Evidence map›Paper›PMID 29683030›Full record

Trial reportNeurorehabilitation and neural repair

Transcranial Direct Current Stimulation Enhances Motor Skill Learning but Not Generalization in Chronic Stroke.

Manuela Hamoudi, Heidi M Schambra, Brita Fritsch, Annika Schoechlin-Marx, Cornelius Weiller, Leonardo G Cohen, Janine Reis

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Neurorehabilitation and neural repair. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 9% 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

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.

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  7. Does M1 anodal transcranial direct current stimulation affects online and offline motor learning in patients with multiple sclerosis?Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 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

7 authors at 3 institutions in 2 countries.

Manuela Hamoudi1 University Hospital Freiburg, Freiburg, Germany.
Heidi M Schambra2 New York University, NY, USA.
Brita Fritsch1 University Hospital Freiburg, Freiburg, Germany.
Annika Schoechlin-Marx1 University Hospital Freiburg, Freiburg, Germany.
Cornelius Weiller1 University Hospital Freiburg, Freiburg, Germany.
Leonardo G Cohen3 National Institute of Neurological Disorders and Stroke, Bethesda, MD, USA.
Janine Reis1 University Hospital Freiburg, Freiburg, Germany.
University Medical Center Freiburg · DENational Institute of Neurological Disorders and Stroke · USNew York University · US

Funding

Modulating brain plasticity in rehabilitation of stroke and other brain lesionsZIANS003030 · NINDS · NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE · PI COHEN, LEONARDO GREGORIO · 2009 to 2025
$23.2M
Modulating brain plasticity in rehabilitation of stroke and other brain lesionsZ01NS003030 · NINDS · NEUROLOGICAL DISORDERS AND STROKE · PI COHEN, LEONARDO GREGORIO · 2007 to 2008
$3.9M
Quantitative Rehabilitation after StrokeK02NS104207 · NINDS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI SCHAMBRA, HEIDI · 2017 to 2021
$1.1M
The neurophysiology of spontaneous biological recoveryK23NS078052 · NINDS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI SCHAMBRA, HEIDI · 2012 to 2016
$934k
Intramural NIH HHS Z01 NS003030NINDS NIH HHS K02 NS104207NINDS NIH HHS K23 NS078052
6 · The paper itself

Abstract

backgroundMotor training alone or combined with transcranial direct current stimulation (tDCS) positioned over the motor cortex (M1) improves motor function in chronic stroke. Currently, understanding of how tDCS influences the process of motor skill learning after stroke is lacking.

objectiveTo assess the effects of tDCS on the stages of motor skill learning and on generalization to untrained motor function.

methodsIn this randomized, sham-controlled, blinded study of 56 mildly impaired chronic stroke patients, tDCS (anode over the ipsilesional M1 and cathode on the contralesional forehead) was applied during 5 days of training on an unfamiliar, challenging fine motor skill task (sequential visual isometric pinch force task). We assessed online and offline learning during the training period and retention over the following 4 months. We additionally assessed the generalization to untrained tasks.

resultsWith training alone (sham tDCS group), patients acquired a novel motor skill. This skill improved online, remained stable during the offline periods and was largely retained at follow-up. When tDCS was added to training (real tDCS group), motor skill significantly increased relative to sham, mostly in the online stage. Long-term retention was not affected by tDCS. Training effects generalized to untrained tasks, but those performance gains were not enhanced further by tDCS.

conclusionsTraining of an unfamiliar skill task represents a strategy to improve fine motor function in chronic stroke. tDCS augments motor skill learning, but its additive effect is restricted to the trained skill.

Indexed as

Transcranial Direct Current StimulationAgedDouble-Blind MethodFemaleGeneralization, PsychologicalHumansLearningMaleMiddle AgedMotor CortexMotor SkillsStrokeStroke RehabilitationSurveys and QuestionnairesTreatment Outcomebrain injurymotor cortexneuroplasticityneurotrophinsnoninvasive brain stimulation

Identifiers

PMID29683030
PMCPMC6350256
OpenAlexW2801790933

What OpenQuestion holds

Textmetadata
LicenceTDM
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.