Evidence map›Paper›PMID 41404468›Full record

SynthesisFrontiers in neurology2025

Non-invasive brain stimulation for the improvement of lower extremity motor function in patients with stroke: a systematic review and network meta-analysis.

Enliang Deng, Jiayu Li, Lang Zhang, Xin Zhou, Zhen Wu, Wuhua Xu, Dongmei Jin

Abstract readSystematic Review
In one paragraph

Synthesis 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, 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

7 authors.

Enliang DengGuangzhou Red Cross Hospital, Guangzhou, China.
Jiayu LiOncology Department, Shantou Central Hospital, Shantou, China.
Lang Zhang967 Hospital of the Joint Logistics Support Force, Dalian, Liaoning, China.
Xin ZhouThe Second Medical Center, Chinese PLA General Hospital, Beijing, China.
Zhen WuGuangzhou Red Cross Hospital, Guangzhou, China.
Wuhua XuGuangzhou Red Cross Hospital, Guangzhou, China.
Dongmei JinSun Yat-Sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To explore and compare the effectiveness of various non-invasive brain stimulations (NiBS) on poststroke lower extremity disorders. Methods: We searched for and gathered studies from Embase, PubMed, Web of Science, and Cochrane databases, with the most recent search carried out on 5 October 2024. All published studies meeting the eligibility criteria and investigating the effectiveness of NiBS in patients with poststroke lower limb disorders were included. A total of 29 studies involving 1,319 participants were reviewed. Two independent researchers extracted clinical characteristics and research data. Outcome measures included the Fugl-Meyer lower extremity scale, Barthel index, Berg balance scale (BBS), and timed up and go test. Standard pairwise meta-analysis results and treatment network geometry were generated using Stata MP version 15.0. Bayesian network analysis was conducted using R version 4.4.1 with the "BUGSnet" package. Conclusion: The meta-analysis shows that low-frequency repetitive transcranial magnetic stimulation (LF-rTMS) and rTMS + transcranial direct current stimulation (tDCS) are effective neurostimulation therapies for enhancing poststroke lower limb motor function. Probability rankings indicate that, among all NiBS interventions examined, rTMS + tDCS may be the most effective. In terms of body balance, intermittent theta burst stimulation (iTBS) and LF-rTMS improved poststroke balance, with iTBS possibly being the most effective. For activities of daily living, iTBS, LF-rTMS, and rTMS + tDCS demonstrated beneficial effects, with LF-rTMS potentially being the most effective among them.

Indexed as

lower limb and rehabilitationNIBS (non-invasive brain stimulation)rTMS (repetitive transcranial magnetic stimulation)stroke—diagnosistDCS

Identifiers

PMID41404468
PMCPMC12702769

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.