dc.contributor.author |
Smith, Marie-Claire |
en |
dc.contributor.author |
Stinear, Cathy |
en |
dc.date.accessioned |
2016-08-23T02:30:39Z |
en |
dc.date.issued |
2016-09 |
en |
dc.identifier.citation |
Journal of Clinical Neuroscience 31:10-14 Sep 2016 |
en |
dc.identifier.issn |
0967-5868 |
en |
dc.identifier.uri |
http://hdl.handle.net/2292/30107 |
en |
dc.description.abstract |
The use of transcranial magnetic stimulation (TMS) in stroke research has increased dramatically over the last decade with two emerging and potentially useful functions identified. Firstly, the use of single pulse TMS as a tool for predicting recovery of motor function after stroke, and secondly, the use of repetitive TMS (rTMS) as a treatment adjunct aimed at modifying the excitability of the motor cortex in preparation for rehabilitation. This review discusses recent advances in the use of TMS in both prediction and treatment after stroke. Prediction of recovery after stroke is a complex process and the use of TMS alone is not sufficient to provide accurate prediction for an individual after stroke. However, when applied in conjunction with other tools such as clinical assessment and MRI, accuracy of prediction using TMS is increased. rTMS temporarily modulates cortical excitability after stroke. Very few rTMS studies are completed in the acute or sub-acute stages after stroke and the translation of altered cortical excitability into gains in motor function are modest, with little evidence of long term effects. Although gains have been made in both of these areas, further investigation is needed before these techniques can be applied in routine clinical care. |
en |
dc.format.medium |
Print-Electronic |
en |
dc.language |
eng |
en |
dc.publisher |
Elsevier |
en |
dc.relation.ispartofseries |
Journal of Clinical Neuroscience |
en |
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from http://www.sherpa.ac.uk/romeo/issn/0967-5868/ |
en |
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
en |
dc.rights.uri |
https://creativecommons.org/licenses/by-nc-nd/4.0/ |
en |
dc.title |
Transcranial magnetic stimulation (TMS) in stroke: Ready for clinical practice? |
en |
dc.type |
Journal Article |
en |
dc.identifier.doi |
10.1016/j.jocn.2016.01.034 |
en |
pubs.begin-page |
10 |
en |
pubs.volume |
31 |
en |
dc.description.version |
AM - Accepted Manuscript |
en |
dc.rights.holder |
Copyright: Elsevier |
en |
dc.identifier.pmid |
27394378 |
en |
pubs.end-page |
14 |
en |
dc.rights.accessrights |
http://purl.org/eprint/accessRights/OpenAccess |
en |
pubs.subtype |
Review |
en |
pubs.elements-id |
536219 |
en |
pubs.org-id |
Medical and Health Sciences |
en |
pubs.org-id |
School of Medicine |
en |
pubs.org-id |
Medicine Department |
en |
dc.identifier.eissn |
1532-2653 |
en |
pubs.record-created-at-source-date |
2016-08-23 |
en |
pubs.dimensions-id |
27394378 |
en |