Effectiveness of Transcranial Magnetic Stimulation on Executive Function, Attention, and Memory in Stroke Patients: A Systematic Review and Meta-Analysis
2024

Effectiveness of Transcranial Magnetic Stimulation on Cognitive Function in Stroke Patients

Sample size: 496 publication 10 minutes Evidence: low

Author Information

Author(s): Muacevic Alexander, Adler John R, Le Ha T, Honma Kenta, Annaka Hiroki, Shunxiang Sun, Murakami Tsukasa, Hiraoka Tamon, Nomura Tomonori

Primary Institution: Department of Rehabilitation, Hai Duong Medical Technical University, Hai Duong, VNM

Hypothesis

Does transcranial magnetic stimulation (TMS) improve executive function, attention, and memory in stroke patients?

Conclusion

TMS may improve executive function and memory in stroke patients, but its effect on attention is unclear.

Supporting Evidence

  • TMS significantly improved executive function with a standardized mean difference (SMD) of 0.55.
  • TMS showed significant efficacy in improving memory function with an SMD of 0.57.
  • The effect of TMS on attention was not significant, with an SMD of 0.32.

Takeaway

This study found that a treatment called TMS can help stroke patients think better and remember things, but it doesn't seem to help them pay attention as much.

Methodology

This systematic review included 13 randomized controlled trials (RCTs) that assessed the effects of TMS on cognitive functions in stroke patients.

Potential Biases

Some studies had high risk of bias due to issues with randomization and missing outcome data.

Limitations

The quality of evidence varied from very low to low due to heterogeneity and potential biases in the included studies.

Participant Demographics

Participants were aged 18-89 years, with a majority being male (55.6% to 88.2%).

Statistical Information

P-Value

p<0.01

Confidence Interval

95% CI = 0.04-1.05 for executive function; 95% CI = 0.25-0.89 for memory; 95% CI = -0.1 to 0.75 for attention

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.7759/cureus.75194

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