Evidence map›Paper›PMID 30627151›Full record

ArticleNeural plasticity2018

Transcranial Direct Current Stimulation (tDCS) Paired with Occupation-Centered Bimanual Training in Children with Unilateral Cerebral Palsy: A Preliminary Study.

Tonya L Rich, Samuel Nemanich, Mo Chen, Kathleen Friel, Timothy Feyma, Linda Krach, Tanjila Nawshin, Gregg Meekins, Bernadette T Gillick

Abstract read
In one paragraph

Article in Neural plasticity, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
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

13 citing papers in PubMed.

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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

9 authors.

Tonya L RichDepartment of Rehabilitation Medicine, Program in Rehabilitation Science, University of Minnesota, Minneapolis, MN 55455, USA.ORCID 0000-0002-9419-7259
Samuel NemanichDepartment Rehabilitation Medicine, Program in Physical Therapy, University of Minnesota, Minneapolis, MN 55455, USA.
Mo ChenNon-Invasive Neuromodulation Laboratory, MnDRIVE Initiative, University of Minnesota, Minneapolis, MN 55455, USA.ORCID 0000-0002-3188-166X
Kathleen FrielBurke Neurological Institute, White Plains, NY 10605, USA.
Timothy FeymaGillette Children's Specialty Healthcare, St. Paul, MN 55101, USA.
Linda KrachCourage Kenny Rehabilitation Institute-Minneapolis, Minneapolis, MN 55407, USA.ORCID 0000-0002-0993-8199
Tanjila NawshinDepartment of Rehabilitation Medicine, Program in Rehabilitation Science, University of Minnesota, Minneapolis, MN 55455, USA.ORCID 0000-0001-9823-0127
Gregg MeekinsDepartment of Neurology, University of Minnesota, Minneapolis, MN 55455, USA.
Bernadette T GillickDepartment of Rehabilitation Medicine, Program in Rehabilitation Science, University of Minnesota, Minneapolis, MN 55455, USA.ORCID 0000-0002-6891-5587

Funding

University of Minnesota Clinical and Translational Science Institute (UMN CTSI)UL1TR000114 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R · 2012 to 2015
$35.0M
NMR Imaging and SpectroscopyP41EB015894 · NIBIB · UNIVERSITY OF MINNESOTA · PI UGURBIL, KAMIL · 2012 to 2017
$8.4M
University of Minnesota Clinical and Translational Science Institute (UMN CTSI)KL2TR000113 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R · 2012 to 2015
$5.4M
Novel Neuromodulatory Intervention in the Rehabilitation of Pediatric HemiparesisK01HD078484 · NICHD · UNIVERSITY OF MINNESOTA · PI GILLICK, BERNADETTE THERESE · 2014 to 2018
$654k
High Performance Connectome Upgrade for Human 3T MR ScannerS10OD017974 · OD · UNIVERSITY OF MINNESOTA · PI LIM, KELVIN O. · 2014 to 2014
$600k
NCATS NIH HHS KL2 TR000113NCATS NIH HHS UL1 TR000114NIBIB NIH HHS P41 EB015894NICHD NIH HHS K01 HD078484NIH HHS HD078484-01A1NIH HHS KL2 TR000113NIH HHS S10 OD017974NIH HHS UL1 TR000114
6 · The paper itself

Abstract

Objective: We investigated the preliminary efficacy of cathodal transcranial direct current stimulation (tDCS) combined with bimanual training in children and young adults with unilateral cerebral palsy based on the principle of exaggerated interhemispheric inhibition (IHI). Methods: Eight participants with corticospinal tract (CST) connectivity from the lesioned hemisphere participated in an open-label study of 10 sessions of cathodal tDCS to the nonlesioned hemisphere (20 minutes) concurrently with bimanual, goal-directed training (120 minutes). We measured the frequency of adverse events and intervention efficacy with performance (bimanual-Assisting Hand Assessment (AHA)-and unimanual-Box and Blocks), self-report (Canadian Occupational Performance Measure (COPM), ABILHAND), and neurophysiologic (motor-evoked potential amplitude, cortical silent period (CSP) duration, and motor mapping) assessments. Results: All participants completed the study with no serious adverse events. Three of 8 participants showed gains on the AHA, and 4 of 8 participants showed gains in Box and Blocks (more affected hand). Nonlesioned CSP duration decreased in 6 of 6 participants with analyzable data. Cortical representation of the first dorsal interosseous expanded in the nonlesioned hemisphere in 4 of 6 participants and decreased in the lesioned hemisphere in 3 of 4 participants with analyzable data. Conclusions: While goal achievement was observed, objective measures of hand function showed inconsistent gains. Neurophysiologic data suggests nonlinear responses to cathodal stimulation of the nonlesioned hemisphere. Future studies examining the contributions of activity-dependent competition and cortical excitability imbalances are indicated.

Indexed as

Physical Therapy ModalitiesActivities of Daily LivingAdolescentCerebral PalsyChildCombined Modality TherapyFemaleHumansMaleMotor CortexPyramidal TractsTranscranial Direct Current StimulationTreatment OutcomeYoung Adult

Identifiers

PMID30627151
PMCPMC6304908

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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.