Evidence map›Paper›PMID 41159198›Full record

ArticleFrontiers in neurology2025

Efficacy of repetitive transcranial magnetic stimulation for consciousness recovery in children with disorders of consciousness following traumatic brain injury.

Nan Zheng, Zhuo Zou, Wenjuan Wang, Fangling Dong, Xuemei He, Jian Ren, Xiaoyan Liu, Yangping Zhang, Zhongjian Su

Abstract read
In one paragraph

Article in Frontiers in neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  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

9 authors.

Nan Zheng *Department of Rehabilitation, Kunming Children's Hospital, Kunming Medical University, Kunming, Yunnan, China.
Zhuo Zou *Department of Rehabilitation, Kunming Children's Hospital, Kunming Medical University, Kunming, Yunnan, China.
Wenjuan WangDepartment of Rehabilitation, Kunming Children's Hospital, Kunming Medical University, Kunming, Yunnan, China.
Fangling DongDepartment of Pediatric Intensive Care Unit, Kunming Children's Hospital, Kunming Medical University, Kunming, Yunnan, China.
Xuemei HeDepartment of Rehabilitation, Kunming Children's Hospital, Kunming Medical University, Kunming, Yunnan, China.
Jian RenDepartment of Rehabilitation, Kunming Children's Hospital, Kunming Medical University, Kunming, Yunnan, China.
Xiaoyan LiuDepartment of Rehabilitation, Kunming Children's Hospital, Kunming Medical University, Kunming, Yunnan, China.
Yangping ZhangDepartment of Rehabilitation, Kunming Children's Hospital, Kunming Medical University, Kunming, Yunnan, China.
Zhongjian SuDepartment of Cardiology, Kunming Children's Hospital, Kunming Medical University, Kunming, Yunnan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To evaluate the efficacy of 5 Hz repetitive transcranial magnetic stimulation (rTMS) over the left dorsolateral prefrontal cortex (left DLPFC) for consciousness recovery in children with disorders of consciousness (DOC) following traumatic brain injury (TBI). Methods: This randomized controlled trial included 98 pediatric patients aged ≥2 years with DOC after TBI, admitted to Kunming Children's Hospital from January 2023 to July 2025. Patients were randomly divided into an experimental group ( Results: After 3 weeks of intervention, the experimental group demonstrated statistically significant improvements compared to both baseline status and the control group ( Conclusion: This study provided the first clinical evidence that the combined application of 5 Hz rTMS targeting the left DLPFC is a safe and effective intervention for promoting the recovery of consciousness in children with DOC following TBI. Significant improvements in behavioral scales (CRS-R, GCS) and reduced levels of the neurological injury marker (serum NSE) suggest that this protocol exerts dual effects of promoting arousal and neuroprotection. This novel treatment approach, designed based on the characteristics of pediatric neurological development, offers a promising non-invasive neuromodulation strategy for this challenging patient population, filling a critical evidence gap in this field.

Indexed as

dorsolateral prefrontal cortexhigh-frequency repetitive transcranial magnetic stimulationimperiods of consciousnessneurorehabilitationpediatricsrepetitive transcranial magnetic stimulation (rTMS)restored consciousnesstraumatic brain injury (TBI)

Identifiers

PMID41159198
PMCPMC12554438

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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.