Evidence map›Paper›PMID 33095999›Full record

Trial reportApplied physiology, nutrition, and metabolism = Physiologie appliquee, nutrition et metabolisme2021

Combining transcranial direct current stimulation with aerobic exercise to optimize cortical priming in stroke.

Anjali Sivaramakrishnan, Sangeetha Madhavan

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

Trial report in Applied physiology, nutrition, and metabolism = Physiologie appliquee, nutrition et metabolisme, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05411692 (Effects of Functional Electrical Stimulations With and Without Motor Priming Exercises on Tenodesis Grip in Patients With Spinal Cord Injury), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.5field-weighted citation impact, top 34% 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.

NCT05411692 nacompletednot on this mapstarted 2022, after this paper: background citation

Effects of Functional Electrical Stimulations With and Without Motor Priming Exercises on Tenodesis Grip in Patients With Spinal Cord Injury

TypeinterventionalSponsorRiphah International UniversityRan2022 to 2022Enrolled26ConditionsSpinal Cord InjuryArmsFunctional electrical stimulations and motor priming exercise, Functional electrical stimulations, Conventional physical therapy
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
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  3. Article
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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

2 authors at 1 institution in 1 country.

Anjali SivaramakrishnanBrain Plasticity Lab, Department of Physical Therapy, College of Applied Health Sciences, University of Illinois at Chicago (UIC), Chicago, IL 60612, USA.
Sangeetha MadhavanBrain Plasticity Lab, Department of Physical Therapy, College of Applied Health Sciences, University of Illinois at Chicago (UIC), Chicago, IL 60612, USA.
University of Illinois Chicago · US

Funding

Cortical priming to optimize gait rehabilitation post strokeR01HD075777 · NICHD · UNIVERSITY OF ILLINOIS AT CHICAGO · PI MADHAVAN, SANGEETHA · 2014 to 2024
$4.1M
American Heart Association-American Stroke Association 18PRE33960555NICHD NIH HHS R01 HD075777
6 · The paper itself

Abstract

Aerobic exercise (AE) and transcranial direct current stimulation (tDCS) are priming techniques that have been studied for their potential neuromodulatory effects on corticomotor excitability (CME); however, the synergistic effects of AE and tDCS are not explored in stroke. Here we investigated the synergistic effects of AE and tDCS on CME, intracortical and transcallosal inhibition, and motor control for the lower limb in stroke. Twenty-six stroke survivors participated in 3 sessions: tDCS, AE, and AE+tDCS. AE included moderate-intensity exercise and tDCS included 1 mA of anodal tDCS to the lower limb motor cortex with or without AE. Outcomes included measures of CME, short-interval intracortical inhibition (SICI), ipsilateral silent period (iSP) (an index of transcallosal inhibition) for the tibialis anterior, and ankle reaction time. Ipsilesional CME significantly decreased for AE compared with AE+tDCS and tDCS. No differences were noted in SICI, iSP measures, or reaction time between all 3 sessions. Our findings suggest that a combination of exercise and tDCS, and tDCS demonstrate greater excitability of the ipsilesional hemisphere compared with exercise only; however, these effects were specific to the descending corticomotor pathways. No additive priming effects of exercise and tDCS over tDCS was observed.

Indexed as

Exercise TherapyStroke RehabilitationTranscranial Direct Current StimulationAgedCross-Over StudiesElectromyographyEvoked Potentials, MotorFemaleHeart RateHumansLegMaleMiddle AgedMotor CortexPerceptionPhysical Conditioning, Humanaerobic exerciseamorçage corticalcortical primingcorticomotor excitabilityexcitabilité corticomotriceexercice aérobiereaction timestimulation transcrânienne en courant continutemps de réactiontibial antérieurtibialis anteriortranscranial direct current stimulation

Identifiers

PMID33095999
PMCPMC9009262
OpenAlexW3093806818

What OpenQuestion holds

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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.