Evidence map›Paper›PMID 39016009›Full record

Trial reportStroke2024

Efficacy and Safety of High-Dose TBS on Poststroke Upper Extremity Motor Impairment: A Randomized Controlled Trial.

Zhiqing Tang, Jianting Huang, Ying Zhou, Jianxun Ren, Xinyu Duan, Xiaoxuan Fu, Ruiqi Pan, Rongrong Wang, Ping Zhang, Mengying Ding and 9 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Stroke, 2024. 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

19 authors.

Zhiqing Tang *School of Rehabilitation, Capital Medical University, Beijing, China (Z.T., R.W., Xiaonian Zhang, Q.C., Y. Zhang, Xin Zhang, W.Y., H.Z.).ORCID 0000-0002-6147-2138
Jianting Huang *Changping Laboratory, Beijing, China (J.H., Y. Zhou, J.R., X.D., X.F., P.Z., H.L.).
Ying Zhou *Changping Laboratory, Beijing, China (J.H., Y. Zhou, J.R., X.D., X.F., P.Z., H.L.).ORCID 0000-0002-1270-9039
Jianxun RenChangping Laboratory, Beijing, China (J.H., Y. Zhou, J.R., X.D., X.F., P.Z., H.L.).ORCID 0000-0002-7885-4546
Xinyu DuanChangping Laboratory, Beijing, China (J.H., Y. Zhou, J.R., X.D., X.F., P.Z., H.L.).
Xiaoxuan FuChangping Laboratory, Beijing, China (J.H., Y. Zhou, J.R., X.D., X.F., P.Z., H.L.).
Ruiqi PanNeural Galaxy, Inc, Beijing, China (R.P., M.D., J.S.).ORCID 0009-0007-2654-8196
Rongrong WangSchool of Rehabilitation, Capital Medical University, Beijing, China (Z.T., R.W., Xiaonian Zhang, Q.C., Y. Zhang, Xin Zhang, W.Y., H.Z.).
Ping ZhangChangping Laboratory, Beijing, China (J.H., Y. Zhou, J.R., X.D., X.F., P.Z., H.L.).
Mengying DingNeural Galaxy, Inc, Beijing, China (R.P., M.D., J.S.).
Jian SunNeural Galaxy, Inc, Beijing, China (R.P., M.D., J.S.).
Xiaonian ZhangSchool of Rehabilitation, Capital Medical University, Beijing, China (Z.T., R.W., Xiaonian Zhang, Q.C., Y. Zhang, Xin Zhang, W.Y., H.Z.).
Qianqian ChiSchool of Rehabilitation, Capital Medical University, Beijing, China (Z.T., R.W., Xiaonian Zhang, Q.C., Y. Zhang, Xin Zhang, W.Y., H.Z.).
Yue ZhangSchool of Rehabilitation, Capital Medical University, Beijing, China (Z.T., R.W., Xiaonian Zhang, Q.C., Y. Zhang, Xin Zhang, W.Y., H.Z.).
Xin ZhangSchool of Rehabilitation, Capital Medical University, Beijing, China (Z.T., R.W., Xiaonian Zhang, Q.C., Y. Zhang, Xin Zhang, W.Y., H.Z.).
Weiyong YuSchool of Rehabilitation, Capital Medical University, Beijing, China (Z.T., R.W., Xiaonian Zhang, Q.C., Y. Zhang, Xin Zhang, W.Y., H.Z.).
Liu XuWest China Medical School, Sichuan University, Chengdu (L.X.).
Hao ZhangSchool of Rehabilitation, Capital Medical University, Beijing, China (Z.T., R.W., Xiaonian Zhang, Q.C., Y. Zhang, Xin Zhang, W.Y., H.Z.).ORCID 0009-0001-4739-2406
Hesheng LiuChangping Laboratory, Beijing, China (J.H., Y. Zhou, J.R., X.D., X.F., P.Z., H.L.).ORCID 0000-0002-7233-1509

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUpper extremity (UE) motor function impairment is a major poststroke complication whose recovery remains one of the most challenging tasks in neurological rehabilitation. This study examined the efficacy and safety of the personalized neuroimaging-guided high-dose theta-burst stimulation (TBS) for poststroke UE motor function recovery.

methodsPatients after stroke with UE motor impairment from a China rehabilitation center were randomly assigned to receive high-dose intermittent TBS (iTBS) to ipsilesional UE sensorimotor network, continuous TBS (cTBS) to contralesional UE sensorimotor network, or sham stimulation, along with conventional therapy for 3 weeks. The primary outcome was the score changes on the Fugl-Meyer assessment-UE from baseline to 1 and 3 weeks. The secondary outcomes included the response rate on Fugl-Meyer assessment-UE scores posttreatment (≥9-point improvement) and score changes in multidimensional scales measuring UE, lower extremity, and activities and participation.

resultsFrom June 2021 to June 2022, 45 participants were randomized and 43 were analyzed. The iTBS and continuous TBS groups showed significantly greater improvement in Fugl-Meyer assessment-UE (mean improvement, iTBS: 10.73 points; continuous TBS: 10.79 points) than the sham group (2.43 points) and exhibited significantly greater response rates on Fugl-Meyer assessment-UE (iTBS, 60.0%; continuous TBS, 64.3%) than the sham group (0.0%). The active groups consistently exhibited superior improvement on the other 2 UE assessments at week 3. However, only the iTBS group showed greater efficacy on 1 lower extremity assessment than the sham group at week 3. Both active groups showed significant improvements in activities and participation assessments.

conclusionsThe study provides evidence for the efficacy and safety of high-dose TBS in facilitating poststroke UE rehabilitation. REGISTRATION: URL: www.chictr.org.cn; Unique identifier: ChiCTR2100047340.

Indexed as

Recovery of FunctionStrokeStroke RehabilitationTranscranial Magnetic StimulationUpper ExtremityAdultAgedFemaleHumansMaleMiddle AgedTreatment Outcomemagnetic resonance imagingneurological rehabilitationstroketranscranial magnetic stimulationupper extremity

Identifiers

PMID39016009
PMCPMC11346718

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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.