Evidence map›Paper›PMID 37990636›Full record

Trial reportAnnals of clinical and translational neurology2024

Randomized, controlled clinical trial of acoustic stimulation to reduce postconcussive symptoms.

Wesley R Cole, Catherine L Tegeler, Y Sammy Choi, Tyler E Harris, Nora Rachels, Paula G Bellini, Thaddeus J Haight, Lee Gerdes, Charles H Tegeler, Michael J Roy

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Annals of clinical and translational neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03649958 (Randomized Controlled Trials of Closed-loop Allostatic Neurotechnology to Improve Sensory Function and Pain Management After Traumatic Brain Injury), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.7field-weighted citation impact, top 31% 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.

NCT03649958 naactive not recruitingnot on this map

Randomized Controlled Trials of Closed-loop Allostatic Neurotechnology to Improve Sensory Function and Pain Management After Traumatic Brain Injury

TypeinterventionalSponsorBrain State Technologies, LLCRan2018 to 2024Enrolled80ConditionsPost-Concussion Symptoms, Insomnia, Pain, Chronic, Depressive SymptomsArmsHIRREM-SOP or Cereset, Cereset 2x
3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 4 citations in OpenAlex.

No citing paper in PubMed yet.

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

10 authors at 6 institutions in 1 country.

Wesley R ColeUniversity of North Carolina, Chapel Hill, North Carolina, USA.
Catherine L TegelerWake Forest School of Medicine, Winston-Salem, North Carolina, USA.ORCID 0000-0002-2943-6719
Y Sammy ChoiWomack Army Medical Center, Fort Bragg, North Carolina, USA.
Tyler E HarrisWomack Army Medical Center, Fort Bragg, North Carolina, USA.
Nora RachelsWomack Army Medical Center, Fort Bragg, North Carolina, USA.
Paula G BelliniUniformed Services University, Bethesda, Maryland, USA.
Thaddeus J HaightUniformed Services University, Bethesda, Maryland, USA.
Lee GerdesBrain State Technologies, LLC, Scottsdale, Arizona, USA.
Charles H TegelerWake Forest School of Medicine, Winston-Salem, North Carolina, USA.
Michael J RoyUniformed Services University, Bethesda, Maryland, USA.ORCID 0000-0001-6727-774X
Womack Army Medical Center · USHenry M. Jackson Foundation · USWake Forest University · USScottsdale Research Institute (United States) · USUniformed Services University of the Health Sciences · USUniversity of North Carolina at Chapel Hill · US

Funding

Wake Forest Clinical and Translational Science AwardUL1TR001420 · NCATS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI ARD, JAMY D, FOLEY, KRISTIE L · 2015 to 2023
$32.3M
NCATS NIH HHS UL1 TR001420
6 · The paper itself

Abstract

objectiveEffective interventions are needed to address postconcussive symptoms. We report the results of randomized, sham-controlled trial of Cereset Research™ Standard Operating Procedures (CR-SOP), a noninvasive, closed-loop, allostatic, acoustic stimulation neurotechnology previously shown to improve insomnia.

methodsMilitary service members, veterans, or their spouses with persistent symptoms (Neurobehavioral Symptom Inventory [NSI] Score ≥23) after mTBI 3 months to 10 years ago, were randomized to receive 10 sessions of engineered tones linked to brainwaves (LB, intervention), or random engineered tones not linked to brainwaves (NL, sham control). The primary outcome was change in NSI, with secondary outcomes of heart rate variability and self-report measures of sleep, mood, and anxiety.

resultsParticipants (n = 106, 22% female, mean age 37.1, 2.8 deployments, 3.8 TBIs) were randomized 1:1 to LB or NL, with no significant differences between groups at baseline. Among all study participants, the NSI declined from baseline 41.0 to 27.2 after (P < 0.0001), with gains largely sustained at 3 months (31.2) and 6 months (28.4). However, there were no significant differences between the LB (NSI declined from 39.9 at baseline to 28.2 post-intervention, 31.5 at 3 months, and 29.4 at 6 months) and NL (NSI declined from 41.5 at baseline to 26.2, 29.9, and 27.3, respectively. Similar patterns were observed for the PCL5 and PHQ-9 and there was no difference in HRV between groups.

interpretationTen hours of acoustic stimulation while resting in a zero-gravity chair improves postconcussive symptoms. However, linking tones to brain electrical activity did not reduce symptoms more than random tones. REGISTRATION: ClinicalTrials.gov - NCT03649958.

Indexed as

Post-Concussion SyndromeStress Disorders, Post-TraumaticVeteransAcoustic StimulationAnxietyFemaleHumansMale

Identifiers

PMID37990636
PMCPMC10791035
OpenAlexW4388922148

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.