Evidence map›Paper›PMID 27721106›Full record

ArticleClinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology2016

Effects of cerebellar theta-burst stimulation on arm and neck movement kinematics in patients with focal dystonia.

Matteo Bologna, Giulia Paparella, Andrea Fabbrini, Giorgio Leodori, Lorenzo Rocchi, Mark Hallett, Alfredo Berardelli

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06775145 (Therapeutic Effect of Neuromodulation on Anxiety Disorders by High-Definition Transcranial Electrical Stimulation), which is not on this map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
4.3field-weighted citation impact, top 6% 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.

NCT06775145 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Therapeutic Effect of Neuromodulation on Anxiety Disorders by High-Definition Transcranial Electrical Stimulation

TypeinterventionalSponsorNational Taiwan University HospitalRan2025 to 2025Enrolled100ConditionsGeneralized Anxiety Disorder (GAD)ArmsHD-R_cDC+cTBS & sham-L_aDC+iTBS, sham-R_cDC+cTBS & HD-L_aDC+iTBS, HD-R_cDC+cTBS & HD-L_aDC+iTBS, sham-R_cDC+cTBS & sham-L_aDC+iTBS
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 63 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Beyond Pallidal or Subthalamic Deep Brain Stimulation to Treat Dystonia.Tremor and other hyperkinetic movements (New York, N.Y.) · 2024
    Review
  9. Review
  10. Article
  11. A Brief History of Cerebellar Neurostimulation.Cerebellum (London, England) · 2022
    Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. New modalities and directions for dystonia care.Journal of neural transmission (Vienna, Austria : 1996) · 2021
    Review
  17. Review
  18. Article
  19. Article
  20. 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

7 authors at 3 institutions in 2 countries.

Matteo BolognaDepartment of Neurology and Psychiatry, Sapienza University of Rome, Rome, Italy; Neuromed Institute IRCCS, Pozzilli (IS), Italy.
Giulia PaparellaDepartment of Neurology and Psychiatry, Sapienza University of Rome, Rome, Italy.
Andrea FabbriniDepartment of Neurology and Psychiatry, Sapienza University of Rome, Rome, Italy.
Giorgio LeodoriDepartment of Neurology and Psychiatry, Sapienza University of Rome, Rome, Italy.
Lorenzo RocchiDepartment of Neurology and Psychiatry, Sapienza University of Rome, Rome, Italy.
Mark HallettHuman Motor Control Section, National Institute of Neurological Disorders and Stroke - NINDS, Bethesda, MD, USA.
Alfredo BerardelliDepartment of Neurology and Psychiatry, Sapienza University of Rome, Rome, Italy; Neuromed Institute IRCCS, Pozzilli (IS), Italy. Electronic address: alfredo.berardelli@uniroma1.it.
Sapienza University of Rome · ITIstituto Neurologico Mediterraneo · ITNational Institute of Neurological Disorders and Stroke · US

Funding

Dystonia CoalitionU54NS065701 · NINDS · EMORY UNIVERSITY · PI JINNAH, HYDER A · 2009 to 2014
$7.0M
Dystonia CoalitionU54TR001456 · NCATS · EMORY UNIVERSITY · PI JINNAH, HYDER A · 2015 to 2016
$2.5M
NCATS NIH HHS U54 TR001456NINDS NIH HHS U54 NS065701
6 · The paper itself

Abstract

objectiveTo investigate the cerebellar inhibitory influence on the primary motor cortex in patients with focal dystonia using a cerebellar continuous theta-burst stimulation protocol (cTBS) and to evaluate any relationship with movement abnormalities.

methodsThirteen patients with focal hand dystonia, 13 patients with cervical dystonia and 13 healthy subjects underwent two sessions: (i) cTBS over the cerebellar hemisphere (real cTBS) and (ii) cTBS over the neck muscles (sham cTBS). The effects of cerebellar cTBS were quantified as excitability changes in the contralateral primary motor cortex, as well as possible changes in arm and neck movements in patients.

resultsReal cerebellar cTBS reduced the excitability in the contralateral primary motor cortex in healthy subjects and in patients with cervical dystonia, though not in patients with focal hand dystonia. There was no correlation between changes in primary motor cortex excitability and arm and neck movement kinematics in patients. There were no changes in clinical scores or in kinematic measures, after either real or sham cerebellar cTBS in patients.

conclusionsThe reduced cerebellar inhibitory modulation of primary motor cortex excitability in focal dystonia may be related to the body areas affected by dystonia as opposed to being a widespread pathophysiological abnormality. SIGNIFICANCE: The present study yields information on the differential role played by the cerebellum in the pathophysiology of different focal dystonias.

Indexed as

AdultArmBiomechanical PhenomenaCerebellumDystonic DisordersFemaleHumansMaleMiddle AgedMovementNeck MusclesTheta RhythmTranscranial Magnetic StimulationCerebellumDystoniaMotor controlTranscranial magnetic stimulation

Identifiers

PMID27721106
PMCPMC5098212
OpenAlexW2520584845

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.