses - a systematic literature review
title_short A topical reappreasal on use of repetitive Transcranial Magnetic Stimulation in elderly patients with postischemic stroke statuses - a systematic literature review
title_sort topical reappreasal on use of repetitive transcranial magnetic stimulation in elderly patients with postischemic stroke statuses a systematic literature review
topic elderly
ischemic stroke
transcranial magnetic stimulation
tms
repetitive transcranial magnet-ic stimulation
rtms
url https://bioclima.ro/Balneo679.pdf
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