Theta burst stimulation for upper limb motor dysfunction in patients with stroke: A protocol of systematic review and meta-analysis

• Published in: Medicine (Baltimore) 2019-11, Vol.98 (46), p.e17929-e17929
• Main Authors: Liu, Xiao-bo, Zhong, Jian-guo, Xiao, Xi-li, Li, Yu-xi, Huang, Yi-jie, Liu, Yong-guo, Zhang, Chi, Jin, Rong-jiang, Liu, Tian-yu
• Format: Article
• Language: English
• Subjects: Hand Strength; Humans; Paralysis - rehabilitation; Randomized Controlled Trials as Topic; Stroke Rehabilitation - adverse effects; Stroke Rehabilitation - methods; Study Protocol Systematic Review; Transcranial Magnetic Stimulation - adverse effects; Transcranial Magnetic Stimulation - methods; Upper Extremity - physiology; Upper Extremity - physiopathology
• ISSN: 0025-7974; 1536-5964
• DOI: 10.1097/MD.0000000000017929

Upper limb dysfunction is one of common sequelae of stroke which limits daily activities and decreases quality of life of patients, as well as increasing caregiving burden on families. Theta burst stimulation (TBS) is considered to be a beneficial therapy for post-stroke patients with upper limb motor dysfunction, but there is a lack of a high quality evidence. We aim to investigate the effectiveness and safety of TBS for upper limb motor dysfunction in patients with stroke. The following databases will be searched: PubMed, EMBASE, The Cochrane Library, Web of Science, China Biology Medicine (CBM), China National Knowledge infrastructure (CNKI), Technology Periodical Database (VIP) and WanFang Data from the inception to October 2019. All relevant randomized controlled trials (RCTs) using TBS to treat poststroke patients with upper limb motor dysfunction will be included. The primary outcome is Upper Limb Fugl-Meyer Assessment (UL-FMA). Secondary outcomes will include Action Research Arm Test (ARAT), Box and Block Test (BBT), Wolf Motor Function Test (WMFT), Motor Assessment Scale (MAS), Nine Hole Peg Test (NHPT), Grip strength and other scales evaluating the upper limb motor function. Adverse effects will also be evaluated. Two reviewers will screen studies, extract data and assess the risk of bias of included studies independently. Data analysis will be conducted using Review Manager software (RevMan, version 5.3.5) and R software (version 3.6.1). Our SR will be conducted according to AMSTAR 2.0 and reported in compliance with PRISMA. The findings of this SR will be disseminated through peer-reviewed publications or conference presentations. Our study will provide evidence for the effectiveness and safety of theta burst stimulation for upper limb motor dysfunction in patients with stroke. This systematic review (SR) does not require formal ethical approval since no privacy health information will be included. The findings of this SR will be disseminated through peer-reviewed publications or conference presentations. CRD42019142462.