Nugraha, Ariq Windra and , Dr. Umi Budi Rahayu, S.Fis., SSt.Ftr., M.Kes. (2024) Efek Eksitasi TMS (Transcranial Magnetic Stimulation) Pada Pasien Stroke: Kajian Literatur. Skripsi thesis, Universitas Muhammadiyah Surakarta.
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Abstract
Background: Stroke is a condition where blood flow to the brain is reduced, causing damage to brain cells and resulting in several body functions being damaged. Stroke healing can be done in various ways, one of which is with Transcranial Magnetic Stimulation (TMS). The use of high-frequency TMS can produce an excitation effect that can directly target the affected part of the stroke. The purpose of this study was to determine the effect of TMS excitation on stroke patients in terms of optimizing rehabilitation of motor and sensory functions and accelerating rehabilitation time. Methods: This study is a literature review. Article searches were conducted on data sources (PubMed, NCBI, Google Schoolar; Scopus, Web of Science, Science Direct, and The Lancet) with inclusion criteria: (1) articles published in 2014-2024; (2) randomized control trial (RCT) and quasi experimental research designs; (3) Indonesian or English language; (4) established PICO standards. Results: High-frequency (≥ 5 Hz) transcranial magnetic stimulation (TMS) has been shown to have a significant excitation effect on the recovery of motor and sensory functions in stroke patients. HF-rTMS applied to the lesional hemisphere effectively improves upper limb motor function. Another study also showed that HF-rTMS is superior to low-frequency rTMS (LF-rTMS) in improving cortical excitability and balance in stroke patients. Research on stroke for aphasia rehabilitation shows that low-frequency rTMS is more effective for improving language function in patients with post-stroke non-fluent aphasia. Although the results are promising, variability in duration, intervention intensity, and methodological differences between the reviewed studies suggest the need for further research to optimize TMS protocols and reduce bias in rehabilitation interventions. Conclusion: High-frequency transcranial magnetic stimulation (TMS) has been shown to be effective in optimizing motor and sensory functions in stroke patients, especially in modulating cortical excitation, supporting brain reorganization, and improving balance. Meanwhile, low-frequency TMS is more effective in the recovery of language function, especially in patients with post-stroke aphasia. However, variations in the duration and intensity of the intervention that may affect the results suggest the need for further studies to develop more efficient and optimal TMS protocols in the rehabilitation of stroke patients.
| Item Type: | Thesis (Skripsi) |
|---|---|
| Uncontrolled Keywords: | Eksitasi, Transcranial Magnetic Stimulation, Stroke, Fungsi Motorik, Fungsi Kognitif |
| Subjects: | R Medicine > 1 Medicine (General) R Medicine > Physiotherapy |
| Divisions: | Fakultas Ilmu Kesehatan > S1 Fisioterapi |
| Depositing User: | ARIQ WINDRA NUGRAHA |
| Date Deposited: | 11 Feb 2025 01:25 |
| Last Modified: | 11 Feb 2025 01:25 |
| URI: | http://eprints.ums.ac.id/id/eprint/131093 |
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