Evidence map›Paper›PMID 37098582›Full record

ReviewJournal of neuroengineering and rehabilitation2023

Electrical stimulation methods and protocols for the treatment of traumatic brain injury: a critical review of preclinical research.

D Ziesel, M Nowakowska, S Scheruebel, K Kornmueller, U Schäfer, R Schindl, C Baumgartner, M Üçal, T Rienmüller

Open access · goldAbstract readReview
In one paragraph

Review 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. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
3.4field-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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Efficacy of rTMS combined with cognitive training in TBI with cognition disorder: a systematic review and meta-analysis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Pooled it
  2. (Ba,Ca)(Ti,Sn)OFrontiers in cellular neuroscience · 2026
    Article
  3. Long-term potentiation and long-term depression are both impaired afterBiomedical physics & engineering express · 2025
    Article
  4. Review
  5. Prognostic role of quantitative pupillometry in traumatic brain injury: a scoping review.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Article
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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

9 authors at 3 institutions in 1 country.

D ZieselInstitute of Health Care Engineering with European Testing Center of Medical Devices, Graz University of Technology, Graz, Austria.
M NowakowskaResearch Unit of Experimental Neurotraumatology, Department of Neurosurgery, Medical University of Graz, Graz, Austria.
S ScheruebelGottfried Schatz Research Center for Cell Signaling, Metabolism and Aging, Biophysics Division, Medical University of Graz, Graz, Austria.
K KornmuellerGottfried Schatz Research Center for Cell Signaling, Metabolism and Aging, Biophysics Division, Medical University of Graz, Graz, Austria.
U SchäferResearch Unit of Experimental Neurotraumatology, Department of Neurosurgery, Medical University of Graz, Graz, Austria.
R SchindlGottfried Schatz Research Center for Cell Signaling, Metabolism and Aging, Biophysics Division, Medical University of Graz, Graz, Austria.
C BaumgartnerInstitute of Health Care Engineering with European Testing Center of Medical Devices, Graz University of Technology, Graz, Austria.
M ÜçalResearch Unit of Experimental Neurotraumatology, Department of Neurosurgery, Medical University of Graz, Graz, Austria.
T RienmüllerInstitute of Health Care Engineering with European Testing Center of Medical Devices, Graz University of Technology, Graz, Austria. theresa.rienmueller@tugraz.at.
Medical University of Graz · ATBioTechMed-Graz · ATGraz University of Technology · AT

Funding

Austrian Science Fund FWF ZK 17
6 · The paper itself

Abstract

backgroundTraumatic brain injury (TBI) is a leading cause of disabilities resulting from cognitive and neurological deficits, as well as psychological disorders. Only recently, preclinical research on electrical stimulation methods as a potential treatment of TBI sequelae has gained more traction. However, the underlying mechanisms of the anticipated improvements induced by these methods are still not fully understood. It remains unclear in which stage after TBI they are best applied to optimize the therapeutic outcome, preferably with persisting effects. Studies with animal models address these questions and investigate beneficial long- and short-term changes mediated by these novel modalities.

methodsIn this review, we present the state-of-the-art in preclinical research on electrical stimulation methods used to treat TBI sequelae. We analyze publications on the most commonly used electrical stimulation methods, namely transcranial magnetic stimulation (TMS), transcranial direct current stimulation (tDCS), deep brain stimulation (DBS) and vagus nerve stimulation (VNS), that aim to treat disabilities caused by TBI. We discuss applied stimulation parameters, such as the amplitude, frequency, and length of stimulation, as well as stimulation time frames, specifically the onset of stimulation, how often stimulation sessions were repeated and the total length of the treatment. These parameters are then analyzed in the context of injury severity, the disability under investigation and the stimulated location, and the resulting therapeutic effects are compared. We provide a comprehensive and critical review and discuss directions for future research. RESULTS AND 

conclusionWe find that the parameters used in studies on each of these stimulation methods vary widely, making it difficult to draw direct comparisons between stimulation protocols and therapeutic outcome. Persisting beneficial effects and adverse consequences of electrical simulation are rarely investigated, leaving many questions about their suitability for clinical applications. Nevertheless, we conclude that the stimulation methods discussed here show promising results that could be further supported by additional research in this field.

Indexed as

Brain Injuries, TraumaticTranscranial Direct Current StimulationAnimalsElectric StimulationTranscranial Magnetic StimulationAnimal modelsDeep brain stimulationRecoveryTBI sequelaeTranscranial direct current stimulationTranscranial magnetic stimulationTraumatic brain injuryVagus nerve stimulation

Identifiers

PMID37098582
PMCPMC10131365
OpenAlexW4366998364

What OpenQuestion holds

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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.