Evidence map›Paper›PMID 27007257›Full record

ArticleJournal of child and adolescent psychopharmacology2016

Abnormal Cortical Plasticity in Youth with Autism Spectrum Disorder: A Transcranial Magnetic Stimulation Case-Control Pilot Study.

Ernest V Pedapati, Donald L Gilbert, Craig A Erickson, Paul S Horn, Rebecca C Shaffer, Logan K Wink, Cameron S Laue, Steve W Wu

Open access · bronzeAbstract read
In one paragraph

Article 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. Cited by 19 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 5 pooled it
2.4field-weighted citation impact, top 12% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 5 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. A Systematic Review of the Safety and Tolerability of Theta Burst Stimulation in Children and Adolescents.Neuromodulation : journal of the International Neuromodulation Society · 2022
    Pooled it
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  9. Biomarkers Obtained by Transcranial Magnetic Stimulation in Neurodevelopmental Disorders.Journal of clinical neurophysiology : official publication of the American Electroencephalographic Society · 2022
    Article
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  17. Transcranial Magnetic and Direct Current Stimulation in Children.Current neurology and neuroscience reports · 2017
    Review
  18. Pediatric Neuromodulation Comes of Age.Journal of child and adolescent psychopharmacology · 2016
    Article
  19. Review
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

8 authors at 1 institution in 1 country.

Ernest V Pedapati1 Division of Neurology, Cincinnati Children's Hospital Medical Center , Cincinnati, Ohio.
Donald L Gilbert2 Division of Child and Adolescent Psychiatry, Cincinnati Children's Hospital Medical Center , Cincinnati, Ohio.
Craig A Erickson1 Division of Neurology, Cincinnati Children's Hospital Medical Center , Cincinnati, Ohio.
Paul S Horn2 Division of Child and Adolescent Psychiatry, Cincinnati Children's Hospital Medical Center , Cincinnati, Ohio.
Rebecca C Shaffer4 Division of Developmental and Behavioral Pediatrics, Cincinnati Children's Hospital Medical Center , Cincinnati, Ohio.
Logan K Wink1 Division of Neurology, Cincinnati Children's Hospital Medical Center , Cincinnati, Ohio.
Cameron S Laue1 Division of Neurology, Cincinnati Children's Hospital Medical Center , Cincinnati, Ohio.
Steve W Wu2 Division of Child and Adolescent Psychiatry, Cincinnati Children's Hospital Medical Center , Cincinnati, Ohio.
Cincinnati Children's Hospital Medical Center · US

Funding

LCenter for Clinical and Translational Science and TrainingUL1TR001425 · NCATS · UNIVERSITY OF CINCINNATI · PI MEINZEN-DERR, JAREEN, STRAWN, JEFFREY ROBERT · 2015 to 2024
$37.5M
Anomalous Motor Physiology In ADHDR01MH078160 · NIMH · HUGO W. MOSER RES INST KENNEDY KRIEGER · PI MOSTOFSKY, STEWART H · 2006 to 2024
$5.8M
Forward Genetic Analysis of Congenital Defects in Cortical Circuits and StructureR01NS085023 · NINDS · CINCINNATI CHILDRENS HOSP MED CTR · PI STOTTMANN, ROLF W · 2014 to 2018
$2.3M
Cortical Excitability: Phenotype and Biomarker in ADHD TherapyR01MH081854 · NIMH · UNIVERSITY OF CINCINNATI · PI SALLEE, FLOYD R · 2009 to 2012
$2.3M
Anomalous Sensorimotor Physiology in Fragile X SyndromeK23MH112936 · NIMH · CINCINNATI CHILDRENS HOSP MED CTR · PI PEDAPATI, ERNEST VIJAY · 2017 to 2021
$916k
4/8-Collaborative genomic studies of Tourette DisorderR01MH092520 · NIMH · CINCINNATI CHILDRENS HOSP MED CTR · PI GILBERT, DONALD L · 2011 to 2013
$226k
NCATS NIH HHS UL1 TR001425NIMH NIH HHS K23 MH112936NIMH NIH HHS R01 MH078160NIMH NIH HHS R01 MH081854NIMH NIH HHS R01 MH092520NINDS NIH HHS R01 NS085023
6 · The paper itself

Abstract

objectiveThis case-control study investigated the use of a low-intensity repetitive transcranial magnetic stimulation (rTMS) protocol to measure motor cortex (M1) plasticity in youth with autism spectrum disorder (ASD) compared with typically developing children (TDC). We hypothesized that impairments in long-term potentiation-like properties represent a neurophysiological biomarker of abnormal cortical function in ASD.

methodsWe studied youth with ASD aged 11-18 years and matched controls (TDC). Intermittent theta burst stimulation (iTBS) was delivered to the dominant M1 at an intensity of 70% of resting motor threshold. Suprathreshold single-pulse TMS was performed to compare amplitudes of motor-evoked potentials (MEP) measured from surface electromyography electrodes on a target muscle before (20 pulses) and after (10 pulses/time point) iTBS at predefined timepoints (up to 30 minutes) to measure any potentiation effects. A linear mixed model was used to examine group differences in MEP amplitudes over time following iTBS.

resultsNine youth with ASD (mean age 15.6; 7 males; 6 right-hand dominant) and 9 TDC (mean age 14.5; 5 males; 9 right-hand dominant) participated. All subjects tolerated the procedure well. Both groups had a mean increase in excitability after iTBS for 30 minutes; however, the time course of excitability changes differed (F9,144 = 2.05; p = 0.038). Post-hoc testing identified a significant decrease in amplitude of the ASD group at 20 minutes following iTBS compared with the TDC after correcting for multiple comparisons.

conclusionIn this study, we demonstrate early evidence for a potential physiological biomarker of cortical plasticity in youth with ASD using a rapid low-intensity rTMS protocol with a discriminate measure at 20 minutes following stimulation. The procedure was well tolerated by all 18 participants. Future work will include modification of the protocol to improve the ability to distinguish subtypes of ASD based on behavioral and cognitive testing.

Indexed as

Neuronal PlasticityAdolescentAutism Spectrum DisorderCase-Control StudiesChildElectromyographyEvoked Potentials, MotorFemaleHumansLinear ModelsMaleMotor CortexPilot ProjectsTime FactorsTranscranial Magnetic Stimulation

Identifiers

PMID27007257
PMCPMC5035833
OpenAlexW2306968967

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.