Evidence map›Paper›PMID 40257798›Full record

Trial reportJAMA network open2025

Transcranial Pulsed Current Stimulation and Social Functioning in Children With Autism: A Randomized Clinical Trial.

Zhenhuan Liu, Sandra Zhong, Roger C M Ho, Xuguang Qian, Yan Tang, Hui Tian, Chuntao Zhang, Nuo Li, Yong Zhao, Yuqiong Zhang and 9 more

Abstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in JAMA network open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. 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

19 authors.

Zhenhuan LiuDepartment of Paediatrics, Nanhai Maternity and Children's Hospital Affiliated to Guangzhou University of Chinese Medicine, Foshan, Guangdong, China.
Sandra ZhongInstitute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
Roger C M HoInstitute for Health Innovation and Technology (iHealthtech), National University of Singapore, Singapore.
Xuguang QianDepartment of Paediatrics, Nanhai Maternity and Children's Hospital Affiliated to Guangzhou University of Chinese Medicine, Foshan, Guangdong, China.
Yan TangYunnan University of Chinese Medicine, Kunming, Yunnan Province, China.
Hui TianDepartment of Paediatrics, Nanhai Maternity and Children's Hospital Affiliated to Guangzhou University of Chinese Medicine, Foshan, Guangdong, China.
Chuntao ZhangDepartment of Paediatrics, Nanhai Maternity and Children's Hospital Affiliated to Guangzhou University of Chinese Medicine, Foshan, Guangdong, China.
Nuo LiDepartment of Paediatrics, Nanhai Maternity and Children's Hospital Affiliated to Guangzhou University of Chinese Medicine, Foshan, Guangdong, China.
Yong ZhaoDepartment of Paediatrics, Nanhai Maternity and Children's Hospital Affiliated to Guangzhou University of Chinese Medicine, Foshan, Guangdong, China.
Yuqiong ZhangDepartment of Paediatrics, Dongguan Maternal and Child Health Hospital, Dongguan, Guangdong, China.
Huituan LiuDepartment of Paediatrics, Dongguan Maternal and Child Health Hospital, Dongguan, Guangdong, China.
Meifeng WuDepartment of Paediatrics, Guangzhou Angel Children Hospital, Guangzhou, Guangdong, China.
Yingjie ZhanDepartment of Paediatrics, Zhanjiang Maternal and Child Health Hospital, Zhanjiang, Guangdong, China.
Min LiDepartment of Paediatrics, Meixian District Hospital of Chinese Medicine, Meizhou, Guangdong, China.
Zhihai LvDepartment of Paediatrics, Shenzhen Luogang Maternal and Child Health Hospital, Guangdong, China.
Fengyi HaoInstitute for Health Innovation and Technology (iHealthtech), National University of Singapore, Singapore.
Wilson TamAlice Lee Centre for Nursing Studies, National University of Singapore, Singapore.
Jeremy Lin BingyuanDepartment of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Alvaro Pascual-LeoneHinda and Arthur Marcus Institute for Aging Research, Deanna and Sidney Wolk Center for Memory Health, Hebrew SeniorLife, Boston, Massachusetts.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Importance: Transcranial pulsed current stimulation (tPCS) may improve social functioning and sleep disorders in children with autism spectrum disorder (ASD). Prior trials have been limited by small sample sizes, single-center designs, and often a lack of sham controls. Objective: To examine the safety and efficacy of tPCS in improving social functioning and sleep disorders in children with ASD. Design, Setting, and Participants: This multicenter, double-blind, 2-armed, sham-controlled randomized clinical trial, conducted from May 1, 2022, through November 30, 2023, assessed children aged 3 to 14 years with ASD at 8 medical centers in China. Interventions: Participants underwent daily 20-minute sessions of active tPCS (0.7 mA) or sham tPCS (brief 0.7 mA ramp-up and ramp-down) for 20 sessions over 4 weeks with anode over the right cerebellar hemisphere and cathode over the left dorsolateral prefrontal cortex (12.56-cm2-circular, 4-cm-diameter circular electrodes). Each day after tPCS, all participants received 1 hour of standard therapy. Main Outcomes and Measures: Social functioning was assessed using the Autism Treatment Evaluation Checklist as the primary outcome. Secondary outcomes included the Autism Behavior Checklist and the Childhood Sleep Habits Questionnaire. Results: A total of 312 participants (155 in the active group and 157 in the sham group; 248 [79.5%] boys; mean [SD] age, 5.1 [1.6] years; 276 [88.5%] aged 3-6 years and 36 [11.5%] aged 7-14 years) completed the trial. After 20 sessions, the mean Autism Treatment Evaluation Checklist total score improved by 4.13 points (5.8%) in the sham tPCS group and 7.17 points (10.7%) in the active tPCS group. Analysis of covariance showed significantly greater improvement in the active tPCS group (difference, -3.50; 95% CI, -5.56 to -1.43; P < .001). Both treatments were well tolerated. Conclusions and Relevance: In this randomized clinical trial of prefrontal-cerebellar tPCS in children aged 3 to 14 years with ASD, 20 sessions over 4 weeks improved social functioning and sleep. These findings suggest that tPCS may serve as a viable nonpharmacologic alternative for ASD. Trial Registration: Chinese Clinical Trial Registry Identifier: ChiCTR2200059118.

Indexed as

Autism Spectrum DisorderSleep Wake DisordersSocial BehaviorTranscranial Direct Current StimulationAdolescentChildChild, PreschoolChinaDouble-Blind MethodFemaleHumansMaleTreatment Outcome

Identifiers

PMID40257798
PMCPMC12013354

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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.