دورية أكاديمية
The Effect of High-Frequency Repetitive Transcranial Magnetic Stimulation on Advancing Parkinson's Disease With Dysphagia: Double Blind Randomized Clinical Trial.
| العنوان: | The Effect of High-Frequency Repetitive Transcranial Magnetic Stimulation on Advancing Parkinson's Disease With Dysphagia: Double Blind Randomized Clinical Trial. |
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| المؤلفون: | Khedr EM; 1 Assiut University Hospital, Assiut, Egypt., Mohamed KO; 1 Assiut University Hospital, Assiut, Egypt., Soliman RK; 1 Assiut University Hospital, Assiut, Egypt., Hassan AMM; 1 Assiut University Hospital, Assiut, Egypt., Rothwell JC; 2 UCL Queen Square Institute of Neurology, London, UK. |
| المصدر: | Neurorehabilitation and neural repair [Neurorehabil Neural Repair] 2019 Jun; Vol. 33 (6), pp. 442-452. Date of Electronic Publication: 2019 May 10. |
| نوع المنشور: | Journal Article; Randomized Controlled Trial |
| اللغة: | English |
| بيانات الدورية: | Publisher: Sage Publications Country of Publication: United States NLM ID: 100892086 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1552-6844 (Electronic) Linking ISSN: 15459683 NLM ISO Abbreviation: Neurorehabil Neural Repair Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2002- : Thousand Oaks, CA : Sage Publications Original Publication: New York, NY : Demos Medical Pub., c1999- |
| مواضيع طبية MeSH: | Outcome Assessment, Health Care* , Transcranial Magnetic Stimulation*, Deglutition Disorders/*physiopathology , Deglutition Disorders/*rehabilitation , Motor Cortex/*physiopathology , Parkinson Disease/*physiopathology , Parkinson Disease/*rehabilitation, Aged ; Deglutition Disorders/etiology ; Double-Blind Method ; Female ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Parkinson Disease/complications ; Severity of Illness Index |
| مستخلص: | We investigate if rTMS has a therapeutic role in the treatment of dysphagia in patients with Parkinson's disease (PD). Material and Methods . Thirty-three patients with PD and dysphagia were randomly classified with ratio 1:2 to receive sham or real rTMS (2000 pulses; 20 Hz; 90% resting motor threshold; 10 trains of 10 seconds with 25 seconds between each train) over the hand area of each motor cortex (5 minutes between hemispheres) for 10 days (5 days per week) followed by 5 booster sessions every month for 3 months. Assessments included the Unified Parkinson's Disease Rating Scale part III (UPDRS), Instrumental Activities of Daily Living (IADL), and Arabic-Dysphagia Handicap Index (A-DHI) before, after the last session, and 3 months later. Video-fluoroscopy measures of pharyngeal transit time (PTT) and time to maximal hyoid elevation (H1-H2) were taken before and after the treatment sessions. Results . There were no significant differences between groups. There was a significant improvement on all rating scales (analysis of variance) after real rTMS with a significant time × group interaction. In particular, there was a significant and long-lasting (3 months) effect of time on all subitems of the A-DHI (functional, P = .0001; physical, P = .0001; emotional, P = .02) but not in the sham group. This was associated with significant improvement in H1-H2 ( P = .03) and PTT ( P = .01) during solid swallows in the real rTMS but not the sham group. Conclusion . Real rTMS improves dysphagia in PD as documented by A-DHI scores and by video-fluoroscopy. |
| فهرسة مساهمة: | Keywords: Arabic Dysphagia Handicap Index; Instrumental Activities of Daily Living scale; Parkinson’s disease; Unified Parkinson’s Disease Rating part III; clinical trial; dysphagia; rehabilitation; repetitive transcranial magnetic stimulation |
| تواريخ الأحداث: | Date Created: 20190511 Date Completed: 20200428 Latest Revision: 20200428 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1177/1545968319847968 |
| PMID: | 31072214 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1552-6844 |
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| DOI: | 10.1177/1545968319847968 |