[en] Introduction. Stroke is one of the leading causes of death and disability in the population. It is characterized by an acute onset and can have serious consequences if not treated in time. The manifestations are very variable and depend on the affected territory. The main method of treatment for an acute stroke is intravenous thrombolysis, which should be performed as quickly as possible. Likewise, conventional physiotherapy is a key treatment in the approach and rehabilitation of these patients. However, thanks to advances in technology, different and innovative treatment methods have been developed, such as transcranial magnetic stimulation (TMS). Objective. To determine the effectiveness of combining an TMS program with other conventional physiotherapy methods in post-stroke rehabilitation. Material and method. A literature review was carried out in the databases Pubmed, Cochrane, Scopus, Cinahl, PEDro and Web of Science, including recent RCTs presenting at least two study groups: one receiving a real TMS program in combination with conventional physiotherapy rehabilitation, and one receiving the same conventional physiotherapy treatment and a sham stimulation program. Variables related to cortical excitability, physical condition, activities and participation, and cognitive status are included in the review. Results. A total of 8 RCTs were selected, analyzing a sample composed of 607 elderly patients with stroke in acute or subacute phase. Conclusions. The use of both treatments simultaneously is beneficial in the rehabilitation of the patient after suffering a stroke, since statistically significant differences have been found for the variables related to cortical excitability, muscle activation, physical condition, independence in the ABVD and MMSS activity.

[gl] Introdución. O accidente cerebrovascular (ACV) é unha das principais causas de morte e discapacidade na poboación. Caracterízase por un inicio agudo e pode presentar graves consecuencias se non é tratado a tempo. As manifestacións son moi variables e dependen do territorio afectado. O principal método de tratamento ante un ictus agudo é a trombólise intravenosa, a cal se debe realizar coa maior rapidez posible. Así mesmo, a fisioterapia convencional constitúe un tratamento clave na abordaxe e a rehabilitación destes pacientes. Porén, grazas aos avances da tecnoloxía, desenvolvéronse diferentes e innovadores métodos de tratamento, como a estimulación magnética transcraneal (EMT). Obxectivo. Determinar a efectividade da combinación dun programa de EMT con outros métodos de fisioterapia convencional na rehabilitación postictus. Material e método. Realizouse unha revisión bibliográfica nas bases de datos Pubmed, Cochrane, Scopus, Cinahl, PEDro e Web of Science, incluíndo ECA recentes que presenten como mínimo dous grupos de estudo: un que reciba un programa de EMT real en combinación coa rehabilitación mediante fisioterapia convencional, e outro que reciba o mesmo tratamento de fisioterapia convencional e un programa de estimulación simulada. Na revisión inclúense variables relacionadas coa excitabilidade cortical, a condición física, as actividades e a participación e o estado cognitivo. Resultados. Seleccionáronse un total de 8 ECA, analizando unha mostra total de 607 pacientes maiores de idade con ACV en fase aguda ou subaguda. Conclusións. O emprego de ambos os tratamentos de maneira simultánea resulta beneficioso na rehabilitación do paciente tras sufrir un ictus, dado que se atoparon diferenzas estatisticamente significativas para as variables relacionadas coa excitabilidade cortical, activación muscular, condición física, independencia nas ABVD e actividade dos MMSS.