Update on Repetitive Transcranial Magnetic Stimulation in Post-Stroke Cognitive Rehabilitation: A Systematic Review of Randomized Clinical Trials

rTMS appears to be a promising strategy for post-stroke cognitive rehabilitation, particularly for attention and executive functioning. However, heterogeneity in stimulation protocols and outcome measures, along with limited sample sizes and short follow-up, reduces the certainty and comparability of current evidence. The widespread reliance on global screening tools may further underestimate domain-specific effects. Future multicentre trials with standardized protocols and more sensitive cognitive assessments are needed to clarify efficacy and guide further clinical application of rTMS in PSCI.

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Publication Details

Journal
Life
Published
2026-04-21
DOI
https://doi.org/10.3390/life16040700
Primary Topic
Transcranial Magnetic Stimulation Studies
Type
article
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article

Update on Repetitive Transcranial Magnetic Stimulation in Post-Stroke Cognitive Rehabilitation: A Systematic Review of Randomized Clinical Trials

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Transcranial Magnetic Stimulation Studies
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Update on Repetitive Transcranial Magnetic Stimulation in Post-Stroke Cognitive Rehabilitation: A Systematic Review of Randomized Clinical Trials

Giuseppe Lanza, Francesco Fisicaro, Mariagiovanna Cantone, Rita Chiaramonte, Maria P. Mogavero, Rita Bella, Michele Maria Vecchio, Manuela Pennisi, Rosario Ferlito, Michele Iacona, Davide N. Tringali, Raffaele Ferri
article en

Abstract

rTMS appears to be a promising strategy for post-stroke cognitive rehabilitation, particularly for attention and executive functioning. However, heterogeneity in stimulation protocols and outcome measures, along with limited sample sizes and short follow-up, reduces the certainty and comparability of current evidence. The widespread reliance on global screening tools may further underestimate domain-specific effects. Future multicentre trials with standardized protocols and more sensitive cognitive assessments are needed to clarify efficacy and guide further clinical application of rTMS in PSCI.

LifeVol. 16(4)
University of Catania (IT), Oasi Maria SS (IT), Consorzio Catania Ricerche (IT), Primary Health Care (QA), Istituti di Ricovero e Cura a Carattere Scientifico (IT)
Openalex Percentile: Top 14%
Transcranial Magnetic Stimulation Studies
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