Evidence map›Paper›PMID 38195605›Full record

ArticleTrials2024

Determining the effects of targeted high-definition transcranial direct current stimulation on reducing post-stroke upper limb motor impairments-a randomized cross-over study.

Rita Huan-Ting Peng, Dorothy He, Shirley A James, Jordan N Williamson, Carly Skadden, Sanjiv Jain, Wael Hassaneen, Amrendra Miranpuri, Amandeep Kaur, Jesus N Sarol and 1 more

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05479006 (Determine the Effect of Targeted High-definition tDCS on Reducing Post-stroke Upper Limb Motor Impairments), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.5field-weighted citation impact, top 19% 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.

NCT05479006 narecruitingnot on this map

Determine the Effect of Targeted High-definition tDCS on Reducing Post-stroke Upper Limb Motor Impairments

TypeinterventionalSponsorCarle Foundation HospitalRan2022 to 2026Enrolled30ConditionsStrokeArmsTranscranial direct current stimulation (high- definition)
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 6 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Review
  5. Bilateral High-Definition Transcranial Direct Current Stimulation for Upper Extremity Rehabilitation in Stroke.Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference · 2024
    Article
  6. 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

11 authors at 4 institutions in 1 country.

Rita Huan-Ting Peng *Department of Bioengineering, Grainger College of Engineering, University of Illinois Urbana-Champaign, Urbana, IL, USA.
Dorothy He *The University of Oklahoma College of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
Shirley A JamesDepartment of Biostatistics and Epidemiology, Hudson College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
Jordan N WilliamsonDepartment of Bioengineering, Grainger College of Engineering, University of Illinois Urbana-Champaign, Urbana, IL, USA.
Carly SkaddenCarle Foundation Hospital, Urbana, IL, USA.
Sanjiv JainCarle Foundation Hospital, Urbana, IL, USA.
Wael HassaneenCarle Foundation Hospital, Urbana, IL, USA.
Amrendra MiranpuriCarle Foundation Hospital, Urbana, IL, USA.
Amandeep KaurInterdisciplinary Health Sciences Institute, University of Illinois Urbana-Champaign, Urbana, IL, USA.
Jesus N SarolInterdisciplinary Health Sciences Institute, University of Illinois Urbana-Champaign, Urbana, IL, USA.
Yuan YangDepartment of Bioengineering, Grainger College of Engineering, University of Illinois Urbana-Champaign, Urbana, IL, USA. yuany@illinois.edu.ORCID http://orcid.org/0000-0003-2442-3713
Carle Foundation Hospital · USUniversity of Illinois Urbana-Champaign · USUniversity of Oklahoma Health Sciences Center · USNorthwestern University · US

Funding

American Heart Association 932980
6 · The paper itself

Abstract

backgroundStroke is one of the leading causes of death in the USA and is a major cause of serious disability for adults. This randomized crossover study examines the effect of targeted high-definition transcranial direct current transcranial brain stimulation (tDCS) on upper extremity motor recovery in patients in the post-acute phase of stroke recovery.

methodsThis randomized double-blinded cross-over study includes four intervention arms: anodal, cathodal, and bilateral brain stimulation, as well as a placebo stimulation. Participants receive each intervention in a randomized order, with a 2-week washout period between each intervention. The primary outcome measure is change in Motor Evoked Potential. Secondary outcome measures include the Fugl-Meyer Upper Extremity (FM-UE) score, a subset of FM-UE (A), related to the muscle synergies, and the Modified Ashworth Scale. DISCUSSION: We hypothesize that anodal stimulation to the ipsilesional primary motor cortex will increase the excitability of the damaged cortico-spinal tract, reducing the UE flexion synergy and enhancing UE motor function. We further hypothesize that targeted cathodal stimulation to the contralesional premotor cortex will decrease activation of the cortico-reticulospinal tract (CRST) and the expression of the upper extremity (UE) flexion synergy and spasticity. Finally, we hypothesize bilateral stimulation will achieve both results simultaneously. Results from this study could improve understanding of the mechanism behind motor impairment and recovery in stroke and perfect the targeting of tDCS as a potential stroke intervention. With the use of appropriate screening, we anticipate no ethical or safety concerns. We plan to disseminate these research results to journals related to stroke recovery, engineering, and medicine.

trial registrationClinicalTrials.gov NCT05479006 . Registered on 26 July 2022.

Indexed as

Motor DisordersStrokeTranscranial Direct Current StimulationAdultCross-Over StudiesHumansRandomized Controlled Trials as TopicUpper ExtremityFlexion synergySpasticityStrokeTargeted high-definition tDCS

Identifiers

PMID38195605
PMCPMC10775560
OpenAlexW4390743993

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.