Evidence map›Paper›PMID 27445730›Full record

ArticleFrontiers in behavioral neuroscience2016

Cognitive and Neurophysiological Effects of Non-invasive Brain Stimulation in Stroke Patients after Motor Rehabilitation.

Federico D'Agata, Elena Peila, Alessandro Cicerale, Marcella M Caglio, Paola Caroppo, Sergio Vighetti, Alessandro Piedimonte, Alice Minuto, Marcello Campagnoli, Adriana Salatino and 4 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in behavioral neuroscience, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
2.0field-weighted citation impact, top 14% 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

20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 40 citations in OpenAlex.

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  15. Unilateral Spatial Neglect After Stroke: Current Insights.Neuropsychiatric disease and treatment · 2020
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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

14 authors at 4 institutions in 1 country.

Federico D'AgataDepartment of Neuroscience, University of Turin Turin, Italy.
Elena PeilaDepartment of Neuroscience, University of Turin Turin, Italy.
Alessandro CiceraleDepartment of Neuroscience, University of Turin Turin, Italy.
Marcella M CaglioDepartment of Neuroscience, University of Turin Turin, Italy.
Paola CaroppoDepartment of Neuroscience, University of TurinTurin, Italy; UO Neurology V - Neuropathology, Fondazione IRCCS Istituto Neurologico Carlo BestaMilano, Italy.
Sergio VighettiDepartment of Neuroscience, University of Turin Turin, Italy.
Alessandro PiedimonteDepartment of Neuroscience, University of Turin Turin, Italy.
Alice MinutoPhysical Medicine and Rehabilitation, University of Turin Turin, Italy.
Marcello CampagnoliPhysical Medicine and Rehabilitation, University of Turin Turin, Italy.
Adriana SalatinoMolo ONLUS Turin, Italy.
Maria T MoloMolo ONLUS Turin, Italy.
Paolo MortaraDepartment of Neuroscience, University of Turin Turin, Italy.
Lorenzo PinessiDepartment of Neuroscience, University of Turin Turin, Italy.
Giuseppe MassazzaPhysical Medicine and Rehabilitation, University of Turin Turin, Italy.
University of Turin · ITAssociazione Italiana Vulvodinia Onlus · ITFondazione IRCCS Istituto Neurologico Carlo Besta · ITInternational Flame Research Foundation · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The primary aim of this study was to evaluate and compare the effectiveness of two specific Non-Invasive Brain Stimulation (NIBS) paradigms, the repetitive Transcranial Magnetic Stimulation (rTMS), and transcranial Direct Current Stimulation (tDCS), in the upper limb rehabilitation of patients with stroke. Short and long term outcomes (after 3 and 6 months, respectively) were evaluated. We measured, at multiple time points, the manual dexterity using a validated clinical scale (ARAT), electroencephalography auditory event related potentials, and neuropsychological performances in patients with chronic stroke of middle severity. Thirty four patients were enrolled and randomized. The intervention group was treated with a NIBS protocol longer than usual, applying a second cycle of stimulation, after a washout period, using different techniques in the two cycles (rTMS/tDCS). We compared the results with a control group treated with sham stimulation. We split the data analysis into three studies. In this first study we examined if a cumulative effect was clinically visible. In the second study we compared the effects of the two techniques. In the third study we explored if patients with minor cognitive impairment have most benefit from the treatment and if cognitive and motor outcomes were correlated. We found that the impairment in some cognitive domains cannot be considered an exclusion criterion for rehabilitation with NIBS. ERP improved, related to cognitive and attentional processes after stimulation on the motor cortex, but transitorily. This effect could be linked to the restoration of hemispheric balance or by the effects of distant connections. In our study the effects of the two NIBS were comparable, with some advantages using tDCS vs. rTMS in stroke rehabilitation. Finally we found that more than one cycle (2-4 weeks), spaced out by washout periods, should be used, only in responder patients, to obtain clinical relevant results.

Indexed as

mirror-box therapynon-invasive brain stimulationstroke rehabilitationtranscranial direct current stimulationtranscranial magnetic stimulation

Identifiers

PMID27445730
PMCPMC4919333
OpenAlexW2460757337

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.