Evidence map›Paper›PMID 35250807›Full record

ArticleFrontiers in neurology2022

Effects of Repetitive Peripheral Sensory Stimulation in the Subacute and Chronic Phases After Stroke: Study Protocol for a Pilot Randomized Trial.

Jéssica Borges Kroth, Benjamim Handfas, Glaucia Rodrigues, Francisco Zepeda, Marco Aurélio Oliveira, Danny J J Wang, Raymundo Machado de Azevedo Neto, Gisele Sampaio Silva, Edson Amaro, Isaac Olubunmi Sorinola and 1 more

Erratum issued Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Frontiers in neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT03956407 (Comparison Between Mechanisms Underlying Effects of Repetitive Peripheral Nerve Stimulation on Upper Limb Motor Performance in the Subacute and Chronic Phases After Stroke), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.3field-weighted citation impact, top 43% 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.

NCT03956407 nacompletednot on this map

Comparison Between Mechanisms Underlying Effects of Repetitive Peripheral Nerve Stimulation on Upper Limb Motor Performance in the Subacute and Chronic Phases After Stroke

TypeinterventionalSponsorHospital Israelita Albert EinsteinRan2019 to 2022Enrolled51ConditionsStrokeArmsSuprathreshold repetitive peripheral sensory stimulation, Subthreshold repetitive sensory stimulation
3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 3 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 3 countries.

Jéssica Borges KrothHospital Israelita Albert Einstein, São Paulo, Brazil.
Benjamim HandfasHospital Israelita Albert Einstein, São Paulo, Brazil.
Glaucia RodriguesHospital Israelita Albert Einstein, São Paulo, Brazil.
Francisco ZepedaBiological Engineering Department, Massachusetts Institute of Technology, Boston, MA, United States.
Marco Aurélio OliveiraHospital Israelita Albert Einstein, São Paulo, Brazil.
Danny J J WangDepartment of Neurology, Keck School of Medicine, University of Southern California, Los Angeles, CA, United States.
Raymundo Machado de Azevedo NetoHospital Israelita Albert Einstein, São Paulo, Brazil.
Gisele Sampaio SilvaHospital Israelita Albert Einstein, São Paulo, Brazil.
Edson AmaroHospital Israelita Albert Einstein, São Paulo, Brazil.
Isaac Olubunmi SorinolaDepartment of Physiotherapy, King's College London, London, United Kingdom.
Adriana Bastos ConfortoHospital Israelita Albert Einstein, São Paulo, Brazil.
Hospital Israelita Albert Einstein · BRKing's College London · GBMassachusetts Institute of Technology · USUniversity of Southern California · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRepetitive peripheral nerve sensory stimulation (RPSS) is a potential add-on intervention to motor training for rehabilitation of upper limb paresis after stroke. Benefits of RPSS were reported in subjects in the chronic phase after stroke, but there is limited information about the effects of this intervention within the 1st weeks or months. The primary goal of this study is to compare, in a head-to-head proof-of-principle study, the impact of a single session of suprasensory vs. subsensory RPSS on the upper limb motor performance and learning in subjects at different phases after stroke subacute and chronic phases and mild upper limb motor impairments after stroke. In addition, we examine the effects of RPSS on brain perfusion, functional imaging activation, and γ-aminobutyric acid (GABA) levels. Subjects with mild upper limb motor impairments will be tested with MRI and clinical assessment either at an early (7 days to 3 months post-stroke) or at a chronic (>6 months) stage after stroke.

methodsIn this multicenter, randomized, parallel-group, proof-of-principle clinical trial with blinded assessment of outcomes, we compare the effects of one session of suprasensory or subsensory RPSS in patients with ischemic or hemorrhagic stroke and upper limb paresis. Clinical assessment and MRI will be performed only once in each subject (either at an early or at a chronic stage). The primary outcome is the change in performance in the Jebsen-Taylor test. Secondary outcomes: hand strength, cerebral blood flow assessed with arterial spin labeling, changes in the blood oxygenation level-dependent (BOLD) effect in ipsilesional and contralesional primary motor cortex (M1) on the left and the right hemispheres assessed with functional MRI (fMRI) during a finger-tapping task performed with the paretic hand, and changes in GABA levels in ipsilesional and contralesional M1 evaluated with spectroscopy. The changes in outcomes will be compared in four groups: suprasensory, early; subsensory, early; suprasensory, chronic; and subsensory, chronic. DISCUSSION: The results of this study are relevant to inform future clinical trials to tailor RPSS to patients more likely to benefit from this intervention.

trial registrationNCT03956407.

Indexed as

nerve stimulationrehabilitationsensory stimulationstrokeupper limb

Identifiers

PMID35250807
PMCPMC8888931
OpenAlexW4213162974

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.