Evidence map›Paper›PMID 38172973›Full record

Trial reportJournal of neuroengineering and rehabilitation2024

Effects of anodal tDCS on resting state eeg power and motor function in acute stroke: a randomized controlled trial.

O Vimolratana, B Aneksan, V Siripornpanich, V Hiengkaew, T Prathum, W Jeungprasopsuk, T Khaokhiew, R Vachalathiti, W Klomjai

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

Trial report in Journal of neuroengineering and rehabilitation, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04578080 (Effect of tDCS on Motor Functions and Brain Activity in Acute Stroke Patients), which is not on this map. Cited by 10 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 4 pooled it
4.9field-weighted citation impact, top 5% 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.

NCT04578080 nacompletednot on this map

Effect of tDCS on Motor Functions and Brain Activity in Acute Stroke Patients

TypeinterventionalSponsorMahidol UniversityRan2020 to 2022Enrolled30ConditionsStroke, AcuteArmsTranscranial direct current stimulation
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 4 syntheses or guidelines pooled it, 20 citations in OpenAlex.

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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 1 institution in 1 country.

O VimolratanaFaculty of Physical Therapy, Mahidol University, 999 Phuttamonthon 4 Road, Salaya, Nakhon Pathom, 73170, Thailand.
B AneksanFaculty of Physical Therapy, Mahidol University, 999 Phuttamonthon 4 Road, Salaya, Nakhon Pathom, 73170, Thailand.
V SiripornpanichInstitute of Molecular Biosciences, Mahidol University, Nakhon Pathom, 73170, Thailand.
V HiengkaewFaculty of Physical Therapy, Mahidol University, 999 Phuttamonthon 4 Road, Salaya, Nakhon Pathom, 73170, Thailand.
T PrathumFaculty of Physical Therapy, Mahidol University, 999 Phuttamonthon 4 Road, Salaya, Nakhon Pathom, 73170, Thailand.
W JeungprasopsukFaculty of Medical Technology, Mahidol University, Nakhon Pathom, 73170, Thailand.
T KhaokhiewFaculty of Medical Technology, Mahidol University, Nakhon Pathom, 73170, Thailand.
R VachalathitiFaculty of Physical Therapy, Mahidol University, 999 Phuttamonthon 4 Road, Salaya, Nakhon Pathom, 73170, Thailand.
W KlomjaiFaculty of Physical Therapy, Mahidol University, 999 Phuttamonthon 4 Road, Salaya, Nakhon Pathom, 73170, Thailand. wanalee.klo@mahidol.edu.ORCID 0000-0001-6294-0418
Mahidol University · TH

Funding

National Research Council of Thailand 2562/11005National Research Council of Thailand 2562/24415Thailand Science Research and Innovation (Program Management Unit: PMU-P5 Frontier Research) 2563/6007 Re-Submit
6 · The paper itself

Abstract

backgroundAnodal transcranial direct current stimulation (tDCS) is a beneficial adjunctive tool in stroke rehabilitation. However, only a few studies have investigated its effects on acute stroke and recruited only individuals with mild motor deficits. This study investigated the effect of five consecutive sessions of anodal tDCS and conventional physical therapy on brain activity and motor outcomes in individuals with acute stroke, with low and high motor impairments.

methodsThirty participants were recruited and randomly allocated to either the anodal or sham tDCS group. Five consecutive sessions of tDCS (1.5 mA anodal or sham tDCS for 20 min) were administered, followed by conventional physical therapy. Electroencephalography (EEG), Fugl-Meyer Motor Assessment (FMA), and Wolf Motor Function Test (WMFT) were performed at pre-, post-intervention (day 5), and 1-month follow-up. Sub-analyses were performed on participants with low and high motor impairments. The relationship between EEG power and changes in motor functions was assessed.

resultsLinear regression showed a significant positive correlation between beta bands and the FMA score in the anodal group. Elevated high frequency bands (alpha and beta) were observed at post-intervention and follow-up in all areas of both hemispheres in the anodal group, while only in the posterior area of the non-lesioned hemisphere in the sham group; however, such elevation induced by tDCS was not greater than sham. Lower limb function assessed by FMA was improved in the anodal group compared with the sham group at post-intervention and follow-up only in those with low motor impairment. For the upper limb outcomes, no difference between groups was found.

conclusionsFive consecutive days of anodal tDCS and physical therapy in acute stroke did not result in a superior improvement of beta bands that commonly related to stroke recovery over sham, but improved lower extremity functions with a post-effect at 1-month follow-up in low motor impairment participants. The increase of beta bands in the lesioned brain in the anodal group was associated with improvement in lower limb function.

trial registrationNCT04578080, date of first registration 10/01/2020.

Indexed as

Motor CortexStrokeStroke RehabilitationTranscranial Direct Current StimulationHumansPhysical Therapy ModalitiesRecovery of FunctionUpper ExtremityAcuteCardiovascular diseaseEEGMotor trainingPhysical therapyRehabilitationStrokeTranscranial direct current stimulation

Identifiers

PMID38172973
PMCPMC10765911
OpenAlexW4390533970

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.