Evidence map›Paper›PMID 37501092›Full record

ArticleTrials2023

Comparing conventional treatment, single-target rTMS, or dual-target rTMS for the treatment of post-stroke cognitive impairment - clinical effects and neuroscientific insights: study protocol for a randomized controlled trial.

Bingshan Xu, Chunrong Lin, Cailian Guo, Hong Wang

Open access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 32% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

4 authors at 3 institutions in 1 country.

Bingshan XuDepartment of Shanghai Institute of Health Sciences, Shanghai University of Traditional Chinese Medicine, No.1200 Cailun Road, Pudong New Area, Shanghai, 201203, China.
Chunrong LinSchool of Exercise and Health, Shanghai University of Sport, Yangpu District, No.399 Changhai Road, Shanghai, 200438, China.
Cailian GuoCollege of Rehabilitation Sciences, Shanghai University of Medicine &Health Sciences, No.279 Zhouzhu Road, Pudong New Area, Shanghai, 201318, China.
Hong WangDepartment of Shanghai Institute of Health Sciences, Shanghai University of Traditional Chinese Medicine, No.1200 Cailun Road, Pudong New Area, Shanghai, 201203, China. wanghongplus@163.com.ORCID http://orcid.org/0000-0002-2169-051X
Shanghai University of Traditional Chinese Medicine · CNShanghai University of Medicine and Health Sciences · CNShanghai University of Sport · CN

Funding

Shanghai Association for Science and Technology E4-6100-21-201034
6 · The paper itself

Abstract

backgroundAlthough increasing evidence suggests that repetitive transcranial magnetic stimulation may help improve cognitive impairment after stroke, its clinical efficacy is still limited. This limitation may be due to the fact that the left dorsolateral prefrontal cortex (DLPFC) is only one of several brain areas involved in post-stroke cognitive impairment (PSCI). The aim of the present study is to reveal whether dual-target stimulation is superior to single-target stimulation and usual care in the treatment of PSCI.

methodsA single-center, single-blind, randomized controlled trial will be conducted, and fifty-seven PSCI patients will be recruited and randomly assigned to one of three groups based on the stimulating site. The primary outcome is cognitive function, measured using the Montreal Cognitive Assessment Beijing Version (MoCA-BJ) and Mini-Mental Status Examination (MMSE). The secondary outcomes are the modified Barthel Index (MBI), Trail-Making Test (TMT), and digital span test (DST). Furthermore, changes in brain activity are assessed using transcranial Doppler sonography (TCD) examination and serum levels of brain-derived neurotrophic factor (BDNF) and vascular endothelial growth factor (VEGF) closely related to nerve and vascular repair after brain injury. All outcomes will be measured at baseline and 4 weeks after treatment. DISCUSSION: If dual-target rTMS in significant improvements in cognitive function, this method could be considered as a first-line clinical treatment for PSCI. This proposed study has the potential to identify a new, evidence-based intervention that can enhance cognition and independent living in patients with cognitive impairment after stroke.

trial registrationChinese Clinical Trial Registry ChiCTR2200066184 . It was registered on 26 November 2022.

Indexed as

Cognitive DysfunctionStrokeDouble-Blind MethodHumansRandomized Controlled Trials as TopicSingle-Blind MethodTranscranial Magnetic StimulationTreatment OutcomeVascular Endothelial Growth Factor AVascular Endothelial Growth Factor ACognitive functionDouble-targetPost-stroke cognitive impairmentRepetitive transcranial magnetic stimulation

Identifiers

PMID37501092
PMCPMC10373309
OpenAlexW4385308097

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.