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Impact of transcranial magnetic stimulation on motor function in children with acquired brain injury: a scoping
Chandrasekar Rathinam1,2, Vikram Mohan3, Peter Bill2
1Institute of Clinical Sciences, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK c.rathnam@bham.ac.uk.
Insights
This review explores the effects of Transcranial Magnetic Stimulation (TMS) on motor function in children with acquired brain injury (ABI). It summarizes existing research to guide future neurorehabilitation strategies.
Area of Science:
- Neuroscience
- Pediatric Rehabilitation
- Neurology
Background:
- Children with severe acquired brain injury (ABI) need effective neurorehabilitation for optimal long-term outcomes.
- Transcranial Magnetic Stimulation (TMS) shows promise for motor skill improvement in cerebral palsy, but its application in ABI requires further investigation.
- Limited literature exists on the use of TMS for motor disorders in children with ABI.
Purpose of the Study:
- To systematically review and synthesize the reported effects of Transcranial Magnetic Stimulation (TMS) interventions on motor function in pediatric acquired brain injury (ABI) populations.
- To identify the current state of evidence regarding TMS efficacy for motor impairments in children with ABI.
- To guide future research directions in neurorehabilitation for children with ABI.
Main Methods:
- A comprehensive scoping review following the Arksey and O'Malley framework.
- Extensive literature search across multiple databases (MEDLINE, EMBASE, CINAHL, etc.) using keywords for TMS and pediatric ABI.
- Inclusion of studies examining TMS effects on motor function, with data extraction on study design, participant details, ABI characteristics, TMS protocols, and outcomes.
Main Results:
- Data synthesis will describe the therapeutic effects, limitations, and adverse effects of TMS interventions in children with ABI.
- Findings will be reported using the International Classification of Functioning, Disability and Health for Children and Youth (ICF-CY) framework.
- A narrative synthesis will summarize the existing knowledge base on TMS for pediatric ABI motor function.
Conclusions:
- This review will consolidate current knowledge on TMS for motor function in pediatric ABI.
- The findings aim to inform and guide future research endeavors in this field.
- Outcomes may contribute to the evolution of therapists' roles in technology-based neurorehabilitation programs for children with ABI.
Background:
Children with severe acquired brain injury (ABI) require early and effective neurorehabilitation provision to promote a good long-term functional outcome. Transcranial magnetic stimulation (TMS) has been used to improve motor skills for children with cerebral palsy but there is limited material supporting its use in children with ABI who have a motor disorder.
Objective:
To systematically answer what the TMS intervention effects are on motor function in children with ABI as reported in the literature.
Methods And Analysis:
This scoping review will follow Arksey and O'MaIIey's scoping review methodological framework. A comprehensive computerised bibliographic databases search will be performed in MEDLINE, EMBASE, CINAHL, Allied and Complementary Medicine, BNI, Ovid Emcare, PsyclNFO, Physiotherapy Evidence Database, Cochrane Central Register using keywords related to TMS and children with ABI.Studies that examine the effect of TMS intervention on motor function as either a primary or secondary objective will be included for this review. Study design and publication detail, participant demographic details, type and severity of ABI and other clinical information, TMS procedure, associated therapy intervention, comparator/control parameters and the outcome measure used data will be gathered.The International Classification of Functioning, Disability and Health for Children and Youth framework will be used to report the TMS effect in children with ABI. A narrative synthesis of the findings describing the therapeutic effects of TMS intervention, limitations and adverse effects will be synthesised and reported. This review will help to summarise the existing knowledge base and to guide further research areas. This review outcome may help to evolve therapists' role to next-generation technology-based neurorehabilitation programmes.
Ethics And Dissemination:
No ethical approval is required for this review as we will be collecting data from previously published studies. We will present the findings at scientific conferences and publish in a peer-review journal.
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