Evidence map›Paper›PMID 36635679›Full record

ArticleJournal of neuroengineering and rehabilitation2023

Feasibility of a combined intermittent theta-burst stimulation and video game-based dexterity training in Parkinson's disease.

Manuela Pastore-Wapp, Brigitte C Kaufmann, Thomas Nyffeler, Simona Wapp, Stephan Bohlhalter, Tim Vanbellingen

Registry-linked trialAbstract read
In one paragraph

Article in Journal of neuroengineering and rehabilitation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04699149 (Combining rTMS and Video Game-based Dexterity Training to Improve Dexterity in Parkinson's Disease), which is not on this map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 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.

NCT04699149 nacompletednot on this map

Combining rTMS and Video Game-based Dexterity Training to Improve Dexterity in Parkinson's Disease: a Randomized Controlled Pilot-study

TypeinterventionalSponsorLuzerner KantonsspitalRan2020 to 2023Enrolled30ConditionsParkinson DiseaseArmsTranscranial magnetic stimulation, Sham transcranial magnetic stimulation
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Repetitive transcranial magnetic stimulation for cognitive and emotional symptoms in neurodegenerative diseases: a systematic review and dose-response meta-analysis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
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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

6 authors.

Manuela Pastore-WappNeurocenter, Luzerner Kantonsspital, Lucerne, Switzerland. manuela.pastore@luks.ch.
Brigitte C KaufmannNeurocenter, Luzerner Kantonsspital, Lucerne, Switzerland.
Thomas NyffelerNeurocenter, Luzerner Kantonsspital, Lucerne, Switzerland.
Simona WappNeurocenter, Luzerner Kantonsspital, Lucerne, Switzerland.
Stephan BohlhalterNeurocenter, Luzerner Kantonsspital, Lucerne, Switzerland.
Tim VanbellingenNeurocenter, Luzerner Kantonsspital, Lucerne, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPersons with Parkinson's disease (PD) often exhibit difficulties with dexterity during the performance of activities of daily living (ADL), inter alia due to dysfunctional supplementary motor area (SMA). Combined intermittent theta-burst stimulation (iTBS) over the SMA followed by video game-based training (VBT) may therefore improve dexterity related ADL. The VBT may induce high flow levels related to high performance during the training. The aim of this study is to evaluate the feasibility of a combined iTBS-VBT intervention in persons with PD.

methodsA total of nine persons with PD (mean age 63.3 ± 8.76 years) with self-reported difficulties with dexterity related ADL were included in this pilot iTBS-VBT study. All participants received either iTBS or sham stimulation over the SMA followed by a 45-min VBT, three times a week for a total of three weeks. Feasibility was measured by means of the adherence rate and the system usability (System Usability Scale). Moreover, flow was measured after the last VBT session.

resultsAdherence rate was excellent with 100%. High system usability scores (i.e., mean 80%, range 55-97.5) and a significant Spearman's correlation with the Flow State Scale (r = .762, p = .017) further point to the high feasibility of the VBT. Neither demographic variables nor difficulties in dexterity related ADL affected the usability of the VBT.

conclusionThis study demonstrates the high feasibility of a combined iTBS-VBT intervention. Moreover, the level of self-reported usability was related to flow experience. Whether this kind of combined iTBS-VBT intervention improves dexterity will be evaluated in a randomized controlled trial. Trial registration clincaltrials.gov NCT04699149, date of registration 1. June 2021.

Indexed as

Parkinson DiseaseVideo GamesActivities of Daily LivingAgedFeasibility StudiesHumansMiddle AgedTranscranial Magnetic StimulationDexterityFeasibilityIntermittent theta-burst stimulationParkinson’s diseaseVideo game-based training

Identifiers

PMID36635679
PMCPMC9837937

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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.