Evidence map›Paper›PMID 39243394›Full record

ReviewThe Journal of physiology2025

Vagus nerve stimulation for stroke rehabilitation: Neural substrates, neuromodulatory effects and therapeutic implications.

Heidi M Schambra, Seth A Hays

Abstract readReview
In one paragraph

Review in The Journal of physiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

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

  1. Pooled it
  2. Trial
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  5. Article
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  7. Review
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  13. Mapping the role of vagus nerve stimulation in post-stroke arm motor recovery.Journal of neuroengineering and rehabilitation · 2025
    Review
  14. Clinical experience implanting a miniature externally powered vagus nerve stimulator.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
    Article
  15. Review
  16. Article
  17. Article
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

2 authors.

Heidi M SchambraDepartments of Neurology & Rehabilitation Medicine, New York University Grossman School of Medicine, New York, NY, USA.ORCID 0000-0002-1886-2288
Seth A HaysTexas Biomedical Device Center, The University of Texas at Dallas, Richardson, TX, USA.ORCID 0000-0003-4225-241X

Funding

Wireless Nerve Stimulation Device To Enhance Recovery After StrokeUH3NS109497 · NINDS · UNIVERSITY OF TEXAS DALLAS · PI HAYS, SETH ALANSON, RENNAKER, ROBERT L · 2021 to 2023
$3.4M
Corticoreticulospinal Tract Reorganization After StrokeR01NS110696 · NINDS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI SCHAMBRA, HEIDI · 2019 to 2023
$3.2M
NINDS NIH HHS R01 NS110696NINDS NIH HHS UH3 NS109497
6 · The paper itself

Abstract

Paired vagus nerve stimulation (VNS) has emerged as a promising strategy to potentiate recovery after neurological injury. This approach, which combines short bursts of electrical stimulation of the vagus nerve with rehabilitation exercises, received approval from the US Food and Drug Aministration in 2021 as the first neuromodulation-based therapy for chronic stroke. Because this treatment is increasingly implemented in clinical practice, there is a need to take stock of what we know about this approach and what we have yet to learn. Here, we provide a survey on the foundational basis of VNS therapy for stroke and offer insight into the mechanisms that underlie potentiated recovery, focusing on the principles of neuromodulatory reinforcement. We discuss the current state of observations regarding synaptic reorganization in motor networks that are enhanced by VNS, and we propose other prospective loci of neuromodulation that should be evaluated in the future. Finally, we highlight the future opportunities and challenges to be faced as this approach is increasingly translated to clinical use. Collectively, a clearer understanding of the mechanistic basis of VNS therapy may reveal ways to maximize its benefits.

Indexed as

StrokeStroke RehabilitationVagus NerveVagus Nerve StimulationAnimalsHumansRecovery of Functionneuromodulationneuroplasticityrehabilitationstrokevagus nerve stimulation

Identifiers

PMID39243394
PMCPMC11785503

What OpenQuestion holds

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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.