Evidence map›Paper›PMID 38602055›Full record

Trial reportPsychophysiology2025

Transcutaneous auricular vagus nerve stimulation modifies cortical excitability in middle-aged and older adults.

Ashraf N H Gerges, Lynton Graetz, Susan Hillier, Jeric Uy, Taya Hamilton, George Opie, Ann-Maree Vallence, Felicity A Braithwaite, Saran Chamberlain, Brenton Hordacre

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Psychophysiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

10 authors.

Ashraf N H GergesInnovation, Implementation and Clinical Translation (IIMPACT) in Health, Allied Health and Human Performance, University of South Australia, Adelaide, South Australia, Australia.ORCID 0000-0001-9211-6585
Lynton GraetzCollege of Education, Psychology and Social Work, Flinders University, Adelaide, South Australia, Australia.ORCID 0000-0001-9163-3150
Susan HillierInnovation, Implementation and Clinical Translation (IIMPACT) in Health, Allied Health and Human Performance, University of South Australia, Adelaide, South Australia, Australia.ORCID 0000-0002-6071-6137
Jeric UyInnovation, Implementation and Clinical Translation (IIMPACT) in Health, Allied Health and Human Performance, University of South Australia, Adelaide, South Australia, Australia.ORCID 0000-0002-1122-5593
Taya HamiltonPerron Institute for Neurological and Translational Science, Perth, Western Australia, Australia.ORCID 0000-0002-6588-4674
George OpieDiscipline of Physiology, School of Biomedicine, The University of Adelaide, Adelaide, South Australia, Australia.ORCID 0000-0001-7771-7569
Ann-Maree VallenceSchool of Psychology, College of Health and Education, Murdoch University, Perth, Western Australia, Australia.ORCID 0000-0001-9190-6366
Felicity A BraithwaiteInnovation, Implementation and Clinical Translation (IIMPACT) in Health, Allied Health and Human Performance, University of South Australia, Adelaide, South Australia, Australia.ORCID 0000-0002-6676-026X
Saran ChamberlainInnovation, Implementation and Clinical Translation (IIMPACT) in Health, Allied Health and Human Performance, University of South Australia, Adelaide, South Australia, Australia.ORCID 0009-0006-4166-0701
Brenton HordacreInnovation, Implementation and Clinical Translation (IIMPACT) in Health, Allied Health and Human Performance, University of South Australia, Adelaide, South Australia, Australia.ORCID 0000-0002-7129-6684

Funding

Ashraf N. H. Gerges Research is supported by the Australian Government Research Training Program (RTP) Scholarship.
6 · The paper itself

Abstract

There is a growing interest in the clinical application of transcutaneous auricular vagus nerve stimulation (taVNS). However, its effect on cortical excitability, and whether this is modulated by stimulation duration, remains unclear. We evaluated whether taVNS can modify excitability in the primary motor cortex (M1) in middle-aged and older adults and whether the stimulation duration moderates this effect. In addition, we evaluated the blinding efficacy of a commonly reported sham method. In a double-blinded randomized cross-over sham-controlled study, 23 healthy adults (mean age 59.91 ± 6.87 years) received three conditions: active taVNS for 30 and 60 min and sham for 30 min. Single and paired-pulse transcranial magnetic stimulation was delivered over the right M1 to evaluate motor-evoked potentials. Adverse events, heart rate and blood pressure measures were evaluated. Participant blinding effectiveness was assessed via guesses about group allocation. There was an increase in short-interval intracortical inhibition (F = 7.006, p = .002) and a decrease in short-interval intracortical facilitation (F = 4.602, p = .014) after 60 min of taVNS, but not 30 min, compared to sham. taVNS was tolerable and safe. Heart rate and blood pressure were not modified by taVNS (p > .05). Overall, 96% of participants detected active stimulation and 22% detected sham stimulation. taVNS modifies cortical excitability in M1 and its effect depends on stimulation duration in middle-aged and older adults. taVNS increased GABA

Indexed as

Cortical ExcitabilityEvoked Potentials, MotorMotor CortexTranscutaneous Electric Nerve StimulationVagus Nerve StimulationAgedCross-Over StudiesDouble-Blind MethodFemaleHumansMaleMiddle AgedTranscranial Magnetic Stimulationagingauricular vagus nerve stimulationcortical excitabilityneuroplasticityTMSvagus nerve

Identifiers

PMID38602055
PMCPMC11780349

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.