Evidence map›Paper›PMID 39877774›Full record

ArticleCureus2024

Effects of Low-Intensity Transcranial Magnetic Stimulation in Neuropsychological Development of Pediatric Subjects With Autism Spectrum Disorder: A Longitudinal Retrospective Approach.

Thonny Augusto Espinosa Mendoza, Alan R Oviedo Lara, Gabriel Henk Jordan, Raúl Sampieri-Cabrera, Luz Erandi Perez Martinez

Erratum issuedAbstract read
In one paragraph

Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Thonny Augusto Espinosa MendozaNeuropsychology, Centro de Especialidades Neuropsicológicas Neuroinnova, Guayaquil, ECU.
Alan R Oviedo LaraResearch, Nibbot International, Mexico City, MEX.
Gabriel Henk JordanNeurosciences, Centro de Especialidades Neuropsicologicas Neuroinnova, Guayaquil, ECU.
Raúl Sampieri-CabreraForesight, Centro de Ciencias de la Complejidad, Universidad Nacional Autónoma de México, Mexico, MEX.
Luz Erandi Perez MartinezResearch, Nibbot International, Mexico City, MEX.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAutism spectrum disorder (ASD) is a heterogeneous neurobiological condition characterized by behavioral problems and delayed neurodevelopment. Although transcranial magnetic stimulation (TMS) has been proposed as an alternative treatment for patients with ASD because of its promising benefits in reducing repetitive behaviors and enhancing executive functions, the use of high-intensity pulses (Hi-TMS) appears to be related to the side effects of the therapy. Low-intensity TMS (Li-TMS) has been partially investigated, but it may have clinical effects on ASD and simultaneously increase treatment safety.

methodsIn this study, the effects of combined intervention with Li-TMS and conventional therapies were evaluated in 35 patients from Ecuador (six female and 29 male), aged between three and seven years, with a confirmed diagnosis of ASD. Each subject received conventional therapies twice a week (for four weeks) provided at the research center (psychological, occupational, speech, and neuro-psychomotor therapies) alongside daily Li-TMS sessions at 1 Hz and 9 mT of intensity targeting the left dorsolateral prefrontal cortex (L-DLPFC) for 45 min for four weeks (16 sessions in total). The Battelle Developmental Inventory (BDI), first edition, was applied before and after Li-TMS therapy to evaluate its clinical effects in subjects with ASD. Weekly follow-up assessments and parent questionnaires were administered to identify any adverse events.

resultsIn all BDI domains, a significant statistical difference was observed between the pre- and post-intervention averages, supported by extremely low p-values (less than 0.001 in all cases). The personal, social, motor, cognitive, and communicative skills of all the study participants increased after Li-TMS therapy. At the same time, the calculated maturational delay had a significant decrease, suggesting an improvement of ~7.78 months in the neurodevelopment of the ASD subjects. However, age was also found to be a possible cause for these changes in development and maturation. No adverse effects were observed.

conclusionsBoth variants of TMS, Hi-TMS and Li-TMS, have proven to be promising treatments for subjects with ASD, improving social and cognitive abilities. This investigation suggests that the combination of conventional therapies and 16 sessions of Li-TMS as a treatment for individuals with ASD had significant clinical progress, specifically in maturation development according to BDI. In addition, the use of low-intensity magnetic fields may allow for safer pulse delivery in pediatric subjects, as no side effects were reported in this study.

Indexed as

autism spectrum disorder (asd)li-tmslow-intensity tmsneurodevelopment disordersneuro development treatmentneuro-rehabilitationnoninvasive neuromodulationpediatric rehabilitationrepetitive transcranial magnetic stimulation (rtms)transcranial magnetic stimulation (tms)

Identifiers

PMID39877774
PMCPMC11774318

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.