Combining theta burst stimulation with training after subcortical stroke.

Abstract:

BACKGROUND AND PURPOSE:Repetitive transcranial magnetic stimulation of the primary motor cortex (M1) may improve outcomes after stroke. The aim of this study was to determine the effects of M1 theta burst stimulation (TBS) and standardized motor training on upper-limb function of patients with chronic stroke. METHODS:Ten patients with chronic subcortical stroke and upper-limb impairment were recruited to this double-blind, crossover, sham-controlled study. Intermittent TBS of the ipsilesional M1, continuous TBS of the contralesional M1, and sham TBS were delivered in separate sessions in conjunction with standardized training of a precision grip task using the paretic upper limb. RESULTS:Training after real TBS improved paretic-hand grip-lift kinetics, whereas training after sham TBS resulted in deterioration of grip-lift. Ipsilesional M1 excitability increased after intermittent TBS of the ipsilesional M1 but decreased after continuous TBS of the contralesional M1. Action Research Arm Test scores deteriorated when training followed continuous TBS of the contralesional M1, and this was correlated with reduced ipsilesional corticomotor excitability. CONCLUSIONS:Generally, TBS and training led to task-specific improvements in grip-lift. Specifically, continuous TBS of the contralesional M1 led to an overall decrement in upper-limb function, indicating that the contralesional hemisphere may play a pivotal role in recovery after stroke.

journal_name

Stroke

journal_title

Stroke

authors

Ackerley SJ,Stinear CM,Barber PA,Byblow WD

doi

10.1161/STROKEAHA.110.583278

subject

Has Abstract

pub_date

2010-07-01 00:00:00

pages

1568-72

issue

7

eissn

0039-2499

issn

1524-4628

pii

STROKEAHA.110.583278

journal_volume

41

pub_type

信件

相关文献

STROKE文献大全
  • Feasibility and safety of inducing modest hypothermia in awake patients with acute stroke through surface cooling: A case-control study: the Copenhagen Stroke Study.

    abstract:BACKGROUND AND PURPOSE:Hypothermia reduces neuronal damage in animal stroke models. Whether hypothermia is neuroprotective in patients with acute stroke remains to be clarified. In this case-control study, we evaluated the feasibility and safety of inducing modest hypothermia by a surface cooling method in awake patien...

    journal_title:Stroke

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.str.31.9.2251

    authors: Kammersgaard LP,Rasmussen BH,Jørgensen HS,Reith J,Weber U,Olsen TS

    更新日期:2000-09-01 00:00:00

  • Relation between serum albumin and carotid atherosclerosis: the NHLBI Family Heart Study.

    abstract:BACKGROUND AND PURPOSE:Lower concentrations of albumin have been positively related to coronary disease. The aim of this project was to assess the association between serum albumin and carotid atherosclerosis. METHODS:B-mode ultrasound was used to assess carotid plaques and intima-media thickness (IMT) among white sub...

    journal_title:Stroke

    pub_type: 杂志文章,多中心研究

    doi:10.1161/01.str.0000048675.97975.84

    authors: Djoussé L,Rothman KJ,Cupples LA,Arnett DK,Ellison RC,NHLBI Family Heart Study.

    更新日期:2003-01-01 00:00:00

  • Occlusive thromboaortopathy (Takayasu's disease): cervical arterial stenoses, retinal arterial pressure, retinal microaneurysms and prognosis.

    abstract::Eighty-one young Japanese patients with occlusive thromboaortopathy (Takayasu's disease) were classed into three groups according to the degree and extent of diameter stenosis in the 4 cervical arterial systems, as determined by serial aortography. Class I was made up of 63 patients with 70% or greater stenosis in les...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.14.5.730

    authors: Ishikawa K,Uyama M,Asayama K

    更新日期:1983-09-01 00:00:00

  • Increased cytochrome c-mediated DNA fragmentation and cell death in manganese-superoxide dismutase-deficient mice after exposure to subarachnoid hemolysate.

