Tuesday, February 12, 2013

Theta burst stimulation in the rehabilitation of the upper limb: A semirandomized, placebo-controlled trial in chronic stroke patients

A cool name which is probably why it made the research cut.
http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J64901&phrase=no&rec=120135
Neurorehabilitation and Neural Repair , Volume 26(8) , Pgs. 976-987.

NARIC Accession Number: J64901.  What's this?
ISSN: 1545-9683.
Author(s): Talelli, Penelope; Wallace, Amanda; Dileone, Michelle; Hoad, Damon; Cheeran, Binith; Oliver, Rupert; VandenBos, Mehdi; Hammerbeck, Ulrike; Barratt, Karen; Gillini, Cecilia; Musumeci, Gabriella; Boudrias, Marie-Helene; Cloud, Geoffrey C.; Ball, Joanna; Marsden, Jonathan F.; Ward, Nicholas S.; Di Lazzaro, Vincenzo; Greenwood, Richard G.; Rothwell, John C..
Publication Year: 2012.
Number of Pages: 12.
Abstract: Study explored whether long-lasting clinically important differences can be achieved by adding theta burst stimulation (TBS), a form of repetitive transcranial magnetic stimulation, to a rehabilitation program for the hand. Forty-one chronic stroke patients received excitatory TBS to the ipsilesional hemisphere or inhibitory TBS to the contralesional hemisphere in 2 centers; each active group was compared with a group receiving sham TBS. TBS was followed by physical therapy for 10 working days. Patients and therapists were blinded to the type of TBS. Primary outcome measures, the 9-hole Peg Test (9HPT), the Jebsen Taylor Test (JTT), and grip and pinch-grip dynamometry, were assessed 4, 30, and 90 days after treatment. The clinically important difference was defined as 10 percent of the maximum score for each test. Results showed no differences between the active treatment and sham groups in any of the outcome measures. All patients achieved small sustainable improvements (9HPT, 5 percent of maximum; JTT, 5.7 percent; and grip strength, 6 percent), all below the defined clinically important level. In this study, cortical stimulation did not augment the gains from a late rehabilitation program.

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