Evidence map›Paper›PMID 40478794›Full record

ArticlePloS one2025

Behavioral and Neural correlates of Post-STROKE Fatigue: A randomized controlled trial protocol.

Kuan-Chun Liao, Isabelle Christian, Jill Stewart, Elaine Trudelle-Jackson, Wanyi Wang, Ty Shang, Hui-Ting Goh

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06088914 (Behavioral and Neural Correlates of Post-Stroke Fatigue), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT06088914 naactive not recruitingnot on this map

Behavioral and Neural Correlates of Post-Stroke Fatigue

TypeinterventionalSponsorTexas Woman's UniversityRan2023 to 2027Enrolled32ConditionsStroke, FatigueArmsAnodal transcranial direct current stimulation, Sham transcranial direct current stimulation
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Neuroimmune Mechanisms and Emerging Intervention Strategies for Post-Stroke Fatigue: A Narrative Review.Medical science monitor : international medical journal of experimental and clinical research · 2026
    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

7 authors.

Kuan-Chun LiaoSchool of Physical Therapy, Texas Woman's University, Dallas, Texas, United States of America.
Isabelle ChristianSchool of Physical Therapy, Texas Woman's University, Dallas, Texas, United States of America.
Jill StewartPhysical Therapy Program, Department of Exercise Science, University of South Carolina, Columbus, South Carolina, United States of America.
Elaine Trudelle-JacksonSchool of Physical Therapy, Texas Woman's University, Dallas, Texas, United States of America.
Wanyi WangCenter for Research Design and Analysis, Texas Woman's University, Houston, Texas, United States of America.
Ty ShangDepartment of Neurology, University of Texas Southwestern Medical Center, Dallas, Texas, United States of America.
Hui-Ting GohSchool of Physical Therapy, Texas Woman's University, Dallas, Texas, United States of America.ORCID https://orcid.org/0000-0001-9460-9869

Funding

Behavioral and Neural Correlates of Post-Stroke FatigueR15HD109737 · NICHD · TEXAS WOMAN'S UNIVERSITY · PI GOH, HUI-TING · 2023 to 2023
$373k
NICHD NIH HHS R15 HD109737
6 · The paper itself

Abstract

introductionPost-stroke fatigue (PSF) is highly prevalent and lacks of effective management. Recent evidence suggest the use of transcranial direct current stimulation (tDCS) to reduce PSF. However, the effect was not lasting and the working mechanisms was unclear. The purpose of this study is to determine the behavioral and neurophysiological effects of five daily sessions of tDCS on PSF. METHODS AND ANALYSIS: This will be a double-blind randomized controlled trial targeting an enrollment of 32 participants with subacute-chronic stroke and significant fatigue (average Fatigue Severity Scale (FSS) > 4). Participants will be equally randomized to either anodal tDCS or sham tDCS groups. The anodal tDCS group will receive 20 minutes of 2-mA anodal tDCS applied to the ipsilesional primary motor cortex (M1) for five consecutive days. The sham tDCS group will receive the same protocol except there will be no active current delivered. Outcome assessments will take place at baseline (prior to randomization), immediately after the intervention, and at one-month follow-up. The primary behavioral outcome will be the FSS and the primary neurophysiological outcome will be an input-output curve of motor cortex excitability derived using transcranial magnetic stimulation. Secondary behavioral outcomes will include Fatigue Scale for Motor and Cognitive Function, Visual Analog Scale-Fatigue, Borg Rating of Perceived Exertion, and Paas Mental Effort Rating Scale. Secondary neurophysiological outcome will be the functional connectivity of the fronto-striato-thalamic network acquired using resting state functional Magnetic Resonance Imaging (MRI). Repeated measure ANOVA or ANCOVA will be conducted for all outcomes to compare the change between groups. DISCUSSION: Little is known about effective treatments for PSF and the underlying mechanisms of PSF. tDCS is a promising tool to provide targeted intervention to reduce PSF symptoms. However, its lasting effect and working mechanism on PSF is elusive. The results of this clinical trial will offer critical information for PSF management and investigation.

trial registrationThis trial was registered in February 1 2024 with ClinicalTrials.gov under the registration number NCT06088914.

Indexed as

FatigueStrokeTranscranial Direct Current StimulationAdultAgedDouble-Blind MethodFemaleHumansMaleMiddle AgedMotor CortexRandomized Controlled Trials as TopicStroke Rehabilitation

Identifiers

PMID40478794
PMCPMC12143528

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.