Evidence map›Paper›PMID 35087138›Full record

Trial reportScientific reports2022

Effects of rTMS and tDCS on neuropathic pain after brachial plexus injury: a randomized placebo-controlled pilot study.

Erickson Duarte Bonifácio de Assis, Wanessa Kallyne Nascimento Martins, Carolina Dias de Carvalho, Clarice Martins Ferreira, Ruth Gomes, Evelyn Thais de Almeida Rodrigues, Ussânio Mororó Meira, Ledycnarf Januário de Holanda, Ana Raquel Lindquist, Edgard Morya and 4 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
3.3field-weighted citation impact, top 7% 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.

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

23 citing papers in PubMed, 41 citations in OpenAlex.

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  4. Better Fields or Currents? A Head-to-Head Comparison of Transcranial Magnetic (rTMS) Versus Direct Current Stimulation (tDCS) for Neuropathic Pain.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2023
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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

14 authors at 3 institutions in 1 country.

Erickson Duarte Bonifácio de AssisAging and Neuroscience Laboratory, Federal University of Paraíba, João Pessoa, Brazil.
Wanessa Kallyne Nascimento MartinsAging and Neuroscience Laboratory, Federal University of Paraíba, João Pessoa, Brazil.
Carolina Dias de CarvalhoAging and Neuroscience Laboratory, Federal University of Paraíba, João Pessoa, Brazil.
Clarice Martins FerreiraAging and Neuroscience Laboratory, Federal University of Paraíba, João Pessoa, Brazil.
Ruth GomesAging and Neuroscience Laboratory, Federal University of Paraíba, João Pessoa, Brazil.
Evelyn Thais de Almeida RodriguesAging and Neuroscience Laboratory, Federal University of Paraíba, João Pessoa, Brazil.
Ussânio Mororó MeiraAging and Neuroscience Laboratory, Federal University of Paraíba, João Pessoa, Brazil.
Ledycnarf Januário de HolandaLaboratory of Intervention and Analysis of Movement, Department of Physical Therapy, Federal University of Rio Grande do Norte, Natal, Brazil.
Ana Raquel LindquistLaboratory of Intervention and Analysis of Movement, Department of Physical Therapy, Federal University of Rio Grande do Norte, Natal, Brazil.
Edgard MoryaEdmond and Lily Safra International Institute of Neuroscience, Santos Dumont Institute, Macaíba, Rio Grande do Norte, Brazil.
Cristina Katya Torres Teixeira MendesAging and Neuroscience Laboratory, Federal University of Paraíba, João Pessoa, Brazil.
Thaís Castro Gomes de AssisAging and Neuroscience Laboratory, Federal University of Paraíba, João Pessoa, Brazil.
Eliane Araújo de OliveiraAging and Neuroscience Laboratory, Federal University of Paraíba, João Pessoa, Brazil.
Suellen Marinho AndradeAging and Neuroscience Laboratory, Federal University of Paraíba, João Pessoa, Brazil. suellenandrade@gmail.com.
Universidade Federal da Paraíba · BRUniversidade Federal do Rio Grande do Norte · BRHospital Universitário Lauro Wanderley · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Neuropathic pain after brachial plexus injury (NPBPI) is a highly disabling clinical condition and is increasingly prevalent due to increased motorcycle accidents. Currently, no randomized controlled trials have evaluated the effectiveness of non-invasive brain stimulation techniques such as repetitive transcranial magnetic stimulation (rTMS) and transcranial direct-current stimulation (tDCS) in patients suffering from NPBPI. In this study, we directly compare the efficacy of 10-Hz rTMS and anodal 2 mA tDCS techniques applied over the motor cortex (5 daily consecutive sessions) in 20 patients with NPBPI, allocated into 2 parallel groups (active or sham). The order of the sessions was randomised for each of these treatment groups according to a crossover design and separated by a 30-day interval. Scores for "continuous" and "paroxysmal" pain (primary outcome) were tabulated after the last stimulation day and 30 days after. Secondary outcomes included the improvement in multidimensional aspects of pain, anxiety state and quality of life from a qualitative and quantitative approach. Active rTMS and tDCS were both superior to sham in reducing continuous (p < 0.001) and paroxysmal (p = 0.002; p = 0.02) pain as well as in multidimensional aspects of pain (p = 0.001; p = 0.002) and anxiety state (p =  < 0.001; p = 0.005). Our results suggest rTMS and tDCS are able to treat NPBPI with little distinction in pain and anxiety state, which may promote the use of tDCS in brachial plexus injury pain management, as it constitutes an easier and more available technique.Clinical Trial Registration: http://www.ensaiosclinicos.gov.br/, RBR-5xnjbc - Sep 3, 2018.

Indexed as

AdultAnxietyBrachial PlexusCross-Over StudiesDouble-Blind MethodFemaleHumansMaleNeuralgiaPain ManagementPain MeasurementPilot ProjectsPlacebosQuality of LifeTranscranial Direct Current StimulationTranscranial Magnetic StimulationPlacebos

Identifiers

PMID35087138
PMCPMC8795394
OpenAlexW4220954108

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.