    abstract:BACKGROUND AND PURPOSE:We sought to investigate the mechanisms for oxidative injury caused by subarachnoid hemolysate, a pro-oxidant. METHODS:Injection of 50 microL of subarachnoid hemolysate or saline was performed in CD1 mice (n=75), mutant mice deficient in Mn-superoxide dismutase (Sod2+/-; n=23), and their wild-ty...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.32.2.506

    authors: Matz PG,Fujimura M,Lewen A,Morita-Fujimura Y,Chan PH

    更新日期:2001-02-01 00:00:00

  • Structure of plaque at carotid bifurcation: high-resolution MRI with histological correlation.

    abstract:BACKGROUND AND PURPOSE:The composition of carotid atherosclerosis was visualized by using 3D MRI at high resolution with 200-micrometer (3) voxels. Magnetic resonance signal characteristics were correlated with plaque components, including collagenous cap, necrotic core, and calcification, to define resolution and othe...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/hs1101.098663

    authors: Coombs BD,Rapp JH,Ursell PC,Reilly LM,Saloner D

    更新日期:2001-11-01 00:00:00

  • Validity of shape as a predictive biomarker of final infarct volume in acute ischemic stroke.

    abstract:BACKGROUND AND PURPOSE:This study examines whether lesion shape documented on magnetic resonance diffusion-weighted imaging during acute stroke improves the prediction of the final infarct volume compared with lesion volume only. METHODS:Diffusion-weighted imaging data and clinical information were retrospectively rev...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.114.008046

    authors: Frindel C,Rouanet A,Giacalone M,Cho TH,Østergaard L,Fiehler J,Pedraza S,Baron JC,Wiart M,Berthezène Y,Nighoghossian N,Rousseau D

    更新日期:2015-04-01 00:00:00

  • The importance of size: successful recanalization by intravenous thrombolysis in acute anterior stroke depends on thrombus length.

    abstract:BACKGROUND AND PURPOSE:We hypothesize that in acute middle cerebral artery stroke, thrombus lengths measured in thin-slice nonenhanced CT images define a limit beyond which systemic thrombolysis will fail to recanalize occluded arteries. METHODS:In 138 patients who presented with acute middle cerebral artery stroke an...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.110.609693

    authors: Riedel CH,Zimmermann P,Jensen-Kondering U,Stingele R,Deuschl G,Jansen O

    更新日期:2011-06-01 00:00:00

  • Age-related changes in release of endothelium-derived relaxing factor from the carotid artery.

    abstract:BACKGROUND AND PURPOSE:The goal of this study was to determine whether release of endothelium-derived relaxing factor (EDRF) from carotid artery in response to acetylcholine is altered by aging. METHODS:Responses were examined in arteries from Wistar rats 6 to 8 months old (young rats), 24 to 26 months old (old rats),...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.25.12.2457

    authors: Paternò R,Faraci FM,Heistad DD

    更新日期:1994-12-01 00:00:00

  • Coffee and tea consumption and risk of stroke subtypes in male smokers.

    abstract:BACKGROUND AND PURPOSE:Coffee and tea consumption could potentially reduce the risk of stroke because these beverages have antioxidant properties, and coffee may improve insulin sensitivity. We examined the associations of coffee and tea consumption with risk of stroke subtypes. METHODS:We used prospective data from t...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.107.504183

    authors: Larsson SC,Männistö S,Virtanen MJ,Kontto J,Albanes D,Virtamo J

    更新日期:2008-06-01 00:00:00

  • Poor long-term functional outcome after stroke among adults aged 18 to 50 years: Follow-Up of Transient Ischemic Attack and Stroke Patients and Unelucidated Risk Factor Evaluation (FUTURE) study.

    abstract:BACKGROUND AND PURPOSE:Stroke in young adults has a dramatic effect on life; therefore, we investigated the long-term functional outcome after transient ischemic attack, ischemic stroke, or intracerebral hemorrhage in adults aged 18 to 50 years. METHODS:We studied 722 young patients with first-ever stroke admitted bet...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.113.004411

    authors: Synhaeve NE,Arntz RM,Maaijwee NA,Rutten-Jacobs LC,Schoonderwaldt HC,Dorresteijn LD,de Kort PL,van Dijk EJ,de Leeuw FE

    更新日期:2014-04-01 00:00:00

  • Pentoxifylline increases cerebral blood flow in patients with cerebrovascular disease.

