Evidence map›Paper›PMID 37637850›Full record

Trial reportTremor and other hyperkinetic movements (New York, N.Y.)2023

Non-Invasive Transcutaneous Afferent Patterned Stimulation Therapy Offers Action Tremor Relief in Parkinson's Disease.

Salima Brillman, Pravin Khemani, Stuart H Isaacson, Rajesh Pahwa, Ruta Deshpande, Vivien Zraick, Apoorva Rajagopal, Dhira Khosla, Kathryn H Rosenbluth

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Tremor and other hyperkinetic movements (New York, N.Y.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. An Adaptable Phase-Tracking System for Parkinsonian Rest Tremor: Design and In-Clinic Feasibility.IEEE journal of translational engineering in health and medicine · 2025
    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

9 authors at 5 institutions in 1 country.

Salima BrillmanParkinson's Disease and Movement Disorders Center of Silicon Valley, Palo Alto, CA, US.ORCID 0000-0003-0520-4611
Pravin KhemaniSwedish Neuroscience Institute, Seattle, WA, US.ORCID 0000-0003-3579-9230
Stuart H IsaacsonParkinson's Disease and Movement Disorders of Boca Raton, Boca Raton, FL, US.ORCID 0000-0002-9914-5706
Rajesh PahwaUniversity of Kansas Medical Center, Kansas City, KS, US.ORCID 0000-0003-3176-6466
Ruta DeshpandeCala Health, Inc., San Mateo, CA, US.ORCID 0000-0003-4453-9684
Vivien ZraickCala Health, Inc., San Mateo, CA, US.ORCID 0000-0002-1133-9371
Apoorva RajagopalCala Health, Inc., San Mateo, CA, US.ORCID 0000-0002-7915-7048
Dhira KhoslaCala Health, Inc., San Mateo, CA, US.ORCID 0000-0002-3884-1871
Kathryn H RosenbluthCala Health, Inc., San Mateo, CA, US.ORCID 0000-0002-7923-0559
Parkinson’s Disease and Movement Disorder Center of Silicon Valley · USParkinson's Research and Education Foundation · USSan Mateo County Health System · USSwedish Medical Center · USUniversity of Kansas Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Many patients with Parkinson's disease (PD) experience action tremor (including postural and kinetic tremors) that impair activities of daily living. Transcutaneous afferent patterned stimulation (TAPS) is a non-invasive neuromodulation therapy that modulates tremorgenic activity at the ventral intermediate nucleus (VIM). Most TAPS evidence evaluated relief of action tremor associated with essential tremor (ET). This study evaluated whether TAPS results in similar relief of action tremor associated with PD. Methods: Forty PD patients with action tremors were enrolled in a prospective, single-arm, open-label study with four weeks of unsupervised at-home TAPS sessions in the dominant hand twice daily in between supervised TAPS sessions at two telemedicine appointments. The primary endpoint was change in tremor power as measured by the on-board accelerometer before and immediately after a stimulation session. Additional study endpoints included change in Movement Disorder Society-Sponsored Unified Parkinson's Disease Rating Scale Part III (MDS-UPDRS), change in Bain and Findley Activities of Daily Living (BF-ADL) scale, and clinician and patient global impressions of improvement (CGI-I and PGI-I). Results: TAPS reduced tremor power by 64% (54%-79%) (median (interquartile range), Conclusion: Objective, clinician-rated, and patient-rated assessments demonstrated that TAPS provided clinically meaningful relief of action tremor in patients with PD.

Indexed as

Essential TremorParkinson DiseaseActivities of Daily LivingHumansProspective StudiesTremorAction TremorNeuromodulationNon-invasiveParkinson’s DiseaseTranscutaneous Afferent Patterned Stimulation

Identifiers

PMID37637850
PMCPMC10453948
OpenAlexW4386098635

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.