Evidence map›Paper›PMID 33132868›Full record

ArticleFrontiers in human neuroscience2020

Brain Vital Signs Detect Cognitive Improvements During Combined Physical Therapy and Neuromodulation in Rehabilitation From Severe Traumatic Brain Injury: A Case Report.

Shaun D Fickling, Trevor Greene, Debbie Greene, Zack Frehlick, Natasha Campbell, Tori Etheridge, Christopher J Smith, Fabio Bollinger, Yuri Danilov, Rowena Rizzotti and 3 more

Abstract read
In one paragraph

Article in Frontiers in human neuroscience, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–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

12 citing papers in PubMed.

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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

13 authors.

Shaun D FicklingCentre for Neurology Studies, HealthTech Connex Inc., Vancouver, BC, Canada.
Trevor GreeneCentre for Neurology Studies, HealthTech Connex Inc., Vancouver, BC, Canada.
Debbie GreeneCentre for Neurology Studies, HealthTech Connex Inc., Vancouver, BC, Canada.
Zack FrehlickCentre for Neurology Studies, HealthTech Connex Inc., Vancouver, BC, Canada.
Natasha CampbellCentre for Neurology Studies, HealthTech Connex Inc., Vancouver, BC, Canada.
Tori EtheridgeCentre for Neurology Studies, HealthTech Connex Inc., Vancouver, BC, Canada.
Christopher J SmithCentre for Neurology Studies, HealthTech Connex Inc., Vancouver, BC, Canada.
Fabio BollingerCentre for Neurology Studies, HealthTech Connex Inc., Vancouver, BC, Canada.
Yuri DanilovDepartment of Kinesiology, University of Wisconsin-Madison, Madison, AL, United States.
Rowena RizzottiCentre for Neurology Studies, HealthTech Connex Inc., Vancouver, BC, Canada.
Ashley C LivingstoneCentre for Neurology Studies, HealthTech Connex Inc., Vancouver, BC, Canada.
Bimal LakhaniCentre for Neurology Studies, HealthTech Connex Inc., Vancouver, BC, Canada.
Ryan C N D'ArcyCentre for Neurology Studies, HealthTech Connex Inc., Vancouver, BC, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Using a longitudinal case study design, we have tracked the recovery of motor function following severe traumatic brain injury (TBI) through a multimodal neuroimaging approach. In 2006, Canadian Soldier Captain (retired) Trevor Greene (TG) was attacked with an axe to the head while on tour in Afghanistan. TG continues intensive daily rehabilitation, which recently included the integration of physical therapy (PT) with neuromodulation using translingual neurostimulation (TLNS) to facilitate neuroplasticity. Recent findings with PT + TLNS demonstrated that recovery of motor function occurred beyond conventional time limits, currently extending past 14-years post-injury. To investigate whether PT + TLNS similarly resulted in associated cognitive function improvements, we examined event-related potentials (ERPs) with the brain vital signs framework. In parallel with motor function improvements, brain vital signs detected significant increases in basic attention (as measured by P300 response amplitude) and cognitive processing (as measured by contextual N400 response amplitude). These objective cognitive improvements corresponded with TG's self-reported improvements, including a noteworthy and consistent reduction in ongoing symptoms of post-traumatic stress disorder (PTSD). The findings provide valuable insight into the potential importance of non-invasive neuromodulation in cognitive rehabilitation, in addition to initial indications for physical rehabilitation.

Indexed as

brain vital signscase reportelectroencephalography (EEG)neuroplasticitypost-traumatic stress disorder (PTSD)translingual neurostimulation (TLNS)traumatic brain injury (TBI)

Identifiers

PMID33132868
PMCPMC7513585

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Registered trials

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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.