Evidence map›Paper›PMID 40839615›Full record

Trial reportPloS one2025

Effects of transcranial direct current stimulation using a commercially available device on gait in Parkinson's disease with freezing of gait.

Atsushi Umemura, Kazunori Sato, Hirokazu Iwamuro, Saki Uchiyama, Naotake Yanagisawa, Akihide Kondo, Nobutaka Hattori

Abstract readClinical Trial
In one paragraph

Trial report in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Atsushi UmemuraDepartment of Neurosurgery, Juntendo University Graduate School of Medicine, Tokyo, Japan.ORCID https://orcid.org/0000-0003-3229-4691
Kazunori SatoDepartment of Rehabilitation Medicine, Juntendo University Hospital, Tokyo, Japan.
Hirokazu IwamuroDepartment of Neurosurgery, Juntendo University Graduate School of Medicine, Tokyo, Japan.ORCID https://orcid.org/0000-0002-9970-6331
Saki UchiyamaMedical Technology Innovation Center, Clinical Research and Trial Center, Juntendo University, Tokyo, Japan.
Naotake YanagisawaMedical Technology Innovation Center, Clinical Research and Trial Center, Juntendo University, Tokyo, Japan.
Akihide KondoDepartment of Neurosurgery, Juntendo University Graduate School of Medicine, Tokyo, Japan.
Nobutaka HattoriDepartment of Research and Therapeutics for Movement Disorders, Juntendo University Graduate School of Medicine, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGait disturbance is one of the most disabling symptoms in patients with Parkinson's disease (PD). In particular, freezing of gait (FOG) is a major cause of falls and significantly impairs the activities of daily living. Neither drug therapy nor current neuromodulation therapy are effective against FOG in most patients, so the development of new treatments is needed. MATERIALS AND

methodsThis pilot study investigated the effects and safety of neuromodulation by single session anodal transcranial direct current stimulation (tDCS) to the cerebral cortex (supplementary motor area [SMA] or primary motor cortex [M1]) on gait in PD patients with FOG. We purposely used a commercially available tDCS device (Halo Sport 2; Halo Neuroscience, San Francisco, CA, USA) that patients can use themselves. This single arm, open label, sham-controlled study enrolled 20 advanced PD patients who complained of FOG.

resultsAnalysis of the 30-second walking distance, which was the primary endpoint, and the 10-m natural walking and 360-degree rotation tests showed that neither SMA nor M1 stimulation had a superior effect compared to sham stimulation. On the other hand, only SMA stimulation showed a significant improvement in the required time and the number of steps in the Timed Up and Go test compared to sham stimulation (p < 0.05).

conclusionsThese results suggest that tDCS to the SMA using a commercially available device may improve the actual walking ability of PD patients with FOG.

Indexed as

GaitGait Disorders, NeurologicParkinson DiseaseTranscranial Direct Current StimulationAgedFemaleHumansMaleMiddle AgedMotor CortexPilot ProjectsTreatment OutcomeWalking

Identifiers

PMID40839615
PMCPMC12370039

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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.