Evidence map›Paper›PMID 37595833›Full record

ReviewBrain stimulation

How to fail with paired VNS therapy.

Seth A Hays, Robert L Rennaker, Michael P Kilgard

Open access · goldAbstract readReview
In one paragraph

Review in Brain stimulation. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
5.2field-weighted citation impact, top 4% 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

27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 43 citations in OpenAlex.

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  6. [Research progress on the neuromodulation targets in stroke rehabilitation].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2026
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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

3 authors at 1 institution in 1 country.

Seth A HaysTexas Biomedical Device Center, The University of Texas at Dallas, Richardson, TX, USA; Erik Jonsson School of Engineering and Computer Science, The University of Texas at Dallas, Richardson, TX, USA. Electronic address: seth.hays@utdallas.edu.
Robert L RennakerTexas Biomedical Device Center, The University of Texas at Dallas, Richardson, TX, USA; School of Behavioral and Brain Sciences, The University of Texas at Dallas, Richardson, TX, USA.
Michael P KilgardTexas Biomedical Device Center, The University of Texas at Dallas, Richardson, TX, USA; School of Behavioral and Brain Sciences, The University of Texas at Dallas, Richardson, TX, USA.
Texas Biomedical Research Institute · US

Funding

Wireless Nerve Stimulation Device To Enhance Recovery After StrokeUH3NS109497 · NINDS · UNIVERSITY OF TEXAS DALLAS · PI HAYS, SETH ALANSON, RENNAKER, ROBERT L · 2021 to 2023
$3.4M
Enhancing Recovery after Chronic Bilateral Cervical Spinal Cord Injury with Targeted Plasticity TherapyR01NS103803 · NINDS · UNIVERSITY OF TEXAS DALLAS · PI KILGARD, MICHAEL P, RENNAKER, ROBERT L · 2018 to 2022
$1.7M
Wireless Nerve Stimulation Device To Enhance Recovery After StrokeUG3NS109497 · NINDS · UNIVERSITY OF TEXAS DALLAS · PI HAYS, SETH ALANSON, RENNAKER, ROBERT L · 2019 to 2020
$1.4M
NINDS NIH HHS R01 NS103803NINDS NIH HHS UG3 NS109497NINDS NIH HHS UH3 NS109497
6 · The paper itself

Abstract

Vagus nerve stimulation (VNS) has gained enormous traction as a promising bioelectronic therapy. In particular, the delivery of VNS paired with training to promote neural changes has demonstrated clinical success for stroke recovery and found far-reaching application in other domains, from autism to psychiatric disorders to normal learning. The success of paired VNS has been extensively documented. Here, we consider a more unusual question: why does VNS have such broad utility, and perhaps more importantly, when does VNS not work? We present a discussion of the concepts that underlie VNS therapy and an anthology of studies that describe conditions in which these concepts are violated and VNS fails. We focus specifically on the mechanisms engaged by implanted VNS, and how the parameters of stimulation, stimulation method, pharmacological manipulations, accompanying comorbidities, and specifics of concurrent training interact with these mechanisms to impact the efficacy of VNS therapy. As paired VNS therapy is increasing translated to clinical implementation, a clear understanding of the conditions in which it does, and critically, does not work is fundamental to the success of this approach.

Indexed as

StrokeStroke RehabilitationVagus Nerve StimulationHumansRecovery of FunctionVagus NerveParametersRecoveryRehabilitationVagal nerve stimulationVagus nerve stimulation

Identifiers

PMID37595833
PMCPMC11650123
OpenAlexW4385857216

What OpenQuestion holds

Textmetadata
LicenceTDM
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.