Evidence map›Paper›PMID 40011597›Full record

Trial reportScientific reports2025

Cerebellar transcranial direct current stimulation improves quality of life in individuals with chronic poststroke aphasia.

Zhong Sheng Zheng, Jing Wang, Sharon Lee, Kevin Xing-Long Wang, Ben Zhang, Melissa Howard, Emily Rosario, Caroline Schnakers

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03699930 (Impact of Neuromodulation on Language Impairments in Stroke Patients), which is not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing 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.

NCT03699930 nacompletednot on this map

Impact of Neuromodulation on Language Impairments in Stroke Patients: a Multimodal Double-blind Randomized Controlled Study

TypeinterventionalSponsorCasa Colina Hospital and Centers for HealthcareRan2018 to 2023Enrolled24ConditionsStroke, AphasiaArmstDCS, Speech and language therapy
3 · Its place in the literature

Who cites it

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

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  4. Article
  5. Review
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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

8 authors.

Zhong Sheng ZhengResearch Institute, Casa Colina Hospital and Centers for Healthcare, 255 E. Bonita Ave, Pomona, CA, 91767, USA. azheng@casacolina.org.
Jing WangResearch Institute, Casa Colina Hospital and Centers for Healthcare, 255 E. Bonita Ave, Pomona, CA, 91767, USA.
Sharon LeeResearch Institute, Casa Colina Hospital and Centers for Healthcare, 255 E. Bonita Ave, Pomona, CA, 91767, USA.
Kevin Xing-Long WangPsychology Department, University of California, Los Angeles, CA, USA.
Ben ZhangResearch Institute, Casa Colina Hospital and Centers for Healthcare, 255 E. Bonita Ave, Pomona, CA, 91767, USA.
Melissa HowardResearch Institute, Casa Colina Hospital and Centers for Healthcare, 255 E. Bonita Ave, Pomona, CA, 91767, USA.
Emily RosarioResearch Institute, Casa Colina Hospital and Centers for Healthcare, 255 E. Bonita Ave, Pomona, CA, 91767, USA.
Caroline SchnakersResearch Institute, Casa Colina Hospital and Centers for Healthcare, 255 E. Bonita Ave, Pomona, CA, 91767, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The cerebellum has emerged as a potential target for transcranial direct current stimulation (tDCS) in post-stroke aphasia (PSA) due to its role in language processing and relative preservation compared to supratentorial lesions. Recent evidence also highlights the cerebellum's involvement in affective and social processes, suggesting potential broader effects of cerebellar modulation. This study investigated the efficacy of anodal tDCS over the right cerebellum paired with speech and language therapy in enhancing language functions and quality of life in individuals with PSA. Twenty-two participants with chronic PSA received cerebellar tDCS, while historical sham control data from 25 participants were obtained. Language outcomes were assessed using the Western Aphasia Battery-Revised (WAB-R), and secondary outcomes included patient-reported measures of communication effectiveness and quality of life. Mixed-design analyses of variance were conducted to examine treatment effects. No significant Group x Time interaction was found for WAB-R scores, indicating that tDCS did not provide additional language benefits over speech therapy. However, a significant Group x Time interaction was observed for the Stroke and Aphasia Quality of Life Scale-39 scores, driven by improvements in the Psychosocial, Physical, and Energy subdomains in the tDCS group. Cerebellar tDCS did not significantly improve language outcomes in PSA individuals but enhanced specific aspects of quality of life. These findings highlight the cerebellum's multifaceted role in cognitive, affective, and sensorimotor processes. Future research should focus on conducting well-powered, randomized, double-blind, and concurrent trials to validate these findings and explore optimal stimulation parameters in PSA rehabilitation.Trial registration: The trial is registered at ClinicalTrials.gov with the registration number NCT03699930. The date of registration is 10/05/2018.

Indexed as

AphasiaCerebellumQuality of LifeStrokeTranscranial Direct Current StimulationAdultAgedFemaleHumansMaleMiddle AgedSpeech TherapyStroke RehabilitationTreatment OutcomeAphasiaCerebellumPsychosocialStrokeStroke and aphasia quality of life scale-39 (SAQOL-39)Transcranial direct current stimulation (tDCS)

Identifiers

PMID40011597
PMCPMC11865529

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.