Evidence map›Paper›PMID 28801420›Full record

Trial reportBMJ open2017

Protocol study for a randomised, controlled, double-blind, clinical trial involving virtual reality and anodal transcranial direct current stimulation for the improvement of upper limb motor function in children with Down syndrome.

Jamile Benite Palma Lopes, Luanda André Collange Grecco, Renata Calhes Franco de Moura, Roberta Delasta Lazzari, Natalia de Almeida Carvalho Duarte, Isabela Miziara, Gileno Edu Lameira de Melo, Arislander Jonathan Lopes Dumont, Manuela Galli, Claudia Santos Oliveira

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

Trial report in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07044804 (Brain-directed Treatment to Improve Language in Adolescents and Young Adults With Down Syndrome), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.1field-weighted citation impact, top 21% 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.

NCT07044804 narecruitingnot on this mapstarted 2025, after this paper: background citation

Brain-directed Treatment to Improve Language in Adolescents and Young Adults With Down Syndrome: the Efficacy of Transcranial Direct Current Stimulation Coupled With Linguistic Training.

TypeinterventionalSponsorFloriana CostanzoRan2025 to 2026Enrolled36ConditionsDown SyndromeArmsActive Group (Active Anodal tDCS to the left IFG or Cathodal tDCS to the left IFG), Sham Group
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
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  3. Review
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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

10 authors at 4 institutions in 3 countries.

Jamile Benite Palma LopesDoctoral and Master Programs in Rehabilitation Sciences, Movement Analysis Lab, University Nove de Julho, Sao Paulo, Brazil.
Luanda André Collange GreccoCenter of Pediatric Neurosurgery-CENEPE-Rehabilitation, and Post Doctoral student, Sao Paulo, Brazil.
Renata Calhes Franco de MouraDoctoral and Master Programs in Rehabilitation Sciences, Movement Analysis Lab, University Nove de Julho, Sao Paulo, Brazil.
Roberta Delasta LazzariDoctoral and Master Programs in Rehabilitation Sciences, Movement Analysis Lab, University Nove de Julho, Sao Paulo, Brazil.
Natalia de Almeida Carvalho DuarteDoctoral and Master Programs in Rehabilitation Sciences, Movement Analysis Lab, University Nove de Julho, Sao Paulo, Brazil.
Isabela MiziaraDoctoral Postgraduate Program in Electrical Engineering, Nucleus of Assistive Technologies (NTA) and Biomedical Engineering Laboratory (Biolab), Federal University of Uberlândia, Uberlândia, Brazil.
Gileno Edu Lameira de MeloDoctoral and Master Programs in Rehabilitation Sciences, Movement Analysis Lab, University Nove de Julho, Sao Paulo, Brazil.
Arislander Jonathan Lopes DumontDoctoral and Master Programs in Rehabilitation Sciences, Movement Analysis Lab, University Nove de Julho, Sao Paulo, Brazil.
Manuela GalliDepartment of Electronic Information and Bioengineering, Politecnico di Milano,Italy and IRCCS San Raffaele Pisana, Rome, Italy.
Claudia Santos OliveiraDoctoral and Master Programs in Rehabilitation Sciences, Movement Analysis Lab, University Nove de Julho, Sao Paulo, Brazil.
Universidade Nove de Julho · BRIstituto di Ricovero e Cura a Carattere Scientifico San RaffaeleUnion des Industries Ferroviaires Européennes · BEUniversidade Federal de Uberlândia · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDown syndrome results in neuromotor impairment that affects selective motor control, compromising the acquisition of motor skills and functional independence. The aim of the proposed study is to evaluate and compare the effects of multiple-monopolar anodal transcranial direct current stimulation and sham stimulation over the primary motor cortex during upper limb motor training involving virtual reality on motor control, muscle activity, cerebral activity and functional independence. METHODS AND ANALYSIS: A randomised, controlled, double-blind, clinical trial is proposed. The calculation of the sample size will be defined based on the results of a pilot study involving the same methods. The participants will be randomly allocated to two groups. Evaluations will be conducted before and after the intervention as well as 1 month after the end of the intervention process. At each evaluation, three-dimensional analysis of upper limb movement muscle activity will be measured using electromyography, cerebral activity will be measured using an electroencephalogram system and intellectual capacity will be assessed using the Wechsler Intelligence Scale for Children. Virtual reality training will be performed three times a week (one 20 min session per day) for a total of 10 sessions. During the protocol, transcranial stimulation will be administered concomitantly to upper limb motor training. The results will be analysed statistically, with a p value≤0.05 considered indicative of statistical significance. ETHICAL ASPECTS AND PUBLICITY: The present study received approval from the Institutional Review Board of Universidade Nove de Julho (Sao Paulo,Brazil) under process number 1.540.113 and is registered with the Brazilian Registry of Clinical Trials (N° RBR3PHPXB). The participating institutions have presented a declaration of participation. The volunteers will be permitted to drop out of the study at any time with no negative repercussions. The results will be published and will contribute evidence regarding the use of this type of intervention on children.

Indexed as

Transcranial Direct Current StimulationVirtual Reality Exposure TherapyBrazilChildClinical ProtocolsDouble-Blind MethodDown SyndromeElectromyographyFemaleHumansLogistic ModelsMaleMotor CortexPilot ProjectsRange of Motion, ArticularTreatment Outcomedown syndrometranscranial direct current stimulationupper limb

Identifiers

PMID28801420
PMCPMC5629662
OpenAlexW2744089435

What OpenQuestion holds

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LicenceCC BY-NC
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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.