A systematic review of repetitive transcranial magnetic stimulation in aphasia rehabilitation: leads for future studies
Language
EN
Article de revue
This item was published in
Neuroscience and Biobehavioral Reviews. 2021-04-20, vol. 127, p. 212-241
English Abstract
BACKGROUND: Repetitive transcranial magnetic stimulation (rTMS) is a non-invasive tool that induces neuromodulation in the brain. Several studies have shown that rTMS improves language recovery in patients with post-stroke ...Read more >
BACKGROUND: Repetitive transcranial magnetic stimulation (rTMS) is a non-invasive tool that induces neuromodulation in the brain. Several studies have shown that rTMS improves language recovery in patients with post-stroke aphasia. OBJECTIVE: This systematic review summarizes the role of rTMS in aphasia rehabilitation. METHODS: We searched MEDLINE via PubMed and Scopus on 30October, 2020, for English articles (1996-2020). Eligible studies involved post-stroke aphasia rehabilitation with rTMS. In some of these studies, rTMS was also combined with speech therapy. RESULTS: In total, seven meta-analyses and 59studies (23randomized clinical trials) were included in this systematic review. The methods used in these studies were heterogeneous. Only six studies did not find that rTMS had a significant effect on language performance. CONCLUSIONS: The evidence from the peer-reviewed literature suggests that rTMS is an effective tool in post-stroke aphasia rehabilitation. However, the precise mechanisms that underlie the effects of rTMS and the reorganization of language networks in patients who have had a stroke remain unclear. We discuss these crucial challenges in the context of future studies.Read less <
English Keywords
Aphasia
Rehabilitation
rTMS
Speech therapy