Evidence map›Paper›PMID 32846761›Full record

SynthesisMedicine2020

Effect of non-invasive brain stimulation on neuropathic pain following spinal cord injury: A systematic review and meta-analysis.

Zhubin Shen, Zhongrun Li, Junran Ke, Changhao He, Zhiming Liu, Din Zhang, Zhili Zhang, Anpei Li, Shuang Yang, Xiaolong Li and 6 more

Registry-linked trialOpen access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06284694 (Treatment of Neuropathic Pain Following Spinal Cord Injury - a Repetitive Transcranial Magnetic Stimulation Approach), which is not on this map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
1.3field-weighted citation impact, top 19% 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.

NCT06284694 naunknown statusnot on this mapstarted 2024, after this paper: background citation

Treatment of Neuropathic Pain Following Spinal Cord Injury - a Repetitive Transcranial Magnetic Stimulation Approach

TypeinterventionalSponsorUniversity of CalgaryRan2024 to 2025Enrolled10ConditionsNeuropathic PainArmsRepetitive Transcranial Magnetic Stimulation (rTMS)
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. Is transcranial magnetic stimulation as treatment for neuropathic pain in patients with spinal cord injury efficient? A systematic review.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
    Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. The Diagnosis and Treatment of Neuropathic Pain.Deutsches Arzteblatt international · 2024
    Review
  6. Article
  7. Review
  8. Cortical stimulation for chronic pain: from anecdote to evidence.European journal of physical and rehabilitation medicine · 2022
    Review
  9. Non-invasive Brain Stimulation for Central Neuropathic Pain.Frontiers in molecular neuroscience · 2022
    Review
  10. Article
  11. Article
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

16 authors at 2 institutions in 2 countries.

Zhubin ShenDepartment of Orthopaedic, China-Japan Union Hospital.
Zhongrun LiDepartment of Toxicology, School of Public Health, Jilin University, Changchun, China.
Junran KeDepartment of Orthopaedic, China-Japan Union Hospital.
Changhao HeDepartment of Toxicology, School of Public Health, Jilin University, Changchun, China.
Zhiming LiuDepartment of Orthopaedic, China-Japan Union Hospital.
Din ZhangDepartment of Orthopaedic, China-Japan Union Hospital.
Zhili ZhangDepartment of Toxicology, School of Public Health, Jilin University, Changchun, China.
Anpei LiDepartment of Toxicology, School of Public Health, Jilin University, Changchun, China.
Shuang YangDepartment of Orthopaedic, China-Japan Union Hospital.
Xiaolong LiDepartment of Orthopaedic, China-Japan Union Hospital.
Ran LiDepartment of Orthopaedic, China-Japan Union Hospital.
Kunchi ZhaoDepartment of Orthopaedic, China-Japan Union Hospital.
Qing RuanDepartment of Orthopaedic, China-Japan Union Hospital.
Haiying DuDepartment of Toxicology, School of Public Health, Jilin University, Changchun, China.
Li GuoDepartment of Toxicology, School of Public Health, Jilin University, Changchun, China.
Fei YinDepartment of Orthopaedic, China-Japan Union Hospital.
Union Hospital · CNJilin University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn recent years, some studies indicated that repetitive transcranial magnetic stimulation (rTMS) could relieve neuropathic pain (NP) following a spinal cord injury (SCI), whereas some studies showed no pain relief effect. In addition, some studies showed the analgesic effect of transcranial direct current stimulation (tDCS) on NP post SCI, whereas other studies showed no effect.

methodsWe systematically searched on the PubMed, Web of Science, EMBASE, Medline, Google Scholar for studies exploring the analgesic effect of rTMS or tDCS on NP post SCI until November 2019. Meta-analysis was conducted to summarize results of these studies.

resultsThe present quantitative meta-analysis indicated no significant difference in the effect of treatment on NP following SCI between rTMS and sham rTMS over the motor cortex at about 1 week after the end of the rTMS period (standardized mean difference (SMD) = 2.89, 95% confidence interval (CI) = -0.27 to 6.04). However, the study indicated that rTMS showed significantly better pain relief of treatment compared with sham rTMS between 2 and 6 weeks after the end of the rTMS period (SMD = 3.81, 95%CI: 0.80-7.52). However, no sufficient evidence could be provided to make a meta-analysis for the analgesic effect of tDCS on NP following SCI over the primary motor area (M1).

conclusionsIn conclusion, the present meta-analysis suggested that rTMS did not show early analgesic effect on NP after SCI, but showed better middle-term analgesic effect, compared with sham rTMS. More large scale, blinded randomized controlled trials (RCTs) were needed to explore the analgesic effect of rTMS and tDCS on NP following SCI.

Indexed as

Transcranial Direct Current StimulationTranscranial Magnetic StimulationHumansNeuralgiaSpinal Cord Injuries

Identifiers

PMID32846761
PMCPMC7447445
OpenAlexW3059599320

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.