Evidence map›Paper›PMID 40871767›Full record

ArticleSensors (Basel, Switzerland)2025

Combined Effect of tDCS and GRASP for Upper Limb Rehabilitation in Stroke: A Clinical and Accelerometric Pilot Study.

Erica Grange, Rachele Di Giovanni, Fabio Giuseppe Masuccio, Virginia Tipa, Luca Dileo, Alessandra Bordino, Micaela Porta, Bruno Leban, Martina Rolla, Massimiliano Pau and 1 more

Abstract read
In one paragraph

Article in Sensors (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

1 citing paper in PubMed.

  1. Article
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

11 authors.

Erica GrangeScientific Research Area, Italian Multiple Sclerosis Foundation (FISM), 16149 Genova, Italy.ORCID 0000-0001-5114-9276
Rachele Di GiovanniCentro di Recupero eRieducazione Funzionale "Monsignor Luigi Novarese", Loc Trompone, 13040 Moncrivello, Italy.ORCID 0000-0003-4723-9302
Fabio Giuseppe MasuccioCentro di Recupero eRieducazione Funzionale "Monsignor Luigi Novarese", Loc Trompone, 13040 Moncrivello, Italy.
Virginia TipaStruttura Complessa di Medicina Fisica e Riabilitativa, Dipartimento Medico Generale e Riabilitativo, Azienda Sanitaria Locale Cuneo 1, 12045 Fossano, Italy.
Luca DileoCentro "S. Maria ai Colli-Presidio Ausiliatrice", Fondazione Don Gnocchi, 10133 Torino, Italy.
Alessandra BordinoA.S.P. Istituti Milanesi Martinitt e Stelline e Pio Albergo Trivulzio, via Antonio Tolomeo Trivulzio, 15, 20146 Milano, Italy.
Micaela PortaDepartment of Mechanical, Chemical and Materials Engineering, University of Cagliari, 09123 Cagliari, Italy.ORCID 0000-0003-3835-6507
Bruno LebanDepartment of Mechanical, Chemical and Materials Engineering, University of Cagliari, 09123 Cagliari, Italy.
Martina RollaCentro di Recupero eRieducazione Funzionale "Monsignor Luigi Novarese", Loc Trompone, 13040 Moncrivello, Italy.
Massimiliano PauDepartment of Mechanical, Chemical and Materials Engineering, University of Cagliari, 09123 Cagliari, Italy.ORCID 0000-0001-9835-3629
Claudio Marcello SolaroNeurology Unit, Galliera Hospital, 16149 Genova, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Upper limb (UL) impairment after stroke negatively influences stroke survivors' quality of life (QOL). This study aims to evaluate, through clinical assessment and accelerometric measures, the efficacy of anodal Transcranial Direct Current Stimulation (a-tDCS) combined with the Graded Repetitive Arm Supplementary Program (GRASP) in post-acute stroke UL rehabilitation. Subjects were enrolled if they were aged ≥18 years and had a first stroke diagnosis, UL motor impairment and adequate trunk control. The subjects underwent combined administration of intensive a-tDCS and GRASP (15 sessions/30 min each). Before and after treatment, a subgroup of subjects was evaluated through wearable accelerometers. A total of 30 subjects were included in this study (mean age 68.34 ± 14.08 years; 19 males/11 females). Medical Research Council (MRC), Hand Grip Strength (HGS), Nine-Hole Peg Test (9HPT), Box and Block Test (BBT) and Fugl-Meyer Assessment-Upper Extremity (FMA-UE) scores significantly improved after treatment. The accelerometric-derived measurements all revealed a significant increase in the affected UL activity as indicated by the Vector Magnitude value. No side effects were reported. In conclusion, an intensive a-tDCS and GRASP application proved to be effective and safe in UL rehabilitation after stroke. The association of accelerometric monitoring might be of paramount importance for the evaluation of UL recovery.

Indexed as

Stroke RehabilitationTranscranial Direct Current StimulationUpper ExtremityAccelerometryAgedAged, 80 and overFemaleHumansMaleMiddle AgedPilot ProjectsTreatment OutcomeaccelerometryGRASPrehabilitationstroketDCSupper limb

Identifiers

PMID40871767
PMCPMC12389919

What OpenQuestion holds

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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.