Evidence map›Paper›PMID 35689084›Full record

Trial reportScientific reports2022

Fostering eating after stroke (FEASt) trial for improving post-stroke dysphagia with non-invasive brain stimulation.

Sandeep Kumar, Sarah Marchina, Susan Langmore, Joseph Massaro, Joseph Palmisano, Na Wang, David Eric Searls, Vasileios Lioutas, Jessica Pisegna, Cynthia Wagner and 2 more

Abstract readClinical Trial, Phase IIRandomized 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 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 pooled it
–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, 3 syntheses or guidelines pooled it.

  1. Swallowing therapy for dysphagia in acute and subacute stroke.The Cochrane database of systematic reviews · 2026
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Article
  7. Review
  8. Review
  9. Review
  10. Article
  11. Article
  12. 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

12 authors.

Sandeep KumarDepartment of Neurology, Stroke Division, Beth Israel Deaconess Medical Center, 330 Brookline Ave, Palmer 127, Boston, MA, 02215, USA. skumar@bidmc.harvard.edu.
Sarah MarchinaDepartment of Neurology, Stroke Division, Beth Israel Deaconess Medical Center, 330 Brookline Ave, Palmer 127, Boston, MA, 02215, USA.
Susan LangmoreDepartment of Otolaryngology, Boston University School of Medicine, Boston, MA, USA.
Joseph MassaroBiostatistics, Boston University School of Public Health, Boston, MA, USA.
Joseph PalmisanoBiostatistics and Epidemiology Data Analytics Center (BEDAC), Boston University School of Public Health, Boston, MA, USA.
Na WangBiostatistics and Epidemiology Data Analytics Center (BEDAC), Boston University School of Public Health, Boston, MA, USA.
David Eric SearlsDepartment of Neurology, Stroke Division, Beth Israel Deaconess Medical Center, 330 Brookline Ave, Palmer 127, Boston, MA, 02215, USA.
Vasileios LioutasDepartment of Neurology, Stroke Division, Beth Israel Deaconess Medical Center, 330 Brookline Ave, Palmer 127, Boston, MA, 02215, USA.
Jessica PisegnaDepartment of Otolaryngology, Boston University School of Medicine, Boston, MA, USA.
Cynthia WagnerDepartment of Neurology, Stroke Division, Beth Israel Deaconess Medical Center, 330 Brookline Ave, Palmer 127, Boston, MA, 02215, USA.
Anant ShindeDepartment of Neurology, UMass Chan Medical School-Baystate, Springfield, MA, USA.
Gottfried SchlaugDepartment of Neurology, UMass Chan Medical School-Baystate, Springfield, MA, USA.

Funding

TRANScranial direct current stimulation for POst-stroke motor Recover - a phase II sTudy (TRANSPORT 2)U01NS102353 · NINDS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI FENG, WUWEI, SCHLAUG, GOTTFRIED · 2018 to 2023
$8.5M
Non-invasive brain stimulation for swallowing recovery after a dysphagic strokeR01DC012584 · NIDCD · BETH ISRAEL DEACONESS MEDICAL CENTER · PI KUMAR, SANDEEP · 2013 to 2017
$2.9M
Imaging the Neural Effects of Transcranial Direct Current StimulationR01MH111874 · NIMH · UNIVERSITY OF MASSACHUSETTS AMHERST · PI SCHLAUG, GOTTFRIED · 2016 to 2019
$2.2M
NIDCD NIH HHS R01 DC012584NIDCD NIH HHS R01DC012584NIMH NIH HHS R01 MH111874NINDS NIH HHS U01 NS102353
6 · The paper itself

Abstract

Dysphagia is a serious stroke complication but lacks effective therapy. We investigated safety and preliminary efficacy of anodal transcranial direct current stimulation (atDCS) paired with swallowing exercises in improving post-stroke dysphagia from an acute unilateral hemispheric infarction (UHI). We conducted a double-blind, early phase-2 randomized controlled trial, in subjects (n = 42) with moderate-severe dysphagia [Penetration and Aspiration Scale (PAS) score ≥ 4], from an acute-subacute UHI. Subjects were randomized to Low-Dose, High-Dose atDCS or Sham stimulation for 5 consecutive days. Primary safety outcomes were incidence of seizures, neurological, motor, or swallowing function deterioration. Primary efficacy outcome was a change in PAS scores at day-5 of intervention. Main secondary outcome was dietary improvement at 1-month, assessed by Functional Oral Intake (FOIS) score. No differences in pre-defined safety outcomes or adjusted mean changes in PAS, FOIS scores, between groups, were observed. Post-hoc analysis demonstrated that 22 /24 subjects in the combined atDCS group had a clinically meaningful dietary improvement (FOIS score ≥ 5) compared to 8 /14 in Sham (p = 0.037, Fisher-exact). atDCS application in the acute-subacute stroke phase is safe but did not decrease risk of aspiration in this early phase trial. The observed dietary improvement is promising and merits further investigation.

Indexed as

Deglutition DisordersStrokeStroke RehabilitationTranscranial Direct Current StimulationBrainHumansTreatment Outcome

Identifiers

PMID35689084
PMCPMC9187742

What OpenQuestion holds

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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.