    abstract::We determined the immediate effects of pentoxifylline on cerebral blood flow in 10 patients with cerebrovascular disease; four received 400 mg and six received 800 mg pentoxifylline orally. Regional cerebral blood flow was measured before (baseline) and 2, 4, and 6 hours after pentoxifylline administration using the x...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.20.12.1662

    authors: Bowton DL,Stump DA,Prough DS,Toole JF,Lefkowitz DS,Coker L

    更新日期:1989-12-01 00:00:00

  • Fibroblast Growth Factor 23 Is Associated With Subclinical Cerebrovascular Damage: The Northern Manhattan Study.

    abstract:BACKGROUND AND PURPOSE:Elevated fibroblast growth factor 23 (FGF23) regulates phosphate homeostasis and is linked with mortality, cardiovascular events, and stroke. However, the role of FGF23 as a risk factor for subclinical cerebrovascular damage is unclear. METHODS:We used multivariable linear and logistic regressio...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.115.012379

    authors: Wright CB,Shah NH,Mendez AJ,DeRosa JT,Yoshita M,Elkind MS,Sacco RL,DeCarli C,Rundek T,Silverberg S,Dong C,Wolf M

    更新日期:2016-04-01 00:00:00

  • New insights into brain damage in stroke-prone rats: a nuclear magnetic imaging study.

    abstract:BACKGROUND AND PURPOSE:The spontaneously hypertensive stroke-prone rat (SHRSP) is an animal model for a complex form of cerebrovascular pathology. MRI provides an efficient and noninvasive tool for studying the time course of brain damage. The aim of this study was to gain new insights into the pathological phenomena r...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/hs0302.104111

    authors: Guerrini U,Sironi L,Tremoli E,Cimino M,Pollo B,Calvio AM,Paoletti R,Asdente M

    更新日期:2002-03-01 00:00:00

  • Trained Immunity Characteristics Are Associated With Progressive Cerebral Small Vessel Disease.

    abstract::Background and Purpose- Cerebral small vessel disease (cSVD) is the major vascular cause of cognitive decline and dementia. The pathogenesis of cSVD remains largely unknown, although several studies suggest a role for systemic inflammation. In certain pathophysiological situations, monocytes can reprogram toward a lon...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.118.023192

    authors: Noz MP,Ter Telgte A,Wiegertjes K,Joosten LAB,Netea MG,de Leeuw FE,Riksen NP

    更新日期:2018-12-01 00:00:00

  • Does b1000-b0 Mismatch Challenge Diffusion-Weighted Imaging-Fluid Attenuated Inversion Recovery Mismatch in Stroke?

    abstract:BACKGROUND AND PURPOSE:Our aim was to explore whether the mismatch in lesion visibility between b1000 and b0 images is an alternative to mismatch between diffusion-weighted imaging and fluid-attenuated inversion recovery imaging as a surrogate marker of stroke age. METHODS:We analyzed patients from the European multic...

    journal_title:Stroke

    pub_type: 杂志文章,多中心研究

    doi:10.1161/STROKEAHA.115.011501

    authors: Geraldo AF,Berner LP,Haesebaert J,Chabrol A,Cho TH,Derex L,Hermier M,Louis-Tisserand G,Chamard L,Klaerke Mikkelsen I,Ribe L,Østergaard L,Hjort N,Pedraza S,Thomalla G,Baron JC,Nighoghossian N,Berthèzene Y

    更新日期:2016-03-01 00:00:00

  • Management problems in acute hydrocephalus after subarachnoid hemorrhage.

    abstract::In a consecutive series of 473 patients admitted within 72 hours after a subarachnoid hemorrhage, 91 (19%) had hydrocephalus on the initial computed tomogram. Consciousness was unimpaired in 25 of the 91 (28%). In 11 more patients acute hydrocephalus developed within 1 week after subarachnoid hemorrhage. Thirty-eight ...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.20.6.747

    authors: Hasan D,Vermeulen M,Wijdicks EF,Hijdra A,van Gijn J

    更新日期:1989-06-01 00:00:00

  • Neuroprotective effects of adenosine monophosphate-activated protein kinase inhibition and gene deletion in stroke.

