Evidence map›Paper›PMID 33482375›Full record

ArticleBrain stimulation

Frequency-dependent modulation of cerebellar excitability during the application of non-invasive alternating current stimulation.

Danny Spampinato, Esin Avci, John Rothwell, Lorenzo Rocchi

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Brain stimulation. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06420271 (Effects of Combined Transcranial Electrical and Magnetic Stimulation of Cerebellum on Balance Function in Ataxia Patients), which is not on this map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
2.6field-weighted citation impact, top 10% 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.

NCT06420271 narecruitingnot on this map

Effects of Combined Transcranial Electrical and Magnetic Stimulation of Cerebellum on Balance Function in Ataxia Patients

TypeinterventionalSponsorI.R.C.C.S. Fondazione Santa LuciaRan2025 to 2026Enrolled30ConditionsAtaxiaArmsReal (real iTBS/tACS + exergaming), Sham (sham iTBS/tACS + exergaming)
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 42 citations in OpenAlex.

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  9. tACS of the Cerebellum and the Motor Cortex Entrains the Spiking Activity of the Cells in Motor Thalamus in a Frequency Dependent Manner.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2026
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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

4 authors at 3 institutions in 3 countries.

Danny SpampinatoDepartment of Clinical and Movement Neurosciences, Institute of Neurology, University College London, United Kingdom; Non-invasive Brain Stimulation Unit, IRCCS Santa Lucia Foundation, Via Ardeatina 306/354, 00142, Rome, Italy. Electronic address: d.spampinato@ucl.ac.uk.
Esin AvciDepartment of Sport and Sport Science, Institute of Biology, University of Freiburg, Germany.
John RothwellDepartment of Clinical and Movement Neurosciences, Institute of Neurology, University College London, United Kingdom.
Lorenzo RocchiDepartment of Clinical and Movement Neurosciences, Institute of Neurology, University College London, United Kingdom.
University College London · GBFondazione Santa Lucia · ITUniversity of Freiburg · DE

Funding

Medical Research Council MR/K01384X/1Medical Research Council MR/P006671/1
6 · The paper itself

Abstract

backgroundit is well-known that the cerebellum is critical for the integrity of motor and cognitive actions. Applying non-invasive brain stimulation techniques over this region results in neurophysiological and behavioural changes, which have been associated with the modulation of cerebellar-cerebral cortex connectivity. Here, we investigated whether online application of cerebellar transcranial alternating current stimulation (tACS) results in changes to this pathway.

methodsthirteen healthy individuals participated in two sessions of cerebellar tACS delivered at different frequencies (5Hz and 50Hz). We used transcranial magnetic stimulation to measure cerebellar-motor cortex (M1) inhibition (CBI), short-intracortical inhibition (SICI) and short-afferent inhibition (SAI) before, during and after the application of tACS.

resultswe found that CBI was specifically strengthened during the application of 5Hz cerebellar tACS. No changes were detected immediately following the application of 5Hz stimulation, nor at any time point with 50Hz stimulation. We also found no changes to M1 intracortical circuits (i.e. SICI) or sensorimotor interaction (i.e. SAI), indicating that the effects of 5Hz tACS over the cerebellum are site-specific.

conclusionscerebellar tACS can modulate cerebellar excitability in a time- and frequency-dependent manner. Additionally, cerebellar tACS does not appear to induce any long-lasting effects (i.e. plasticity), suggesting that stimulation enhances oscillations within the cerebellum only throughout the stimulation period. As such, cerebellar tACS may have significant implications for diseases manifesting with abnormal cerebellar oscillatory activity and also for future behavioural studies.

Indexed as

Motor CortexTranscranial Direct Current StimulationCerebellumEvoked Potentials, MotorHumansTranscranial Magnetic StimulationCerebellumNeurophysiologytACSTMS

Identifiers

PMID33482375
PMCPMC7970622
OpenAlexW3125885705

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.