Evidence map›Paper›PMID 39342307›Full record

Trial reportJournal of neuroengineering and rehabilitation2024

Cerebellar tDCS combined with augmented reality treadmill for freezing of gait in Parkinson's disease: a randomized controlled trial.

Fabrizio Pisano, Denise Mellace, Ambra Fugatti, Edoardo Nicolò Aiello, Silvia Diotti, Beatrice Curti, Alessandra Giust, Angelica Marfoli, Cecilia Perin, Angelica De Sandi and 3 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of neuroengineering and rehabilitation, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 citing papers in PubMed, 5 syntheses or guidelines 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

13 authors.

Fabrizio PisanoNeurological Rehabilitiation, Policlinico San Marco, Gruppo San Donato, Zingonia, Bergamo, Italy.
Denise MellaceDepartment of Oncology and Hemato-Oncology, University of Milan, Via Santa Sofia 9/1, Milan, 20122, Italy.ORCID 0009-0002-8059-033X
Ambra FugattiNeurological Rehabilitiation, Policlinico San Marco, Gruppo San Donato, Zingonia, Bergamo, Italy.
Edoardo Nicolò AielloDepartment of Neurology and Laboratory of Neuroscience, IRCCS Istituto Auxologico Italiano, Milan, Italy.
Silvia DiottiNeurological Rehabilitiation, Policlinico San Marco, Gruppo San Donato, Zingonia, Bergamo, Italy.
Beatrice CurtiDepartment of Neurology and Laboratory of Neuroscience, IRCCS Istituto Auxologico Italiano, Milan, Italy.
Alessandra GiustNeurological Rehabilitiation, Policlinico San Marco, Gruppo San Donato, Zingonia, Bergamo, Italy.
Angelica MarfoliDepartment of Oncology and Hemato-Oncology, University of Milan, Via Santa Sofia 9/1, Milan, 20122, Italy.ORCID 0009-0007-7324-577X
Cecilia PerinSchool of Medicine and Surgery, University of Milan-Bicocca, Milan, Italy.
Angelica De SandiFoundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Dario AlimontiNeurology Unit, Department of Neuroscience, ASST Papa Giovanni XXIII Hospital, Bergamo, Italy.
Alberto PrioriNeurological Clinic, ASST-Santi Paolo e Carlo, Department of Health Sciences, University of Milan, Milan, Italy.ORCID 0000-0002-1549-3851
Roberta FerrucciDepartment of Oncology and Hemato-Oncology, University of Milan, Via Santa Sofia 9/1, Milan, 20122, Italy. roberta.ferrucci@unimi.it.ORCID 0000-0001-5109-9483

Funding

Ministero della Salute IRCCS RC-2023 Grant no. 01
6 · The paper itself

Abstract

backgroundParkinson's disease (PD) is often accompanied by gait disorders and freezing of gait (FoG), disabling symptoms that are resistant to conventional dopamine treatments. Given the cerebellum's connectivity with the motor cortex and basal ganglia, and its implication in PD, combining transcranial direct current stimulation targeting the cerebellum (ctDCS) with physical exercise might improve gait and balance.

objectiveThis study aimed to evaluate the effectiveness of a novel rehabilitation approach that combines noninvasive cerebellar stimulation with motor-cognitive training via an augmented reality treadmill (C-Mill VR

methodsSeventeen individuals with PD exhibiting FoG were enrolled in a randomized controlled trial. The participants were randomly assigned to a group receiving motor-cognitive training on the C-Mill VR

resultsAlthough no significant time*group interactions were observed for any of the clinical variables measured, some were found in the C-Mill measures. Specifically, right lower limb sway in static conditions, both with eyes open (OAD) and eyes closed (OCD), significantly improved at T1 in the ctDCS group compared with the sham group.

conclusionsC-Mill outcomes indicate that the combined treatment may enhance motor control. Participants who received ctDCS along with augmented reality motor-cognitive training showed better postural stability.

Indexed as

CerebellumGait Disorders, NeurologicParkinson DiseaseTranscranial Direct Current StimulationAgedAugmented RealityExercise TherapyFemaleHumansMaleMiddle AgedPostural BalanceTreatment OutcomeAugmented realityCerebellumFreezing of gaitPhysical exerciseRehabilitationTranscranial direct current stimulation

Identifiers

PMID39342307
PMCPMC11438075

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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.