    abstract:BACKGROUND AND PURPOSE:5' adenosine monophosphate-dependent protein kinase (AMPK) acts as a metabolic sensor. AMPK is elevated under ischemic conditions, but the role of AMPK in ischemic brain remains controversial. In this study, we examined the effects of AMPK inhibition using both pharmacological and genetic approac...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.107.490904

    authors: Li J,Zeng Z,Viollet B,Ronnett GV,McCullough LD

    更新日期:2007-11-01 00:00:00

  • Role of the contralateral inferior frontal gyrus in recovery of language function in poststroke aphasia: a combined repetitive transcranial magnetic stimulation and positron emission tomography study.

    abstract:BACKGROUND AND PURPOSE:Functional neuroimaging studies have demonstrated right inferior frontal gyrus (IFG) activation in poststroke aphasia. It remains unclear whether this activation is essential for language performance. We tested this hypothesis in a positron emission tomography (PET) activation study during a sema...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.STR.0000174487.81126.ef

    authors: Winhuisen L,Thiel A,Schumacher B,Kessler J,Rudolf J,Haupt WF,Heiss WD

    更新日期:2005-08-01 00:00:00

  • Artery-to-artery embolism from a thrombus formed in stenotic middle cerebral artery. Report of an autopsy case.

    abstract::The authors report an autopsy case with repeated transient ischemic attacks and subsequent strokes demonstrating evidence of artery-to-artery embolism from thrombi generated in the stenotic middle cerebral artery to the distal cortical branches. This case substantiates the existence of intracranial artery-to-artery em...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.18.3.680

    authors: Masuda J,Ogata J,Yutani C,Miyashita T,Yamaguchi T

    更新日期:1987-05-01 00:00:00

  • Routing Ambulances to Designated Centers Increases Access to Stroke Center Care and Enrollment in Prehospital Research.

    abstract:BACKGROUND AND PURPOSE:Emergency medical services routing of patients with acute stroke to designated centers may increase the proportion of patients receiving care at facilities meeting national standards and augment recruitment for prehospital stroke research. METHODS:We analyzed consecutive patients enrolled within...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.115.010264

    authors: Sanossian N,Liebeskind DS,Eckstein M,Starkman S,Stratton S,Pratt FD,Koenig W,Hamilton S,Kim-Tenser M,Conwit R,Saver JL,FAST-MAG Investigators and Coordinators.

    更新日期:2015-10-01 00:00:00

  • Nitric oxide and the cerebral circulation.

    abstract:BACKGROUND:Nitric oxide (NO) is a potent vasodilator that was initially described as the mediator of endothelium-dependent relaxation (endothelium-derived relaxing factor, EDRF). It is now known that NO is produced by a variety of other cell types. SUMMARY OF REVIEW:Endothelium produces NO (EDRF) under basal condition...

    journal_title:Stroke

    pub_type: 杂志文章,评审

    doi:10.1161/01.str.25.3.692

    authors: Faraci FM,Brian JE Jr

    更新日期:1994-03-01 00:00:00

  • Effect of insular injury on autonomic functions in patients with ruptured middle cerebral artery aneurysms.

    abstract:BACKGROUND AND PURPOSE:Insular injuries are known to cause autonomic derangements. Patients with ruptured middle cerebral artery aneurysms frequently develop temporal hematomas (THs) in addition to subarachnoid hemorrhages, and those with TH may sustain autonomic derangements more frequently than those without TH. Hemi...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.113.003099

    authors: Inamasu J,Sugimoto K,Watanabe E,Kato Y,Hirose Y

    更新日期:2013-12-01 00:00:00

  • Disparities in Antihypertensive Prescribing After Stroke: Linked Data From the Australian Stroke Clinical Registry.

    abstract::Background and Purpose- Despite evidence to support the prescription of antihypertensive medications before hospital discharge to promote medication adherence and prevent recurrent events, many patients with stroke miss out on these medications at discharge. We aimed to examine patient, clinical, and system-level diff...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.119.026823

    authors: Dalli LL,Kim J,Thrift AG,Andrew NE,Lannin NA,Anderson CS,Grimley R,Katzenellenbogen JM,Boyd J,Lindley RI,Pollack M,Jude M,Durairaj R,Shah D,Cadilhac DA,Kilkenny MF

