TMS/TES

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  • Created by: bukunmi
  • Created on: 15-05-19 17:23
Goodwill 2017
TES improves gait, rTMS of the M1 and PFC elicited the strongest effects on motor function. ifferential outcomes from NBS have also been attributed to the timing, duration, electrode placement, coil orientation, and the physiological state of the pps
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Goodwill 2017
Meta comparison of TMS/TES - rTMS shows more widespread effects on motor function however variability in the effects (some show e at 1Hz, others at 10)
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Pell 2011
Excitation of a peripheral nerve is optimal with a parallel electrical field so different orientations can stimulate different parts of the nucleus. fmri carried out on a case-by-case basis to optimise placement, orthogonal to underlying tracts
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Khedr 2005
10 days of ipsilesional HFS (3Hz) rTMS at 120% RMT = improvements in barthel index but not in pps with massive stroke
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Fregni, 2006 comment on Khedr
" ipsi increases risk of seizure and the characteristics of the lesion impact how the electrical field interacts with the cortex" -
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Fregni2006
contralesional LFS (1Hz) in chronic stroke at 100% MT for 20 mins = improved motor function hand and deceased corticospinal excitabilityup to 2 weeks
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Lindenberg 2010
bihemispheric stim of m1 for 5 days + occupational therapy = 6.1 vs 1.2 improvement on the UE-FM (clinically signficant)
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Bolognin 2011
atDCS of m1 + CIMT = improved hand function and reduced transcallosal inhibition (pair pulse TMS) compared with CIMT/ sham + CIMT
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Brittain 2013
by identifying the timing of cortical oscillations tremor frequency) delivering tACS at the specific tremor frequency cancel and reinforce the wave (alignment) = 50% reduction in resting tremor amplitude during tACS
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Elsner 2017
meta analysis found only cathodal tDCS improved ADL (not fugl-meyer) vs bihem or anodal
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Di pino 2014
Interhemispheric imbalance, vicariation, bimodal balance recovery model - structural reserve high = inter, low = vicar
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staudt 2002
congenital hemiparesis in kids - small damage = ipsilesional acitvation, larger = contra; LD ipsi TMS no MEP in paretic hand
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Valentino 2014
5 sessions 2mA atDCS M1 for 20 mins vs sham = improved gait, reduced FOG and reduces UPDRS
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Benniger 2010
8 sessions aTDCS over pre/motor and PFC (alternate sessions) = improved bradykinesia at 3 month
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Elsner 2016
no evidence of effect on off time, on time with dyskinesea quality of life or disability, some improvement on UPDRS III
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Card 2

Front

Meta comparison of TMS/TES - rTMS shows more widespread effects on motor function however variability in the effects (some show e at 1Hz, others at 10)

Back

Goodwill 2017

Card 3

Front

Excitation of a peripheral nerve is optimal with a parallel electrical field so different orientations can stimulate different parts of the nucleus. fmri carried out on a case-by-case basis to optimise placement, orthogonal to underlying tracts

Back

Preview of the back of card 3

Card 4

Front

10 days of ipsilesional HFS (3Hz) rTMS at 120% RMT = improvements in barthel index but not in pps with massive stroke

Back

Preview of the back of card 4

Card 5

Front

" ipsi increases risk of seizure and the characteristics of the lesion impact how the electrical field interacts with the cortex" -

Back

Preview of the back of card 5
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