Evidence map›Paper›PMID 31467892›Full record

Trial reportBioMed research international2019

The Effect of rTMS over the Different Targets on Language Recovery in Stroke Patients with Global Aphasia: A Randomized Sham-Controlled Study.

Caili Ren, Guofu Zhang, Xinlei Xu, Jianfeng Hao, Hui Fang, Ping Chen, Zhaohui Li, Yunyun Ji, Qingjie Cai, Fei Gao

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BioMed research international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 7 pooled it
3.1field-weighted citation impact, top 8% 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, 7 syntheses or guidelines pooled it, 75 citations in OpenAlex.

  1. Pooled it
  2. Efficacy of rTMS in treating functional impairment in post-stroke patients: a systematic review and meta-analysis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
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  7. Evaluation of rTMS in patients with poststroke aphasia: a systematic review and focused meta-analysis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
    Pooled it
  8. Trial
  9. Diagnosing and managing post-stroke aphasia.Expert review of neurotherapeutics · 2021
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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 2 institutions in 1 country.

Caili RenDepartment of Neurological Rehabilitation, Wuxi Tongren Rehabilitation Hospital of Nanjing Medical University, Wuxi, Jiangsu Province, China.ORCID https://orcid.org/0000-0002-9053-2427
Guofu ZhangDepartment of Psychiatry, The Affiliated Wuxi Mental Health Center of Nanjing Medical University, Wuxi, Jiangsu Province, China.
Xinlei XuDepartment of Neurological Rehabilitation, Wuxi Tongren Rehabilitation Hospital of Nanjing Medical University, Wuxi, Jiangsu Province, China.
Jianfeng HaoDepartment of Neurological Rehabilitation, Wuxi Tongren Rehabilitation Hospital of Nanjing Medical University, Wuxi, Jiangsu Province, China.
Hui FangDepartment of Neurological Rehabilitation, Wuxi Tongren Rehabilitation Hospital of Nanjing Medical University, Wuxi, Jiangsu Province, China.
Ping ChenDepartment of Neurological Rehabilitation, Wuxi Tongren Rehabilitation Hospital of Nanjing Medical University, Wuxi, Jiangsu Province, China.
Zhaohui LiDepartment of Neurological Rehabilitation, Wuxi Tongren Rehabilitation Hospital of Nanjing Medical University, Wuxi, Jiangsu Province, China.
Yunyun JiDepartment of Neurological Rehabilitation, Wuxi Tongren Rehabilitation Hospital of Nanjing Medical University, Wuxi, Jiangsu Province, China.
Qingjie CaiDepartment of Neurological Rehabilitation, Wuxi Tongren Rehabilitation Hospital of Nanjing Medical University, Wuxi, Jiangsu Province, China.
Fei GaoDepartment of Neurological Rehabilitation, Wuxi Tongren Rehabilitation Hospital of Nanjing Medical University, Wuxi, Jiangsu Province, China.
Tongren Hospital · CNWuxi People's Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate and compare the effects of repetitive transcranial magnetic stimulation (rTMS) over the right pars triangularis of the posterior inferior frontal gyrus (pIFG) and the right posterior superior temporal gyrus (pSMG) in global aphasia following subacute stroke.

methodsFifty-four patients with subacute poststroke global aphasia were randomized to 15-day protocols of 20-minute inhibitory 1 Hz rTMS over either the right triangular part of the pIFG (the rTMS-b group) or the right pSTG (the rTMS-w group) or to sham stimulation, followed by 30 minutes of speech and language therapy. Language outcomes were assessed by aphasia quotient (AQ) scores obtained from the Chinese version of the Western Aphasia Battery (WAB) at baseline and immediately after 3 weeks (15 days) of experimental treatment.

resultsForty-five patients completed the entire study. The primary outcome measures include the changes in WAB-AQ score, spontaneous speech, auditory comprehension, and repetition. These measures indicated significant main effect between the baseline of the rTMS-w, rTMS-b, and sham groups and immediately after stimulation (

conclusionsInhibitory rTMS targeting the right pIFG and pSTG can be an effective treatment for subacute stroke patients with global aphasia. The effect of rTMS may depend on the stimulation site. Low-frequency rTMS inhibited the right pSTG and significantly improved language recovery in terms of auditory comprehension and repetition, whereas LF-rTMS inhibited the right pIFG, leading to apparent changes in spontaneous speech and repetition.

Indexed as

Transcranial Magnetic StimulationAgedAphasiaFemaleHumansLanguageMaleMiddle AgedSpeechSpeech TherapyStrokeStroke RehabilitationTemporal LobeTreatment Outcome

Identifiers

PMID31467892
PMCPMC6699349
OpenAlexW2965786385

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.