Evidence map›Paper›PMID 31634401›Full record

Trial reportSchizophrenia bulletin2020

Single Session Transcranial Magnetic Stimulation Ameliorates Hand Gesture Deficits in Schizophrenia.

Sebastian Walther, Maribel Kunz, Manuela Müller, Caroline Zürcher, Irena Vladimirova, Hanta Bachofner, Konstantin A Scherer, Niluja Nadesalingam, Katharina Stegmayer, Stephan Bohlhalter and 1 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Schizophrenia bulletin, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 3 pooled it
–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

40 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Aberrant gesture use in autism spectrum disorders is unrelated to motor abnormalities.European archives of psychiatry and clinical neuroscience · 2026
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  13. Apraxia: From Neuroanatomical Pathways to Clinical Manifestations.Current neurology and neuroscience reports · 2024
    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

11 authors.

Sebastian WaltherTranslational Research Center, University Hospital of Psychiatry, University of Bern, Switzerland.
Maribel KunzTranslational Research Center, University Hospital of Psychiatry, University of Bern, Switzerland.
Manuela MüllerTranslational Research Center, University Hospital of Psychiatry, University of Bern, Switzerland.
Caroline ZürcherTranslational Research Center, University Hospital of Psychiatry, University of Bern, Switzerland.
Irena VladimirovaTranslational Research Center, University Hospital of Psychiatry, University of Bern, Switzerland.
Hanta BachofnerTranslational Research Center, University Hospital of Psychiatry, University of Bern, Switzerland.
Konstantin A SchererTranslational Research Center, University Hospital of Psychiatry, University of Bern, Switzerland.
Niluja NadesalingamTranslational Research Center, University Hospital of Psychiatry, University of Bern, Switzerland.
Katharina StegmayerTranslational Research Center, University Hospital of Psychiatry, University of Bern, Switzerland.
Stephan BohlhalterNeurocenter, Luzerner Kantonsspital, Luzern, Switzerland.
Petra V ViherTranslational Research Center, University Hospital of Psychiatry, University of Bern, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Social interaction is impaired in schizophrenia, including the use of hand gestures, which is linked to poor social perception and outcome. Brain imaging suggests reduced neural activity in a left-lateralized frontoparietal network during gesture preparation; therefore, gesturing might be improved through facilitation of left hemispheric brain areas or via disruption of interhemispheric inhibition from the right homolog. This study tested whether repetitive transcranial magnetic stimulation (rTMS) protocols would improve gesture performance in schizophrenia. This randomized, placebo-controlled, double-blind, crossover trial applied 3 different protocols of rTMS separated by 48 h. Twenty right-handed schizophrenia patients and 20 matched healthy controls received facilitatory intermittent theta burst stimulation (iTBS) over the left inferior frontal gyrus (IFG), inhibitory continuous theta burst stimulation (cTBS) over right inferior parietal lobe (IPL), and placebo over left IPL in randomized order. Primary outcome was change in the test of upper limb apraxia (TULIA), rated from video recordings of hand gesture performance. Secondary outcome was change in manual dexterity using the coin rotation task. Participants improved on both tasks following rTMS compared with baseline. Only patients improved gesture performance following right IPL cTBS compared with placebo (P = .013). The results of the coin rotation parallel those of the TULIA, with improvements following right IPL cTBS in patients (P = .001). Single sessions of cTBS on the right IPL substantially improved both gesture performance accuracy and manual dexterity. The findings point toward an inhibition of interhemispheric rivalry as a potential mechanism of action.

Indexed as

ApraxiasGesturesManual CommunicationNerve NetPsychomotor PerformanceSchizophreniaTranscranial Magnetic StimulationAdultCross-Over StudiesDouble-Blind MethodFemaleHumansMaleMiddle AgedOutcome Assessment, Health CareYoung Adultdexteritygesturemotor domainnonverbal skillspraxis networkRCT

Identifiers

PMID31634401
PMCPMC7442336

What OpenQuestion holds

Textmetadata
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.