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The Effect of Repetitive Transcrania...

Hatai, Jeffrey.

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The Effect of Repetitive Transcranial Magnetic Stimulation on Gait Speed and Motor Function during Turning Gait and Straight-Line Gait in Parkinson's Disease: A Meta-Analysis.

Record Type:	Electronic resources : Monograph/item
Title/Author:	The Effect of Repetitive Transcranial Magnetic Stimulation on Gait Speed and Motor Function during Turning Gait and Straight-Line Gait in Parkinson's Disease: A Meta-Analysis./
Author:	Hatai, Jeffrey.
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 2020,
Description:	51 p.
Notes:	Source: Dissertations Abstracts International, Volume: 81-10, Section: B.
Contained By:	Dissertations Abstracts International81-10B.
Subject:	Physical therapy. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=27832091
ISBN:	9798607300272

The Effect of Repetitive Transcranial Magnetic Stimulation on Gait Speed and Motor Function during Turning Gait and Straight-Line Gait in Parkinson's Disease: A Meta-Analysis.
Hatai, Jeffrey.

The Effect of Repetitive Transcranial Magnetic Stimulation on Gait Speed and Motor Function during Turning Gait and Straight-Line Gait in Parkinson's Disease: A Meta-Analysis. - Ann Arbor : ProQuest Dissertations & Theses, 2020 - 51 p.

Source: Dissertations Abstracts International, Volume: 81-10, Section: B.

Thesis (D.P.T.)--California State University, Fresno, 2020.

This item must not be sold to any third party vendors.

Background: Individuals suffering from Parkinson's disease (PD) suffer from motor deficits resulting in slow gait speed. Repetitive transcranial magnetic stimulation (rTMS) has been proposed as an alternative treatment for PD that may have an effect on the direct and indirect neural pathways. Previous meta-analyses did not take into consideration turning gait versus straight-line gait in the outcome measures used, and included studies that had inconsistent parameters.Objective: This meta-analysis aims to differentiate between rTMS's effect on straight-line gait versus turning gait while using consistent parameters in order to understand rTMS's effect on the indirect and direct neural pathways.Methods: Five electronic databases were searched for randomized controlled trials that utilized specific parameters (high frequency, motor cortex (M1) stimulation, etc.) as well specific outcome measures (10 M walk or turning gait assessment). Unified Parkinson's disease rating scale motor section (UPDRS-III) was also utilized as a primary outcome.Results: Eight trials involving 178 participants with PD were included. A medium effect size of 0.52 indicated rTMS significantly improves gait speed immediately after intervention, with the sub-analyses showing a large effect size of 0.75 for straight-line gait speed studies versus no effect (effect size of 0.12) for turning gait speed studies. A small effect size (-0.30) was found for motor function (UPDRS- III) immediately after intervention. A large effect size for gait speed (0.86) and UPDRS-III (-0.87) was found after 1 month follow-up.Discussion: This analysis indicates that high-frequency stimulation to M1 has a large effect on the direct pathway and no notable effect on the indirect pathway. This is likely due to the indirect pathway requiring more stimulation of the SMA and DLPFC in order to be effective.Conclusion: rTMS is an effective intervention for improving straight-line gait speed and motor symptoms immediately after intervention and after 1 month follow-up when high-frequency stimulation is applied to M1, but does not appear to be effective in approving turning gait speed.

ISBN: 9798607300272Subjects--Topical Terms:

588713
Physical therapy.
Subjects--Index Terms:

Gait speed

The Effect of Repetitive Transcranial Magnetic Stimulation on Gait Speed and Motor Function during Turning Gait and Straight-Line Gait in Parkinson's Disease: A Meta-Analysis.
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245 1 4 $a The Effect of Repetitive Transcranial Magnetic Stimulation on Gait Speed and Motor Function during Turning Gait and Straight-Line Gait in Parkinson's Disease: A Meta-Analysis.
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300 $a 51 p.
500 $a Source: Dissertations Abstracts International, Volume: 81-10, Section: B.
500 $a Advisor: Ko, Na-hyeon.
502 $a Thesis (D.P.T.)--California State University, Fresno, 2020.
506 $a This item must not be sold to any third party vendors.
520 $a Background: Individuals suffering from Parkinson's disease (PD) suffer from motor deficits resulting in slow gait speed. Repetitive transcranial magnetic stimulation (rTMS) has been proposed as an alternative treatment for PD that may have an effect on the direct and indirect neural pathways. Previous meta-analyses did not take into consideration turning gait versus straight-line gait in the outcome measures used, and included studies that had inconsistent parameters.Objective: This meta-analysis aims to differentiate between rTMS's effect on straight-line gait versus turning gait while using consistent parameters in order to understand rTMS's effect on the indirect and direct neural pathways.Methods: Five electronic databases were searched for randomized controlled trials that utilized specific parameters (high frequency, motor cortex (M1) stimulation, etc.) as well specific outcome measures (10 M walk or turning gait assessment). Unified Parkinson's disease rating scale motor section (UPDRS-III) was also utilized as a primary outcome.Results: Eight trials involving 178 participants with PD were included. A medium effect size of 0.52 indicated rTMS significantly improves gait speed immediately after intervention, with the sub-analyses showing a large effect size of 0.75 for straight-line gait speed studies versus no effect (effect size of 0.12) for turning gait speed studies. A small effect size (-0.30) was found for motor function (UPDRS- III) immediately after intervention. A large effect size for gait speed (0.86) and UPDRS-III (-0.87) was found after 1 month follow-up.Discussion: This analysis indicates that high-frequency stimulation to M1 has a large effect on the direct pathway and no notable effect on the indirect pathway. This is likely due to the indirect pathway requiring more stimulation of the SMA and DLPFC in order to be effective.Conclusion: rTMS is an effective intervention for improving straight-line gait speed and motor symptoms immediately after intervention and after 1 month follow-up when high-frequency stimulation is applied to M1, but does not appear to be effective in approving turning gait speed.
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653 $a Repetitive transcranial magnetic stimulation
653 $a Straight-line gait
653 $a Turning gait
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