Evidence map›Paper›PMID 26905272›Full record

Trial reportJournal of child and adolescent psychopharmacology2016

Repetitive Transcranial Magnetic Stimulation/Behavioral Intervention Clinical Trial: Long-Term Follow-Up of Outcomes in Congenital Hemiparesis.

Tonya L Rich, Jeremiah Menk, Linda E Krach, Timothy Feyma, Bernadette T Gillick

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of child and adolescent psychopharmacology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02091687 (Longitudinal Outcomes in Pediatric rTMS and CIT), which is not on this map. Cited by 10 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 4 pooled it
1.9field-weighted citation impact, top 16% 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.

NCT02091687 completednot on this map

Longitudinal Outcomes in Pediatric rTMS and CIT

TypeobservationalSponsorUniversity of MinnesotaRan2014 to 2017Enrolled19ConditionsCongenital Hemiparesis
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 4 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Article
  6. Article
  7. Review
  8. Article
  9. Pediatric Neuromodulation Comes of Age.Journal of child and adolescent psychopharmacology · 2016
    Article
  10. Article
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

5 authors at 2 institutions in 1 country.

Tonya L Rich1 Rehabilitation Science, University of Minnesota , Minneapolis, Minnesota.
Jeremiah Menk2 Clinical and Translational Science Institute , Minneapolis, Minnesota.
Linda E Krach3 Courage Kenny Rehabilitation Institute , part of Allina Health, Minneapolis, Minnesota.
Timothy Feyma4 Gillette Children's Specialty Healthcare , St. Paul, Minnesota.
Bernadette T Gillick5 Department of Physical Medicine and Rehabilitation, Program in Physical Therapy, University of Minnesota , Medical School, Minneapolis, Minnesota.
Gillette Children's Specialty Healthcare · USSouthern California Clinical and Translational Science Institute · US

Funding

University of Minnesota Clinical and Translational Science Institute (UMN CTSI)UL1TR000114 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R · 2012 to 2015
$35.0M
Novel Neuromodulatory Intervention in the Rehabilitation of Pediatric HemiparesisK01HD078484 · NICHD · UNIVERSITY OF MINNESOTA · PI GILLICK, BERNADETTE THERESE · 2014 to 2018
$654k
NCATS NIH HHS UL1 TR000114NICHD NIH HHS K01 HD078484
6 · The paper itself

Abstract

objectiveThe purpose of this study was to examine long-term outcomes of nonpharmacological intervention in children and adolescents with stroke utilizing repetitive transcranial magnetic stimulation (rTMS) to the primary motor cortex combined with constraint- induced movement therapy (CIMT) to improve motor function in the paretic hand. Outcome measures included function, satisfaction, and medical status review.

methodsFourteen of the original 19 participants (74%) from our rTMS/CIMT clinical trial (real rTMS+CIMT, n = 8; and sham rTMS+CIMT, n = 6) were evaluated. The median age of the subjects at follow up was 13.4 years (range 11-20 years old, 50% male). Median time to follow-up was 47.5 months (range 21-57 months). Descriptive statistics were conducted using frequencies and counts. Motor performance was measured using the Assisting Hand Assessment (AHA) and Canadian Occupational Performance Measure (COPM). Satisfaction was reported with use of the COPM and TMS Tolerance Survey. Open-ended interview was conducted for feedback on study experience and subjective perspectives of current functional status.

resultsOverall, seven of eight individuals who received real rTMS and five of six individuals who received sham rTMS maintained or improved AHA scores. Six of 14 participants reported new onset of co-occurring conditions (four individuals in the real rTMS group, two individuals in the sham rTMS group). The majority (86%) of participants reported study satisfaction. Review of medical status revealed co-occurring conditions including: Epilepsy, obsessive-compulsive disorder, anxiety, depression, unspecified mood disorder, and undiagnosed inattentiveness.

conclusionsLong-term outcomes of rTMS/CIMT in pediatric stroke were investigated. Variability in performance and unattributed symptoms were noted. Considering the prevalence of co-occurring conditions in children and adolescents with stroke, new-onset symptoms were not attributed to original intervention. With the small sample size, the impact of rTMS on long-term outcomes cannot be fully determined from these data. Characterizing long-term outcomes through performance, participant perspectives, and medical status allows comprehensive assessment of rTMS/CIMT intervention efficacy.

Indexed as

AdolescentChildFemaleFollow-Up StudiesHandHumansMaleMotor CortexParesisPatient SatisfactionStrokeStroke RehabilitationTranscranial Magnetic StimulationTreatment Outcome

Identifiers

PMID26905272
PMCPMC5335747
OpenAlexW2283766822

What OpenQuestion holds

Textmetadata
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.