Evidence map›Paper›PMID 40003689›Full record

ArticleLife (Basel, Switzerland)2025

Impact of Gentle Touch Stimulation Combined with Advanced Sensory Stimulation in Patients in a Minimally Conscious State: A Quasi-Randomized Clinical Trial.

Mirjam Bonanno, Antonio Gangemi, Rosa Angela Fabio, Marco Tramontano, Maria Grazia Maggio, Federica Impellizzeri, Alfredo Manuli, Daniele Tripoli, Angelo Quartarone, Rosaria De Luca and 1 more

Abstract read
In one paragraph

Article in Life (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 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

3 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. 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

11 authors.

Mirjam BonannoIRCCS Centro Neurolesi Bonino-Pulejo, Via Palermo, Cda Casazza, SS 113, 98124 Messina, Italy.ORCID 0000-0002-3284-9741
Antonio GangemiIRCCS Centro Neurolesi Bonino-Pulejo, Via Palermo, Cda Casazza, SS 113, 98124 Messina, Italy.
Rosa Angela FabioDepartment of Cognitive Science, University of Messina, 98122 Messina, Italy.ORCID 0000-0001-7065-1528
Marco TramontanoDepartment of Biomedical and Neuromotor Sciences (DIBINEM), Alma Mater University of Bologna, 40138 Bologna, Italy.ORCID 0000-0001-6034-0638
Maria Grazia MaggioIRCCS Centro Neurolesi Bonino-Pulejo, Via Palermo, Cda Casazza, SS 113, 98124 Messina, Italy.ORCID 0000-0003-0757-2389
Federica ImpellizzeriIRCCS Centro Neurolesi Bonino-Pulejo, Via Palermo, Cda Casazza, SS 113, 98124 Messina, Italy.ORCID 0000-0003-1348-9442
Alfredo ManuliA.O.U. Policlinico "G. Martino", Via Consolare Valeria, 98124 Messina, Italy.
Daniele TripoliA.O. Papardo, 98158 Messina, Italy.
Angelo QuartaroneIRCCS Centro Neurolesi Bonino-Pulejo, Via Palermo, Cda Casazza, SS 113, 98124 Messina, Italy.
Rosaria De LucaIRCCS Centro Neurolesi Bonino-Pulejo, Via Palermo, Cda Casazza, SS 113, 98124 Messina, Italy.ORCID 0000-0001-9503-4366
Rocco Salvatore CalabròIRCCS Centro Neurolesi Bonino-Pulejo, Via Palermo, Cda Casazza, SS 113, 98124 Messina, Italy.ORCID 0000-0002-8566-3166

Funding

Ministero della Salute Current research funds, 2024
6 · The paper itself

Abstract

Touch, particularly affective touch mediated by C-tactile fibers, plays a key role in emotional regulation and therapeutic interventions. However, tactile stimulation is underutilized in sensory stimulation (SS) protocols for brain injury patients, despite its potential to enhance consciousness and promote recovery through neural and autonomic regulation. Tools like the Neurowave enable advanced multisensory stimulation, including audio-visual and emotional inputs, but lack tactile components. Integrating gentle touch stimulation with such systems could further enhance neuroplasticity, improve heart rate regulation, and support recovery in patients with disorders of consciousness. In this study, twenty patients affected by minimally conscious state (MCS) were divided into two groups: an experimental group (EG n.10) and a control group (CG n.10). Both groups underwent standard neurorehabilitation, including conventional physiotherapy and speech therapy. The key difference was in the type of sensory stimulation. The EG received advanced sensory stimulation with the Neurowave system (which provides audio-visual and emotional sensory stimulation) in addition to gentle touch stimulation. The CG received conventional sensory stimulation without the Neurowave and neutral gentle touch stimulation. Each patient was evaluated by a multidisciplinary rehabilitation team, using clinical scales such as coma recovery scale-revised (CSR-R), level of cognitive functioning (LCF), before (T0) and after (T1) treatment. Additionally, heart rate (HR) and neurophysiological outcomes (P300) were also recorded for both groups (EG and CG). The MANOVA model revealed a significant interaction effect between group and phase on P300 latency (F (1, 18) = 10.23,

Indexed as

gentle touchminimally conscious statemultisensory stimulationneurorehabilitationNeurowavetactile stimulation

Identifiers

PMID40003689
PMCPMC11856545

What OpenQuestion holds

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LicenceCC BY
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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.