Evidence map›Paper›PMID 24553102›Full record

ArticleNeurorehabilitation and neural repair2014

Vagus nerve stimulation delivered during motor rehabilitation improves recovery in a rat model of stroke.

Navid Khodaparast, Seth A Hays, Andrew M Sloan, Tabbassum Fayyaz, Daniel R Hulsey, Robert L Rennaker, Michael P Kilgard

5 registry-linked trialsOpen access · greenAbstract read
In one paragraph

Article in Neurorehabilitation and neural repair, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 103 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
103citing papers in PubMed, 1 pooled it
7.0field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03131960 nacompletednot on this mapstarted 2017, after this paper: background citation

A Pivotal Randomized Study Assessing Vagus Nerve Stimulation (VNS) During Rehabilitation for Improved Upper Limb Motor Function After Stroke (VNS-REHAB)

TypeinterventionalSponsorMicroTransponder Inc.Ran2017 to 2022Enrolled108ConditionsCerebrovascular Stroke, Upper Extremity ParesisArmsPaired Vagus Nerve Stimulation, Rehabilitation
NCT03592745 phase2completednot on this mapstarted 2018, after this paper: background citation

Evaluating the Use of Transcutaneous Vagus Nerve Stimulation (tVNS) and Robotic Training to Improve Upper Limb Motor Recovery After Stroke

TypeinterventionalSponsorNorthwell HealthRan2018 to 2021Enrolled36ConditionsStroke, Cerebrovascular Accident (CVA), HemiparesisArmsTranscutaneous Vagus Nerve Stimulation (tVNS), Sham Transcutaneous Vagus Nerve Stimulation (tVNS)
NCT04088565 nacompletednot on this mapstarted 2019, after this paper: background citation

Mechanisms of Non-invasive Vagus Nerve Stimulation Underlying Enhanced Motor Control in Humans

TypeinterventionalSponsorUniversity of PittsburghRan2019 to 2021Enrolled26ConditionsStrokeArmsPaired-Associative Stimulation (PAS), Vagus Nerve Stimulation (VNS), Sham Stimulation
NCT04088578 nacompletednot on this mapstarted 2019, after this paper: background citation

Mechanisms of Non-invasive Vagus Nerve Stimulation Underlying Enhanced Motor Control in Humans

TypeinterventionalSponsorUniversity of PittsburghRan2019 to 2021Enrolled26ConditionsStroke, AcuteArmsTraining, Vagus Nerve Stimulation, Sham Stimulation
NCT04534556 naenrolling by invitationnot on this mapstarted 2021, after this paper: background citation

Wireless Nerve Stimulation Device To Enhance Recovery After Stroke

TypeinterventionalSponsorBaylor Research InstituteRan2021 to 2027Enrolled42ConditionsStroke, Chronic Stroke, Upper Extremity Paresis, Ischemic StrokeArmsActive Vagus Nerve Stimulation, Placebo Vagus Nerve Stimulation
3 · Its place in the literature

Who cites it

103 citing papers in PubMed, 1 synthesis or guideline pooled it, 152 citations in OpenAlex.

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  19. Mapping the role of vagus nerve stimulation in post-stroke arm motor recovery.Journal of neuroengineering and rehabilitation · 2025
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43 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Navid KhodaparastThe University of Texas at Dallas, School of Behavioral Brain Sciences, Richardson, TX, USA navid.khodaparast@gmail.com.
Seth A HaysThe University of Texas at Dallas, School of Behavioral Brain Sciences, Richardson, TX, USA.
Andrew M SloanThe University of Texas at Dallas, School of Behavioral Brain Sciences, Richardson, TX, USA.
Tabbassum FayyazThe University of Texas at Dallas, School of Behavioral Brain Sciences, Richardson, TX, USA.
Daniel R HulseyThe University of Texas at Dallas, School of Behavioral Brain Sciences, Richardson, TX, USA.
Robert L RennakerThe University of Texas at Dallas, School of Behavioral Brain Sciences, Richardson, TX, USA.
Michael P KilgardThe University of Texas at Dallas, School of Behavioral Brain Sciences, Richardson, TX, USA.
The University of Texas at Dallas · US

Funding

Vagus Nerve Stimulation Paired with Rehabilitative Training to Enhance PlasticityR01NS085167 · NINDS · UNIVERSITY OF TEXAS DALLAS · PI KILGARD, MICHAEL P, RENNAKER, ROBERT L · 2014 to 2018
$1.9M
A Novel Adjunct to Physical Training to Improve Motor Recovery Following StrokeR43NS084566 · NINDS · MICROTRANSPONDER, INC. · PI ENGINEER, NAVZER, KILGARD, MICHAEL P · 2013 to 2013
$225k
NINDS NIH HHS R01 NS085167NINDS NIH HHS R43 NS084566
6 · The paper itself

Abstract

Neural plasticity is widely believed to support functional recovery following brain damage. Vagus nerve stimulation paired with different forelimb movements causes long-lasting map plasticity in rat primary motor cortex that is specific to the paired movement. We tested the hypothesis that repeatedly pairing vagus nerve stimulation with upper forelimb movements would improve recovery of motor function in a rat model of stroke. Rats were separated into 3 groups: vagus nerve stimulation during rehabilitation (rehab), vagus nerve stimulation after rehab, and rehab alone. Animals underwent 4 training stages: shaping (motor skill learning), prelesion training, postlesion training, and therapeutic training. Rats were given a unilateral ischemic lesion within motor cortex and implanted with a left vagus nerve cuff. Animals were allowed 1 week of recovery before postlesion baseline training. During the therapeutic training stage, rats received vagus nerve stimulation paired with each successful trial. All 17 trained rats demonstrated significant contralateral forelimb impairment when performing a bradykinesia assessment task. Forelimb function was recovered completely to prelesion levels when vagus nerve stimulation was delivered during rehab training. Alternatively, intensive rehab training alone (without stimulation) failed to restore function to prelesion levels. Delivering the same amount of stimulation after rehab training did not yield improvements compared with rehab alone. These results demonstrate that vagus nerve stimulation repeatedly paired with successful forelimb movements can improve recovery after motor cortex ischemia and may be a viable option for stroke rehabilitation.

Indexed as

Physical Conditioning, AnimalRecovery of FunctionStroke RehabilitationVagus Nerve StimulationAnimalsBrain IschemiaDisease Models, AnimalFemaleHypokinesiaMotor ActivityMotor CortexRatsRats, Sprague-Dawleycortical ischemiamotor cortexplasticityrecoveryrehabilitationstroke

Identifiers

PMID24553102
PMCPMC4134702
OpenAlexW2021713984

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.