Evidence map›Paper›PMID 40274956›Full record

Trial reportScientific reports2025

Cognitive and neurophysiological effects of bilateral tDCS neuromodulation in patients with minimally conscious state.

Antonio Gangemi, Federica Impellizzeri, Rosa Angela Fabio, Rossella Suriano, Angela D'Arrigo, Carmela Rifici, Bruno Porcari, Angelo Quartarone, Rosaria De Luca, Rocco Salvatore Calabrò

Abstract 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. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Pooled it
  2. 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

10 authors.

Antonio Gangemi *IRCCS Centro Neurolesi Bonino Pulejo, 98124, Messina, Italy.
Federica Impellizzeri *IRCCS Centro Neurolesi Bonino Pulejo, 98124, Messina, Italy. federica.impellizzeri@irccsme.it.
Rosa Angela FabioDepartment of Biomedical, Dental and Morphological and Functional Imaging Sciences, University of Messina, 98100, Messina, Italy.
Rossella SurianoDepartment of Cognitive, Psychological and Pedagogical Sciences and Cultural Studies, University of Messina, 98100, Messina, Italy.
Angela D'ArrigoIRCCS Centro Neurolesi Bonino Pulejo, 98124, Messina, Italy.
Carmela RificiIRCCS Centro Neurolesi Bonino Pulejo, 98124, Messina, Italy.
Bruno PorcariIRCCS Centro Neurolesi Bonino Pulejo, 98124, Messina, Italy.
Angelo QuartaroneIRCCS Centro Neurolesi Bonino Pulejo, 98124, Messina, Italy.
Rosaria De LucaIRCCS Centro Neurolesi Bonino Pulejo, 98124, Messina, Italy.
Rocco Salvatore CalabròIRCCS Centro Neurolesi Bonino Pulejo, 98124, Messina, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The minimally conscious state (MCS) is a clinical condition characterized by severely reduced but present awareness of self and the environment. Transcranial direct current stimulation (tDCS) has shown promising potential. The aim of this quasi-randomised control study was to investigate the effects of bilateral of tDCS applied to the right and left dorsolateral prefrontal cortex (DLPFC) on neurophysiological and cognitive outcomes in 28 patients with MCS. Participants were quasi-randomly assigned to one of two groups: experimental group with tDCS over both DLPFC, and a control group, which received sham tDCS. Neurophysiological assessments included event-related potentials (ERPs) analysis (N200 and P300) and EEG beta band study. Clinical outcomes were measured using ad hoc psychometric battery, including Coma Recovery Scale-Revised (CRS-R), Levels of Cognitive Functioning Scale (LCFS), and Functional Independence Measure (FIM). The findings revealed a significant improvement in ERP latencies and increased beta band rhythms in the experimental group, indicating enhanced neural responsiveness to cognitive stimuli. Additionally, significant improvements were observed in clinical measures of awareness and functional capacity. These findings suggest that tDCS may represent a promising therapeutic option for enhancing both neurophysiological responses and cognitive functioning in patients with MCS.

Indexed as

CognitionPersistent Vegetative StateTranscranial Direct Current StimulationAdultAgedDorsolateral Prefrontal CortexElectroencephalographyEvoked PotentialsFemaleHumansMaleMiddle AgedTreatment Outcome

Identifiers

PMID40274956
PMCPMC12022346

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.