Evidence map›Paper›PMID 38344585›Full record

ArticleCureus2024

Effect of Transcranial Direct Current Stimulation on Lower Extremity Muscle Strength, Quality of Life, and Functional Recovery in Individuals With Incomplete Spinal Cord Injury: A Randomized Controlled Study.

Megha Nijhawan, Chitra Kataria

Open access · diamondAbstract read
In one paragraph

Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
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.

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

4 citing papers in PubMed, 2 syntheses or guidelines pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. 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

2 authors at 1 institution in 1 country.

Megha NijhawanPhysiotherapy, Indian Spinal Injuries Centre (ISIC) Institute of Rehabilitation Sciences, Indian Spinal Injuries Centre, New Delhi, IND.
Chitra KatariaPhysiotherapy, Indian Spinal Injuries Centre (ISIC) Institute of Rehabilitation Sciences, Indian Spinal Injuries Centre, New Delhi, IND.
Indian Spinal Injuries Centre · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and objectives Muscle strength and function are essential facets of rehabilitation for incomplete spinal cord injury (iSCI) patients. Various methods are being used to improve these outcome measures, but no gold standard method exists. Transcranial direct current stimulation (tDCS) is a relatively inexpensive, portable, readily available, and easy-to-use modality. It has shown promising results in many psychiatric and neurological conditions like stroke, cerebral palsy, and depression, but its role in spinal cord injury (SCI) is relatively unexplored. The study's objectives are to investigate the effect of anodal tDCS on lower limb muscle strength, quality of Life (QoL), and function in individuals with iSCI. Methods A randomized single-blinded sham control parallel-group study was conducted at the Indian Spinal Injuries Centre in New Delhi, India. There were 32 iSCI participants (28 males and four females) with 23 traumatic and nine non-traumatic etiologies. Participants were randomly assigned to receive 40 minutes of 2 mA anodal or sham stimulation over the targeted motor cortex areas for five sessions per week over two weeks. The following outcome measures were measured at baseline after one and two weeks of the intervention: Lower Extremity Motor Score (LEMS), Spinal Cord Independence Measure (SCIM III), and WHO Quality of Life Bref (WHO QoL Bref). Results There was no significant difference at one week and two weeks of intervention for LEMS (p = 0.675, p = 0.978), SCIM III (p = 0.170, p = 0.133), WHO QoL Bref Domain 1 (p = 0.376, p = 0.282), Domain 2 (p = 0.728, p = 0.450), Domain 3 (p = 0.641, p = 0.993), Domain 4 (p = 0.294, p = 0.422), overall perception of QoL (p = 0.492, p = 1.000), and overall perception of their health (p = 0.300, p = 0.854) in the anodal and sham tDCS groups. Conclusion These primary findings suggest that anodal tDCS is ineffective in improving the QoL and motor and functional capabilities of individuals with iSCI. Further studies are necessary to determine whether it can be effective as a long-term rehabilitation strategy for the abovementioned population.

Indexed as

lower extremity motor scoresmotor capabilitiesnon-invasive brain stimulationrehabilitationspinal cord injurytranscranial direct current stimulation

Identifiers

PMID38344585
PMCPMC10853721
OpenAlexW4390700801

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.