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. 2022 Sep 28;2022(9):CD011968. doi: 10.1002/14651858.CD011968.pub4

Summary of findings 1. Active rPMS only compared with sham rPMS in stroke.

Active rPMS only compared with sham rPMS in stroke
Patient or population: people with stroke
Setting: not reported
Intervention: active rPMS
Comparison: sham rPMS
Outcomes Anticipated absolute effects* (95% CI) Relative effect
(95% CI) No. of participants
(studies) Certainty of the evidence
(GRADE) Comments
Risk with sham rPMS Risk with rPMS
Activities of daily living (ADLs)
assessed with Barthel Index
Scale, from 0 to 100 ‐
  See comment ‐
  ‐
  No trials measured this outcome.
Upper limb function
assessed with Fugl‐Meyer Assessment
Scale, from 0 to 66 ‐
  See comment ‐
  ‐
  No trials measured this outcome.
Lower limb function See comment No trials measured this outcome.
Spasticity (elbow)
assessed with Modified Tardieu Scale, from 0 to 5 ‐
  See comment ‐
  ‐
  No trials measured this outcome.
Spasticity (wrist)
assessed with Modified Tardieu Scale, from 0 to 5
  ‐
  See comment ‐
  ‐
  No trials measured this outcome.
Muscle strength
assessed with dorsiflexion strength Mean muscle strength 10.44 kg MD 3 kg higher
(2.44 lower to 8.44 higher) 18
(1 RCT) ⊕⊕⊝⊝
Lowa  
Death See comment No trials reported this outcome.
*The risk in the intervention group (and its 95% confidence interval) is based on assumed risk in the comparison group and relative effect of the intervention (and its 95% CI).
CI: confidence interval; MD: mean difference; RCT: randomised controlled trial; rPMS: repetitive peripheral magnetic stimulation.
GRADE Working Group grades of evidenceHigh certainty: we are very confident that the true effect lies close to the estimate of effect.
Moderate certainty: we are moderately confident in the effect estimate: the true effect is likely to be close to the estimate of effect but may be substantially different.
Low certainty: our confidence in the effect estimate is limited: the true effect may be substantially different from the estimate of effect.
Very low certainty: we have very little confidence in the effect estimate: the true effect is likely to be substantially different from the estimate of effect.

aOne study with small sample size; 95% CI overlaps zero.