Evidence map›Paper›PMID 41093337›Full record

ArticleBMJ open2025

Efficacy of non-invasive brain stimulation combined with constraint-induced movement therapy on upper extremity function in patients who had a stroke: protocol for a systematic review and meta-analysis of randomised controlled trials.

Chaoran Gao, Han Zhang, Kang He, Li Zhang, Liuxia Wu, Qiang Gao

Abstract read
In one paragraph

Article in BMJ open, 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. 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.

Chaoran Gao *Department of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, People's Republic of China.ORCID http://orcid.org/0009-0006-4463-0364
Han Zhang *Department of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, People's Republic of China.
Kang HeDepartment of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, People's Republic of China.
Li ZhangDepartment of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, People's Republic of China.
Liuxia WuDepartment of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, People's Republic of China.
Qiang GaoDepartment of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, People's Republic of China gaoqiang_hxkf@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionStroke remains a leading cause of death and long-term disability worldwide, with the majority of survivors experiencing functional impairments, particularly affecting the upper extremities (UEs). Although clinically widespread rehabilitation methods, such as physical and occupational therapy, provide some benefits, their efficacy in restoring UE function is often limited. Constraint-induced movement therapy (CIMT) is widely recognised as one of the most effective physical therapy interventions for improving motor outcomes in the paretic UE. Meanwhile, non-invasive brain stimulation (NIBS) has demonstrated promising results in facilitating neuroplasticity and enhancing UE recovery. The combination of NIBS and CIMT (NIBS-CIMT) may offer synergistic benefits, further promoting functional improvements. This meta-analysis aims to evaluate the efficacy of NIBS-CIMT in enhancing UE function in patients who had a stroke based on evidence from randomised controlled trials (RCTs).

methodsPublished RCTs will be included if the experimental group received NIBS-CIMT in adult patients who had a stroke. Five electronic databases-Cochrane Library, Scopus, PubMed, Web of Science and Embase-will be systematically searched from inception to June 2025. The outcome of interest is UE motor recovery. A comprehensive search of grey literature will also be conducted. Two independent reviewers will perform study selection, data extraction and quality assessment. The risk of bias will be evaluated using the Cochrane Collaboration's Risk of Bias tool. The quality of evidence will be assessed according to the Grading of Recommendations Assessment, Development and Evaluation framework. ETHICS AND DISSEMINATION: Ethical approval is not required for this study, as it involves the review of previously published data. The findings will be submitted to a peer-reviewed journal for publication, aiming to provide clinically relevant evidence to support decision-making by healthcare professionals and guideline developers in the management of UE rehabilitation for adult patients who had a stroke. PROSPERO REGISTRATION NUMBER: CRD420251083201.

Indexed as

StrokeStroke RehabilitationTranscranial Direct Current StimulationTranscranial Magnetic StimulationUpper ExtremityHumansMeta-Analysis as TopicRandomized Controlled Trials as TopicRecovery of FunctionResearch DesignSystematic Reviews as TopicNeurologyREHABILITATION MEDICINEStroke

Identifiers

PMID41093337
PMCPMC12530377

What OpenQuestion holds

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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.