Evidence map›Paper›PMID 39349965›Full record

ArticleNPJ Parkinson's disease2024

Effect of cerebrospinal dual-site magnetic stimulation on freezing of gait in Parkinson's disease.

Lina Wang, Huimin Sun, Heng Zhang, Min Ji, Caiting Gan, Aidi Shan, Xingyue Cao, Yongsheng Yuan, Kezhong Zhang

Abstract read
In one paragraph

Article in NPJ Parkinson's disease, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

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

  1. Pooled it
  2. Trial
  3. Review
  4. Review
  5. Article
  6. 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

9 authors.

Lina Wang *Department of Neurology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Huimin Sun *Department of Neurology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Heng Zhang *Department of Neurology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.ORCID http://orcid.org/0000-0002-9527-0075
Min JiDepartment of Neurology, Hangzhou Lin'an TCM Hospital, Hangzhou, China.
Caiting GanDepartment of Neurology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Aidi ShanDepartment of Neurology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Xingyue CaoDepartment of Neurology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Yongsheng YuanDepartment of Neurology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Kezhong ZhangDepartment of Neurology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China. kezhong_zhang1969@126.com.ORCID http://orcid.org/0000-0002-4437-1095

Funding

National Natural Science Foundation of China (National Science Foundation of China) 82271273
6 · The paper itself

Abstract

Addressing levodopa-unresponsive freezing of gait (FOG) in Parkinson's disease (PD) presents a significant challenge. A randomized double-blinded trial evaluated the effects of repetitive transcranial magnetic stimulation (rTMS) in conjunction with transcutaneous magnetic spinal cord stimulation among 57 PD individuals experiencing levodopa-unresponsive FOG. Patients were randomized to receive dual-site stimulation involving bilateral primary motor cortex of the lower leg (M1-LL) and the lumbar spinal cord, single-site stimulation targeting bilateral M1-LL alone, or sham stimulation for 10 sessions. Low-frequency rTMS induced remarkable improvements in FOG, gait, and motor functions compared to sham at 1 day and 1 month postintervention. Notably, the dual-site protocol demonstrated superior efficacy in mitigating FOG and improving gait compared to the single-site approach, which correlated with a pronounced increase in short-interval intracortical inhibition of the abductor pollicis brevis. These findings underscore the potential of the cerebrospinal dual-site regimen as a promising approach for levodopa-unresponsive FOG and gait in PD.

Identifiers

PMID39349965
PMCPMC11442992

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.