Evidence map›Paper›PMID 39462433›Full record

Trial reportNeurorehabilitation and neural repair2025

Intensity-Dependent Effects of Low-Frequency Subthreshold rTMS on Primary Motor Cortex Excitability and Interhemispheric Inhibition in Elderly Participants: A Randomized Trial.

Miles Wischnewski, Lauren Edwards, Kate P Revill, Daniel Drake, Gerald Hobbs, Cathrin M Buetefisch

2 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Neurorehabilitation and neural repair, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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.

NCT01726218 completednot on this map

Enhancing Stroke Recovery Through Cortical Stimulation: The Role of the Ipsilateral Motor Cortex in Executing Movements With Increasing Demand on Precision

TypeobservationalSponsorCathrin BuetefischRan2011 to 2015Enrolled20ConditionsStroke
NCT02544503 naterminatednot on this map

Customized Cortical Stimulation Therapy in the Rehabilitation of Stroke Patients

TypeinterventionalSponsorEmory UniversityRan2015 to 2021Enrolled100ConditionsStrokeArmsSingle-pulse Transcranial Magnetic Stimulation (TMS), Paired-pulse Transcranial Magnetic Stimulation (ppTMS), Low-frequency Repetitive Transcranial Magnetic Stimulation (rTMS), Sham Motor Cortex Stimulation
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Review
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

6 authors.

Miles WischnewskiDepartment of Neurology, Emory University, School of Medicine, Atlanta, GA, USA.ORCID 0000-0002-0056-6464
Lauren EdwardsDepartment of Neurology, Emory University, School of Medicine, Atlanta, GA, USA.
Kate P RevillDepartment of Psychology, Emory University, Atlanta, GA, USA.
Daniel DrakeDepartment of Biostatistics, University of Michigan, Ann Arbor, Michigan.
Gerald HobbsDepartment of Statistics, West Virginia University, Morgantown, WV, USA.
Cathrin M BuetefischDepartment of Neurology, Emory University, School of Medicine, Atlanta, GA, USA.ORCID 0000-0001-6473-7800

Funding

Customized cortical stimulation therapy in the rehabilitation of stroke patientsR01NS090677 · NINDS · EMORY UNIVERSITY · PI BUETEFISCH, CATHRIN M · 2015 to 2018
$3.0M
Reorganizing motor cortex in stroke patient through Hebbian-type stimulationR21HD067906 · NICHD · EMORY UNIVERSITY · PI BUETEFISCH, CATHRIN M · 2011 to 2012
$464k
Enhancing stroke recovery through cortical stimulationR56NS070879 · NINDS · EMORY UNIVERSITY · PI BUETEFISCH, CATHRIN M · 2011 to 2011
$455k
NICHD NIH HHS R21 HD067906NINDS NIH HHS R01 NS090677NINDS NIH HHS R56 NS070879
6 · The paper itself

Abstract

backgroundLow-frequency repetitive transcranial magnetic stimulation (LF-rTMS) protocols targeting primary motor cortex (M1) are used in rehabilitation of neurological diseases for their therapeutic potential, safety, and tolerability. Although lower intensity LF-rTMS can modulate M1 neurophysiology, results are variable, and a systematic assessment of its dose effect is lacking.

objectivesTo determine the dose-response of LF-rTMS on stimulated and non-stimulated M1.

methodsIn a sham-controlled randomized double-blind crossover study the effect of LF-TMS protocols were determined in 20 right-handed older healthy participants. In 3 sessions, 1 Hz rTMS at 80% (rTMS

resultsWithin LF-rTMS sessions, rTMS

conclusionsIntensity of subthreshold LF-rTMS has differential effects on excitation and inhibition of stimulated and non-stimulated M1. The effects were small and were only demonstrated within the LF-rTMS sessions but were not different when compared to sham. rTMS related changes in SICI and IHI were dependent on baseline level. CLINICALTRIALS.GOV IDENTIFIER: NCT02544503, NCT01726218.

Indexed as

Cross-Over StudiesEvoked Potentials, MotorMotor CortexNeural InhibitionTranscranial Magnetic StimulationAgedDouble-Blind MethodElectromyographyFemaleFunctional LateralityHumansMaleMiddle Agedinterhemispheric inhibitionmotor cortex excitabilityrTMS

Identifiers

PMID39462433
PMCPMC12077577

What OpenQuestion holds

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Registered trials

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.