Evidence map›Paper›PMID 38969994›Full record

SynthesisBMC neurology2024

The effect of transcranial magnetic stimulation on cognitive function in post-stroke patients: a systematic review and meta-analysis.

Mingjin Zhu, Siyu Huang, Wenjun Chen, Guoyuan Pan, Yibo Zhou

Abstract readMeta-AnalysisSystematic Review
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. Cited by 18 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing 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.

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

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

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  12. Intermittent theta burst stimulation vs. high-frequency repetitive transcranial magnetic stimulation for post-stroke dysfunction: a Bayesian model-based network meta-analysis of RCTs.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
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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

5 authors.

Mingjin ZhuDepartment of Rehabilitation Medicine, Tongde Hospital of Zhejiang Province, Hangzhou, China.
Siyu HuangGraduate School, Shanghai Jiaotong University School of Medicine, Shanghai, China.
Wenjun ChenDepartment of Pharmacy, Xixi Hospital of Hangzhou, Hangzhou, 310023, China.
Guoyuan PanDepartment of Rehabilitation Medicine, Tongde Hospital of Zhejiang Province, Hangzhou, China.
Yibo ZhouDepartment of Rehabilitation Medicine, Tongde Hospital of Zhejiang Province, Hangzhou, China. zhouyibotd@163.com.

Funding

Basic Public Welfare Research Program of Zhejiang Province LGF19H270004Zhejiang Provincial Medical and Health Science and Technology Program Project 2023RC139Zhejiang Scientific Research Foundation of Traditional Chinese Medicine 2021ZB056
6 · The paper itself

Abstract

BACKGROUND AND

objectiveTranscranial magnetic stimulation (TMS) is considered as a promising treatment option for post-stroke cognitive impairment (PSCI).Some meta-analyses have indicated that TMS can be effective in treating cognitive decline in stroke patients, but the quality of the studies included and the methodologies employed were less than satisfactory. Thus, this meta-analysis aimed to evaluate the efficacy and safety of TMS for treating post-stroke cognitive impairment.

methodsWe searched online databases like PubMed, Embase, Cochrane Library, and Web of Science to retrieve randomized controlled trials (RCTs) of TMS for the treatment of patients with PSCI. Two independent reviewers identified relevant literature, extracted purpose-specific data, and the Cochrane Risk of Bias Assessment Scale was utilized to assess the potential for bias in the literature included in this study. Stata 17.0 software was used for data analysis.

resultsA total of 10 studies involving 414 patients were included. The results of the meta-analysis showed that TMS was significantly superior to the control group for improving the overall cognitive function of stroke patients (SMD = 1.17, 95% CI [0.59, 1.75], I

conclusionThis meta-analysis presents evidence supporting the safety and efficacy of TMS as a non-invasive neural modulation tool for improving global cognitive abilities and activities of daily living in stroke patients. However, given the limited number of included studies, further validation of these findings is warranted through large-scale, multi-center, double-blind, high-quality randomized controlled trials. PROSPERO REGISTRATION NUMBER: CRD42022381034.

Indexed as

Cognitive DysfunctionStrokeTranscranial Magnetic StimulationCognitionHumansTreatment OutcomeCognitive impairmentMeta-analysisRandomized controlled trialStrokeTranscranial magnetic stimulation

Identifiers

PMID38969994
PMCPMC11225150

What OpenQuestion holds

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Registered trials

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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.