Evidence map›Paper›PMID 38922218›Full record

Trial reportEinstein (Sao Paulo, Brazil)2024

Effect of transcranial direct current stimulation in the initial weeks post-stroke: a pilot randomized study.

Marcela Tengler Carvalho Takahashi, Joana Bisol Balardin, Paulo Rodrigo Bazán, Danielle de Sá Boasquevisque, Edson Amaro Junior, Adriana Bastos Conforto

2 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Einstein (Sao Paulo, Brazil), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Not yet cited in PubMed.

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

NCT02455427 nacompletednot on this map

Safety of Transcranial Direct Current Stimulation in the Subacute Phase After Stroke

TypeinterventionalSponsorHospital Israelita Albert EinsteinRan2015 to 2018Enrolled30ConditionsStrokeArmsActive tDCS, Physical Therapy, Sham tDCS
NCT07014891 narecruitingnot on this map

A Study on Visual Feedback Motor Control Training Using Near-Infrared Spectroscopy (fNIRS) Brain Functional Imaging for Walking Function Recovery in Stroke Patients

TypeinterventionalSponsorShengjing HospitalRan2024 to 2025Enrolled44ConditionsStrokeArmsIntelligent Visual Feedback Motor Control Training, Bobath Ball Training
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Marcela Tengler Carvalho TakahashiHospital Municipal da Vila Santa Catarina Dr. Gilson Cássia Marques de Carvalho ; Hospital Israelita Albert Einstein,São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0002-4348-5293
Joana Bisol BalardinHospital Israelita Albert Einstein, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0001-8294-8257
Paulo Rodrigo BazánHospital Israelita Albert Einstein, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0003-2202-0494
Danielle de Sá BoasquevisqueDivision of Neurology, Population Health Research Institute, McMaster University, Hamilton, Ontario, Canada.ORCID http://orcid.org/0000-0003-0402-4686
Edson Amaro JuniorHospital Israelita Albert Einstein, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0002-5889-1382
Adriana Bastos ConfortoHospital Israelita Albert Einstein, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0001-7869-3490

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed at assessing the alterations in upper limb motor impairment and connectivity between motor areas following the post-stroke delivery of cathodal transcranial direct current stimulation sessions.

methodsModifications in the Fugl-Meyer Assessment scores, connectivity between the primary motor cortex of the unaffected and affected hemispheres, and between the primary motor and premotor cortices of the unaffected hemisphere were compared prior to and following six sessions of cathodal transcranial direct current stimulation application in 13 patients (active = 6; sham = 7); this modality targets the primary motor cortex of the unaffected hemisphere early after a stroke.

resultsClinically relevant distinctions in Fugl-Meyer Assessment scores (≥9 points) were observed more frequently in the Sham Group than in the Active Group. Between-group differences in the alterations in Fugl-Meyer Assessment scores were not statistically significant (Mann-Whitney test, p=0.133). ROI-to-ROI correlations between the primary motor cortices of the affected and unaffected hemispheres post-therapeutically increased in 5/6 and 2/7 participants in the Active and Sham Groups, respectively. Between-group differences in modifications in connectivity between the aforementioned areas were not statistically significant. Motor performance enhancements were more frequent in the Sham Group compared to the Active Group.

conclusionThe results of this hypothesis-generating investigation suggest that heightened connectivity may not translate into early clinical benefits following a stroke and will be crucial in designing larger cohort studies to explore mechanisms underlying the impacts of this intervention. ClinicalTrials.gov Identifier: NCT02455427.

Indexed as

Motor CortexStrokeStroke RehabilitationTranscranial Direct Current StimulationAgedFemaleHumansMaleMiddle AgedPilot ProjectsRecovery of FunctionTime FactorsTreatment OutcomeUpper Extremity

Identifiers

PMID38922218
PMCPMC11196089

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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.