Evidence map›Paper›PMID 36012986›Full record

ArticleJournal of clinical medicine2022

Controversies and Clinical Applications of Non-Invasive Transspinal Magnetic Stimulation: A Critical Review and Exploratory Trial in Hereditary Spastic Paraplegia.

Rafael Bernhart Carra, Guilherme Diogo Silva, Isabela Bruzzi Bezerra Paraguay, Fabricio Diniz de Lima, Janaina Reis Menezes, Aruane Mello Pineda, Glaucia Aline Nunes, Juliana da Silva Simões, Marcondes Cavalcante França, Rubens Gisbert Cury

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
0.6field-weighted citation impact, top 34% 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

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

  1. Pooled it
  2. Non-pharmacological treatment of hereditary spastic paraplegia: a systematic review.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Pooled it
  3. ZiclagueOrphanet journal of rare diseases · 2025
    Trial
  4. Article
  5. Article
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

10 authors at 2 institutions in 1 country.

Rafael Bernhart CarraDepartment of Neurology, School of Medicine, University of São Paulo, São Paulo 05403-000, Brazil.ORCID 0000-0001-6898-8455
Guilherme Diogo SilvaDepartment of Neurology, School of Medicine, University of São Paulo, São Paulo 05403-000, Brazil.ORCID 0000-0001-9764-3763
Isabela Bruzzi Bezerra ParaguayDepartment of Neurology, School of Medicine, University of São Paulo, São Paulo 05403-000, Brazil.
Fabricio Diniz de LimaDepartment of Neurology, University of Campinas, Campinas 13083-888, Brazil.ORCID 0000-0002-9946-6032
Janaina Reis MenezesDepartment of Neurology, School of Medicine, University of São Paulo, São Paulo 05403-000, Brazil.
Aruane Mello PinedaInstituto de Ciências Matemáticas e de Computação, University of São Paulo, São Carlos 13566-590, Brazil.ORCID 0000-0002-4469-5049
Glaucia Aline NunesDepartment of Neurology, School of Medicine, University of São Paulo, São Paulo 05403-000, Brazil.
Juliana da Silva SimõesDepartment of Neurology, School of Medicine, University of São Paulo, São Paulo 05403-000, Brazil.
Marcondes Cavalcante FrançaDepartment of Neurology, University of Campinas, Campinas 13083-888, Brazil.
Rubens Gisbert CuryDepartment of Neurology, School of Medicine, University of São Paulo, São Paulo 05403-000, Brazil.
Universidade de São Paulo · BRUniversidade Estadual de Campinas (UNICAMP) · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Magnetic stimulation is a safe, non-invasive diagnostic tool and promising treatment strategy for neurological and psychiatric disorders. Although most studies address transcranial magnetic stimulation, transspinal magnetic stimulation (TsMS) has received recent attention since trials involving invasive spinal cord stimulation showed encouraging results for pain, spasticity, and Parkinson's disease. While the effects of TsMS on spinal roots is well understood, its mechanism of action on the spinal cord is still controversial. Despite unclear mechanisms of action, clinical benefits of TsMS have been reported, including improvements in scales of spasticity, hyperreflexia, and bladder and bowel symptoms, and even supraspinal gait disorders such as freezing and camptocormia. In the present study, a critical review on the application of TsMS in neurology was conducted, along with an exploratory trial involving TsMS in three patients with hereditary spastic paraplegia. The goal was to understand the mechanism of action of TsMS through H-reflex measurement at the unstimulated lumbosacral level. Although limited by studies with a small sample size and a low to moderate effect size, TsMS is safe and tolerable and presents consistent clinical and neurophysiological benefits that support its use in clinical practice.

Indexed as

magnetic stimulationneuromodulationspinal cord

Identifiers

PMID36012986
PMCPMC9409717
OpenAlexW4291465620

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.