Evidence map›Paper›PMID 32808403›Full record

Trial reportNeuromodulation : journal of the International Neuromodulation Society2021

Combining Frontal Transcranial Direct Current Stimulation With Walking Rehabilitation to Enhance Mobility and Executive Function: A Pilot Clinical Trial.

David J Clark, Sudeshna A Chatterjee, Jared W Skinner, Paige E Lysne, Chanoan Sumonthee, Samuel S Wu, Ronald A Cohen, Dorian K Rose, Adam J Woods

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

Trial report in Neuromodulation : journal of the International Neuromodulation Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06414213 (Enhancing Locomotor Learning With Motor Imagery and Transcranial Direct Current Stimulation), which is not on this map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
0.6field-weighted citation impact, top 32% 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.

NCT06414213 nacompletednot on this mapstarted 2022, after this paper: background citation

Enhancing Locomotor Learning With Motor Imagery and Transcranial Direct Current Stimulation

TypeinterventionalSponsorAppalachian State UniversityRan2022 to 2022Enrolled38ConditionsMotor LearningArmsMotor Imagery (MI), Active tDCS, Sham tDCS
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.

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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 at 2 institutions in 1 country.

David J ClarkDepartment of Aging and Geriatric Research, University of Florida, Gainesville, FL, USA.ORCID https://orcid.org/0000-0002-9921-1849
Sudeshna A ChatterjeeBrain Rehabilitation Research Center, Malcom Randall VA Medical Center, Gainesville, FL, USA.
Jared W SkinnerGeriatric Research, Education, and Clinical Center, Malcom Randall VA Medical Center, Gainesville, FL, USA.
Paige E LysneDepartment of Aging and Geriatric Research, University of Florida, Gainesville, FL, USA.
Chanoan SumontheeCollege of Public Health and Health Professions, University of Florida, Gainesville, FL, USA.
Samuel S WuDepartment of Biostatistics, University of Florida, Gainesville, FL, USA.
Ronald A CohenDepartment of Clinical and Health Psychology, Center for Cognitive Aging and Memory, McKnight Brain Institute, University of Florida, Gainesville, FL, USA.
Dorian K RoseBrain Rehabilitation Research Center, Malcom Randall VA Medical Center, Gainesville, FL, USA.
Adam J WoodsDepartment of Clinical and Health Psychology, Center for Cognitive Aging and Memory, McKnight Brain Institute, University of Florida, Gainesville, FL, USA.
University of Florida · USMalcom Randall VA Medical Center · US

Funding

University of Florida Older Americans Independence Center (OAIC)P30AG028740 · NIA · UNIVERSITY OF FLORIDA · PI Peihua Qiu · 2007 to 2026
$22.8M
Combining tDCS and neurorehabilitation to treat age-related deficits of mobility and cognitionR21AG053736 · NIA · UNIVERSITY OF FLORIDA · PI CLARK, DAVID J · 2017 to 2018
$407k
NIA NIH HHS P30 AG028740NIA NIH HHS R21 AG053736NIH HHS 1R21AG053736NIH HHS 5P30AG028740US Department of Veterans Affairs: B9252-C
6 · The paper itself

Abstract

objectivesThis pilot study assessed whether frontal lobe transcranial direct current stimulation (tDCS) combined with complex walking rehabilitation is feasible, safe, and shows preliminary efficacy for improving walking and executive function. MATERIALS AND

methodsParticipants were randomized to one of the following 18-session interventions: active tDCS and rehabilitation with complex walking tasks (Active/Complex); sham tDCS and rehabilitation with complex walking tasks (Sham/Complex); or sham tDCS and rehabilitation with typical walking (Sham/Typical). Active tDCS was delivered over F3 (cathode) and F4 (anode) scalp locations for 20 min at 2 mA intensity. Outcome measures included tests of walking function, executive function, and prefrontal activity measured by functional near infrared spectroscopy.

resultsNinety percent of participants completed the intervention protocol successfully. tDCS side effects of tingling or burning sensations were low (average rating less than two out of 10). All groups demonstrated gains in walking performance based on within-group effect sizes (d ≥ 0.50) for one or more assessments. The Sham/Typical group showed the greatest gains for walking based on between-group effect sizes. For executive function, the Active/Complex group showed the greatest gains based on moderate to large between-group effect sizes (d = 0.52-1.11). Functional near-infrared spectroscopy (fNIRS) findings suggest improved prefrontal cortical activity during walking.

conclusionsEighteen sessions of walking rehabilitation combined with tDCS is a feasible and safe intervention for older adults. Preliminary effects size data indicate a potential improvement in executive function by adding frontal tDCS to walking rehabilitation. This study justifies future larger clinical trials to better understand the benefits of combining tDCS with walking rehabilitation.

Indexed as

Transcranial Direct Current StimulationAgedDouble-Blind MethodExecutive FunctionHumansPilot ProjectsPrefrontal CortexWalkingAgingcognitionrehabilitationtranscranial direct current stimulationwalking

Identifiers

PMID32808403
PMCPMC7889743
OpenAlexW3070191335

What OpenQuestion holds

Textmetadata
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Read underepoch 390

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.