Evidence map›Paper›PMID 38879485›Full record

SynthesisBMC neurology2024

Cerebellar transcranial magnetic stimulation for improving balance capacity and activity of daily living in stroke patients: a systematic review and meta-analysis.

Jingfeng Wang, Zhisheng Wu, Shanshan Hong, Honghong Ye, Yi Zhang, Qiuxiang Lin, Zehuang Chen, Liling Zheng, Jiawei Qin

Registry-linked trialAbstract readSystematic ReviewMeta-Analysis
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in BMC 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 NCT07073235 (Neuroplastic Changes and Effects of Intermittent Theta Burst Stimulation), which is not on this map. Cited by 9 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 5 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.

NCT07073235 narecruitingnot on this mapstarted 2025, after this paper: background citation

Neuroplastic Changes and Effects of Intermittent Theta Burst Stimulation (iTBS) on Motor Recovery of Upper and Lower Extremity in Chronic Stroke Patients

TypeinterventionalSponsorDanderyd HospitalRan2025 to 2030Enrolled56ConditionsStroke, Hemiparesis After Stroke, Chronic Stroke Patients, HemiplegiaArmsIntermittent Theta Burst Stimulation, Sham Intermittent Theta Burst Stimulation
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
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  6. Trial
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  8. Review
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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.

Jingfeng WangDepartment of Rehabilitation Medicine, Quanzhou First Hospital Affiliated to Fujian Medical University, Quanzhou, China.
Zhisheng WuDepartment of Neurology, Quanzhou First Hospital Affiliated to Fujian Medical University, Quanzhou, China.
Shanshan HongDepartment of Obstetrics and Gynecology, Quan Zhou Women's and Children's Hospital, Quanzhou, China.
Honghong YeDepartment of Rehabilitation Medicine, Quanzhou First Hospital Affiliated to Fujian Medical University, Quanzhou, China.
Yi ZhangDepartment of Rehabilitation Medicine, Quanzhou First Hospital Affiliated to Fujian Medical University, Quanzhou, China.
Qiuxiang LinDepartment of Rehabilitation Medicine, Quanzhou First Hospital Affiliated to Fujian Medical University, Quanzhou, China.
Zehuang ChenHuada Street Community Health Service Center, Quanzhou, China.
Liling ZhengDepartment of Cardiovascular Surgery, Quanzhou First Hospital Affiliated to Fujian Medical University, Quanzhou, China. zll111111@hotmail.com.
Jiawei QinDepartment of Rehabilitation Medicine, Quanzhou First Hospital Affiliated to Fujian Medical University, Quanzhou, China. qinjiawei1990@163.com.

Funding

National Science Foundation Project funded by the Science and Technology Department of Fujian Province 2022J011466Quanzhou City Science and Technology Program 2024NY004Startup Fund for scientific research, Fujian Medical University 2021QH1244
6 · The paper itself

Abstract

backgroundThe application of cerebellar transcranial magnetic stimulation (TMS) in stroke patients has received increasing attention due to its neuromodulation mechanisms. However, studies on the effect and safety of cerebellar TMS to improve balance capacity and activity of daily living (ADL) for stroke patients are limited. This systematic review and meta-analysis aimed to investigate the effect and safety of cerebellar TMS on balance capacity and ADL in stroke patients.

methodA systematic search of seven electronic databases (PubMed, Embase, Web of Science, Cochrane Central Register of Controlled Trials, China National Knowledge Infrastructure, Wanfang and Chinese Scientific Journal) were conducted from their inception to October 20, 2023. The randomized controlled trials (RCTs) of cerebellar TMS on balance capacity and/or ADL in stroke patients were enrolled. The quality of included studies were assessed by Physiotherapy Evidence Database (PEDro) scale.

resultsA total of 13 studies involving 542 participants were eligible. The pooled results from 8 studies with 357 participants showed that cerebellar TMS could significantly improve the post-intervention Berg balance scale (BBS) score (MD = 4.24, 95%CI = 2.19 to 6.29, P < 0.00001; heterogeneity, I

conclusionsCerebellar TMS is an effective and safe technique for improving balance capacity and ADL in stroke patients. Further larger-sample, higher-quality, and longer follow-up RCTs are needed to explore the more reliable evidence of cerebellar TMS in the balance capacity and ADL, and clarify potential mechanisms.

Indexed as

Activities of Daily LivingCerebellumPostural BalanceStrokeStroke RehabilitationTranscranial Magnetic StimulationHumansRandomized Controlled Trials as TopicActivity of daily livingBalance capacityCerebellumMeta-analysisSystematic reviewTranscranial magnetic stimulation

Identifiers

PMID38879485
PMCPMC11179288

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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.