Evidence map›Paper›PMID 39335512›Full record

ArticleBiomedicines2024

The Impact of Stimulation Parameters on Cardiovascular Outcomes in Chronic Stroke Patients Following Transcranial Direct Current Stimulation-A Pilot Controlled, Randomized, Double-Blind Crossover Trial.

Fernanda Ishida Corrêa, Laura Uehara, Michele Lacerda de Andrade, Gustavo Oliveira da Silva, Katia De Angelis, Ariane Viana, Catarina Novaes Souza Bertani, João Carlos Ferrari Corrêa, Felipe Fregni

Abstract read
In one paragraph

Article in Biomedicines, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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.

Fernanda Ishida CorrêaDoctoral and Master Program in Science of Rehabilitation, Nove de Julho University, Rua Vergueiro 235/249, São Paulo 01504-001, Brazil.ORCID 0000-0001-7321-6257
Laura UeharaDoctoral and Master Program in Science of Rehabilitation, Nove de Julho University, Rua Vergueiro 235/249, São Paulo 01504-001, Brazil.
Michele Lacerda de AndradeDoctoral and Master Program in Science of Rehabilitation, Nove de Julho University, Rua Vergueiro 235/249, São Paulo 01504-001, Brazil.ORCID 0000-0002-2763-8042
Gustavo Oliveira da SilvaDoctoral and Master Program in Science of Rehabilitation, Nove de Julho University, Rua Vergueiro 235/249, São Paulo 01504-001, Brazil.ORCID 0000-0001-6341-345X
Katia De AngelisDoctoral and Master Program in Science of Rehabilitation, Nove de Julho University, Rua Vergueiro 235/249, São Paulo 01504-001, Brazil.
Ariane VianaDoctoral and Master Program in Science of Rehabilitation, Nove de Julho University, Rua Vergueiro 235/249, São Paulo 01504-001, Brazil.ORCID 0000-0003-3866-5000
Catarina Novaes Souza BertaniDoctoral and Master Program in Science of Rehabilitation, Nove de Julho University, Rua Vergueiro 235/249, São Paulo 01504-001, Brazil.
João Carlos Ferrari CorrêaDoctoral and Master Program in Science of Rehabilitation, Nove de Julho University, Rua Vergueiro 235/249, São Paulo 01504-001, Brazil.
Felipe FregniNeuromodulation Center and Center for Clinical Research Learning, Spaulding Rehabilitation Hospital and Massachusetts General Hospital, Harvard Medical School, Boston, MA 02129, USA.ORCID 0000-0002-1703-7526

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStroke survivors often experience autonomic nervous system (ANS) dysfunction. While Transcranial Direct Current Stimulation (tDCS) has been shown to modulate the ANS when applied to the left hemisphere, its effects on the right hemisphere remain unexplored.

objectiveWe aimed to compare the effects of tDCS applied to both the injured and the contralateral hemispheres on heart rate variability (HRV) and functional capacity in individuals post-stroke.

methodsTwenty individuals with cerebral hemisphere lesions (ten with right-hemisphere lesions and ten with left-hemisphere lesions) were randomized into four groups: anodal and sham tDCS on the left temporal cortex (T3) and anodal and sham tDCS on the right temporal cortex (T4). HRV was assessed before the intervention, after the six-minute walk test (6MWT), and following tDCS. HRV data were categorized into frequency ranges: low frequency (LF), high frequency (HF), and sympathovagal balance. The 6MWT (meters) was conducted both pre- and post-tDCS.

resultsIn individuals with right-hemisphere lesions, a higher global LF value was observed (right side: 71.4 ± 16.8 nu vs. left side: 65.7 ± 17.3 nu;

conclusionsParticipants with right-hemisphere lesions exhibited superior global sympathetic autonomic nervous system activity. When the tDCS was applied on the left hemisphere, it maintained lower sympathovagal balance values and improved functional capacity regardless of the hemisphere affected by the stroke.

Indexed as

autonomic modulationfunctional capacityheart rate variabilitystroketranscranial direct current stimulation

Identifiers

PMID39335512
PMCPMC11428280

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.