Evidence map›Paper›PMID 41214733›Full record

Trial reportJournal of neuroengineering and rehabilitation2025

Transcranial magnetic stimulation regulates brain functional network dynamics in stroke patients: a randomised controlled trial.

Xiaoying Liu, Xiaoyang Wang, Xiaoyun Zhuang, Shuting Qiu, Yuting Tang, Yin Qin

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of neuroengineering and rehabilitation, 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. 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

6 authors.

Xiaoying Liu *Department of Rehabilitation Medicine, 900th Hospital of PLA Joint Logistic Support Force, Fuzhou, 350025, Fujian, China.
Xiaoyang Wang *Department of Fujian Key Laboratory of Functional Imaging, Department of Radiology, 900th Hospital of PLA Joint Logistic Support Force, Fuzhou, 350025, Fujian, China.
Xiaoyun ZhuangDepartment of Rehabilitation Medicine, 900th Hospital of PLA Joint Logistic Support Force, Fuzhou, 350025, Fujian, China.
Shuting QiuDepartment of Rehabilitation Medicine, 900th Hospital of PLA Joint Logistic Support Force, Fuzhou, 350025, Fujian, China.
Yuting TangDepartment of Rehabilitation Medicine, 900th Hospital of PLA Joint Logistic Support Force, Fuzhou, 350025, Fujian, China.
Yin QinDepartment of Rehabilitation Medicine, 900th Hospital of PLA Joint Logistic Support Force, Fuzhou, 350025, Fujian, China. baby792305220@163.com.

Funding

the Natural Science Foundation of Fujian 2024Y0048
6 · The paper itself

Abstract

backgroundRepetitive transcranial magnetic stimulation (rTMS) is an effective treatment for stroke patients, but its underlying neural mechanisms remain largely unknown. This study aimed to investigate changes in brain functional connectome dynamics in stroke patients whose were treated with rTMS as well as to explore their relationship with treatment outcomes.

methodsSixty-four stroke patients were randomly divided into rTMS (n = 34) or no-rTMS (n = 30) groups. Resting-state functional MRI data and clinical behavioral variables were collected before and after intervention. A multi-layer network model was used to quantify functional network switching rate, followed by performance of comparison and correlation analyses to examine group differences in the treatment-induced changes in the network dynamics as well as their relation to clinical improvement. Moreover, multivariate linear regression analyses were pursued to test whether the functional connectome dynamic changes could predict rTMS treatment outcome.

resultsNetwork switching rate changes in the rTMS group were greater than those in the no-rTMS group. Specifically, at the whole-brain level, the rTMS group had a higher network switching rate change than no-rTMS group (p = 0.014); at the sub-network level, the network switching rate changes of the sensorimotor, default-mode, and fronto-parietal networks in the rTMS group were higher than those of the no-rTMS group (p < 0.05); and at the nodal level, the rTMS group had higher network switching rate changes than the no-rTMS group in the prefrontal cortex, cingulate gyrus, and inferior parietal lobule (p < 0.05), but the network switching rate change of the precentral gyrus in the rTMS group was lower than that in the no-rTMS group (p = 0.038). Additionally, network switching rate change in the subparietal lobule was positively correlated with the improvement degree of motor function in the rTMS group (p = 0.016). Moreover, Multivariate linear regression analyses showed that baseline connectome dynamics could predict symptom improvement in the rTMS group to a certain extent.

conclusionsOur findings may improve the understanding of the neural mechanism of rTMS treatment for stroke from the perspective of network dynamics, and may have clinical implications for offering potential predictor for monitoring rTMS treatment efficacy in stroke patients to some extent. Trial registration This trial was registered at https://www.chictr.org.cn/ (ChiCTR1800019452).

Indexed as

BrainNerve NetStrokeStroke RehabilitationTranscranial Magnetic StimulationAgedConnectomeFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedTreatment OutcomeMulti-layer networkNetwork dynamicsNetwork switching rateRepetitive transcranial magnetic stimulationStroke

Identifiers

PMID41214733
PMCPMC12599113

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.