    更新日期:2019-12-01 00:00:00

  • Mixed transcortical aphasia without anatomic isolation of the speech area.

    abstract::We report two patients with mixed transcortical aphasia following left frontal lobe infarctions. Although there was no evidence of anatomic isolation of the speech area on computed tomograms or magnetic resonance imaging scans, single-photon emission computed tomography in one case demonstrated diminished blood flow o...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.21.6.953

    authors: Rapcsak SZ,Krupp LB,Rubens AB,Reim J

    更新日期:1990-06-01 00:00:00

  • Epidemiologic studies of coronary heart disease and stroke in Japanese men living in Japan, Hawaii and California: incidence of stroke in Japan and Hawaii.

    abstract::As part of the Ni-Hon-San Study, stroke incidence was compared in the Japan and Hawaii cohorts. Stroke cases were classified in two types, intracranial hemorrhage (ICH) and thrombo-embolic stroke (T-E). For each type the incidence in Japan was about three times as great as in Hawaii. The ratio ICH/T-E was 1/2.2 and 1/...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.15.1.15

    authors: Takeya Y,Popper JS,Shimizu Y,Kato H,Rhoads GG,Kagan A

    更新日期:1984-01-01 00:00:00

  • Effect of blood pressure on prevalence of carotid atheroma.

    abstract::In an attempt to elucidate the mechanism by which hypertension acts as a risk factor for major non-haemorrhagic stroke, its effect on the prevalence of carotid atheroma has been studied angiographically. The carotid angiograms of 269 patients with cerebral tumours have been reviewed for evidence of coincidental athero...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.14.4.550

    authors: Harrison MJ,Wilson LA

    更新日期:1983-07-01 00:00:00

  • Tacrolimus (FK506) attenuates leukocyte accumulation after transient retinal ischemia.

    abstract:BACKGROUND AND PURPOSE:Tacrolimus, an immunosuppressant agent, has been shown to reduce tissue injury and leukocyte accumulation after transient ischemia. This study was designed to evaluate quantitatively the inhibitory effects of tacrolimus on leukocyte rolling and on subsequent leukocyte accumulation in vivo after t...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.29.7.1431

    authors: Tsujikawa A,Ogura Y,Hiroshiba N,Miyamoto K,Kiryu J,Honda Y

    更新日期:1998-07-01 00:00:00

  • Cerebral manifestations of ergotism. Report of a case and review of the literature.

    abstract::A patient with diffuse and focal cerebral dysfunction was found to have absent peripheral pulses. Cerbral angiography revealed evidence of an arteritis with bilateral high grade carotid stenosis. When there was no laboratory confirmation of the arteritis, an iatrogenic etiology (ergotism) was suspected. This was later...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.7.1.88

    authors: Senter HJ,Lieverman AN,Pinto R

    更新日期:1976-01-01 00:00:00

  • Characterization of critical hemodynamics contributing to aneurysmal remodeling at the basilar terminus in a rabbit model.

    abstract:BACKGROUND AND PURPOSE:Hemodynamic insult by bilateral common carotid artery ligation has been shown to induce aneurysmal remodeling at the basilar terminus in a rabbit model. To characterize critical hemodynamics that initiate this remodeling, we applied a novel hemodynamics-histology comapping technique. METHODS:Eig...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.110.585992

    authors: Metaxa E,Tremmel M,Natarajan SK,Xiang J,Paluch RA,Mandelbaum M,Siddiqui AH,Kolega J,Mocco J,Meng H

    更新日期:2010-08-01 00:00:00

  • Impaired cerebral autoregulation is associated with vasospasm and delayed cerebral ischemia in subarachnoid hemorrhage.

    abstract:BACKGROUND AND PURPOSE:Cerebral autoregulation may be impaired in the early days after subarachnoid hemorrhage (SAH). The purpose of this study was to examine the relationship between cerebral autoregulation and angiographic vasospasm (aVSP) and radiographic delayed cerebral ischemia (DCI) in patients with SAH. METHOD...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.113.002630

    authors: Otite F,Mink S,Tan CO,Puri A,Zamani AA,Mehregan A,Chou S,Orzell S,Purkayastha S,Du R,Sorond FA

    更新日期:2014-03-01 00:00:00