Evidence map›Paper›PMID 33514270›Full record

Trial reportNeurorehabilitation and neural repair2021

Does rTMS Targeting Contralesional S1 Enhance Upper Limb Somatosensory Function in Chronic Stroke? A Proof-of-Principle Study.

Svetlana Pundik, Margaret Skelly, Jessica McCabe, Heba Akbari, Curtis Tatsuoka, Ela B Plow

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

Trial report in Neurorehabilitation and neural repair, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02811913 (Can rTMS Enhance Somatosensory Recovery After Stroke?), which is not on this map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
0.7field-weighted citation impact, top 31% 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.

NCT02811913 nacompletednot on this map

Can rTMS Enhance Somatosensory Recovery After Stroke?

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2012 to 2022Enrolled20ConditionsStrokeArmsrepetitive transcranial magnetic stimulation (rTMS), peripheral sensory stimulation
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Review
  7. Somatosensory Impairment and Chronic Pain Following Stroke: An Observational Study.International journal of environmental research and public health · 2023
    Observational
  8. Narrative Review of Noninvasive Brain Stimulation in Stroke Rehabilitation.Medical science monitor : international medical journal of experimental and clinical research · 2022
    Review
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

6 authors at 3 institutions in 1 country.

Svetlana PundikLouis Stokes Cleveland Department of Veterans Affairs Medical Center, Cleveland, OH, USA.ORCID 0000-0002-7262-458X
Margaret SkellyLouis Stokes Cleveland Department of Veterans Affairs Medical Center, Cleveland, OH, USA.
Jessica McCabeLouis Stokes Cleveland Department of Veterans Affairs Medical Center, Cleveland, OH, USA.
Heba AkbariCase Western Reserve University, Cleveland, OH, USA.
Curtis TatsuokaCase Western Reserve University, Cleveland, OH, USA.
Ela B PlowLerner College of Medicine, Cleveland Clinic, Cleveland, OH, USA.
Louis Stokes Cleveland VA Medical Center · USCase Western Reserve University · USCleveland Clinic Lerner College of Medicine · US

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR024989 · NCRR · CASE WESTERN RESERVE UNIVERSITY · PI DAVIS, PAMELA B · 2007 to 2011
$53.7M
Clinical and Translational Science Collaborative of ClevelandUL1TR002548 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI MCCOMSEY, GRACE A · 2018 to 2022
$35.5M
Contralaterally Controlled FES Combined with Brain Stimulation for Severe Upper limb HemiplegiaR01HD098073 · NICHD · CLEVELAND CLINIC LERNER COM-CWRU · PI PLOW, ELA B · 2019 to 2024
$3.1M
Can rTMS enhance somatosensory recovery after stroke?I21RX001767 · VA · LOUIS STOKES CLEVELAND VA MEDICAL CENTER · PI PUNDIK, SVETLANA · 2015 to 2017
–
NCATS NIH HHS UL1 TR002548NCRR NIH HHS UL1 RR024989NICHD NIH HHS R01 HD098073RRD VA I21 RX001767
6 · The paper itself

Abstract

backgroundSomatosensory deficits are prevalent after stroke, but effective interventions are limited. Brain stimulation of the contralesional primary somatosensory cortex (S1) is a promising adjunct to peripherally administered rehabilitation therapies.

objectiveTo assess short-term effects of repetitive transcranial magnetic stimulation (rTMS) targeting contralesional (S1) of the upper extremity.

methodsUsing a single-session randomized crossover design, stroke survivors with upper extremity somatosensory loss participated in 3 rTMS treatments targeting contralesional S1: Sham, 5 Hz, and 1 Hz. rTMS was delivered concurrently with peripheral of sensory electrical stimulation and vibration of the affected hand. Outcomes included 2-point discrimination (2PD), proprioception, vibration perception threshold, monofilament threshold (size), and somatosensory evoked potential (SEP). Measures were collected before, immediately after treatment, and 1 hour after treatment. Mixed models were fit to analyze the effects of the 3 interventions.

resultsSubjects were 59.8 ± 8.1 years old and 45 ± 39 months poststroke. There was improvement in 2PD after 5-Hz rTMS for the stroke-affected (

conclusionsShort-term application of facilitatory high-frequency rTMS (5Hz) to contralesional S1 combined with peripheral somatosensory stimulation may promote somatosensory function. This intervention may serve as a useful adjunct in somatosensory rehabilitation after stroke.

Indexed as

Stroke RehabilitationTranscranial Magnetic StimulationAgedChronic DiseaseCross-Over StudiesElectric StimulationEvoked Potentials, SomatosensoryFemaleHumansMaleMiddle AgedOutcome Assessment, Health CareProof of Concept StudyProprioceptionSensory ThresholdsSomatosensory Cortex2-point discriminationrepetitive transcranial magnetic stimulationrTMSsensory deficitssensory evoked potentialssomatosensory deficitsstroke

Identifiers

PMID33514270
PMCPMC7933056
OpenAlexW3124353574

What OpenQuestion holds

Textmetadata
LicenceTDM
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.