Evidence map›Paper›PMID 40615917›Full record

Trial reportBiomedical engineering online2025

Combined therapy with contralateral controlled functional electrical stimulation and transcranial direct current stimulation for early post-stroke hand dysfunction.

Zibo Liu, Lichun Wang, Mushao Hou, Sha Li, Hongli Zhang, Hongling Li

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Biomedical engineering online, 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

6 authors.

Zibo Liu *Department of Endocrinology, The Second Hospital of Hebei Medical University, Shijiazhuang, 050000, Hebei, China.
Lichun Wang *Department of Rehabilitation, Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine, Cangzhou, 061001, Hebei, China.
Mushao HouThe Second Department of Rehabilitation, The Second Hospital of Hebei Medical University, No.215 Heping West Road, Xinhua District, Shijiazhuang City, 050000, Hebei Province, China.
Sha LiThe Second Department of Rehabilitation, The Second Hospital of Hebei Medical University, No.215 Heping West Road, Xinhua District, Shijiazhuang City, 050000, Hebei Province, China.
Hongli ZhangDepartment of Rehabilitation, Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine, Cangzhou, 061001, Hebei, China.
Hongling LiThe Second Department of Rehabilitation, The Second Hospital of Hebei Medical University, No.215 Heping West Road, Xinhua District, Shijiazhuang City, 050000, Hebei Province, China. honglingli97@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo explore the clinical efficacy of contralateral controlled functional electrical stimulation (CCFES) combined with transcranial direct current stimulation (tDCS) in the treatment of patients with early post-stroke hand dysfunction.

methodsNinety patients with definitively diagnosed early post-stroke hand dysfunction were selected and divided into the control group (30 cases), experimental group 1 (EG1; 30 cases) and experimental group 2 (EG2; 30 cases) according to the random number table method. The control group received traditional therapy; experimental group 1 received tDCS in addition to standard care; experimental group 2 received both tDCS and CCFES in addition to standard treatments. Before and after treatment, all three groups were evaluated using the Fugl-Meyer assessment for upper extremity (FMA-UE), the functional test for the hemiplegic upper extremity-Hong Kong version (FTHUE-HK), the Modified Barthel Index (MBI), the Brunnstrom stages of hand, the Motor Assessment Scale (MAS) and surface electromyography (sEMG).

resultsBefore treatment, there were no significant differences in baseline characteristics among the three groups (P > 0.05). After treatment, significant improvements were observed in FMA-UE score, FTHUE-HK grading, MBI score, Brunnstrom hand staging, MAS score and sEMG compared with pre-treatment values (P < 0.05). Specifically, EG1 showed greater improvements than the control group (P < 0.05), whereas EG2 demonstrated better outcomes than both EG1 and the control group (P < 0.05).

conclusionsContralateral controlled functional electrical stimulation combined with tDCS substantially improves hand function in patients with early stage stroke, with better outcomes than tDCS therapy alone.

Indexed as

Electric Stimulation TherapyHandStrokeStroke RehabilitationTranscranial Direct Current StimulationAdultAgedCombined Modality TherapyFemaleHumansMaleMiddle AgedTreatment OutcomeContralateral controlled functional electrical stimulationEarly strokeHand dysfunctionTranscranial direct current stimulation

Identifiers

PMID40615917
PMCPMC12228401

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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.