Evidence map›Paper›PMID 41543462›Full record

Trial reportNeuromodulation : journal of the International Neuromodulation Society2026

Transcutaneous Auricular Neurostimulation Modulates Pain Perception in Survivors of Stroke With Chronic Upper-Extremity Pain: A Randomized, Sham-Controlled Pilot Study.

Xiaolong Peng, Stewart S Cox, Brenna Baker-Vogel, Fisayo Omonije, Katherine Tucker, Bailey Huttig, Falon Sutton, Nicole Cash, Marion Wood, Steven A Kautz and 2 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Neuromodulation : journal of the International Neuromodulation Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06456385 (Investigate the Anti-pain Effect of Transcutaneous Auricular Vagus Nerve Stimulation), which is not on this 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.

NCT06456385 nacompletednot on this map

Investigate the Anti-pain Effect of Transcutaneous Auricular Vagus Nerve Stimulation (taVNS) in Patients With Chronic Post-stroke Upper Extremity Pain

TypeinterventionalSponsorMedical University of South CarolinaRan2024 to 2024Enrolled15ConditionsStroke, PainArmsTranscutaneous Auricular Vagus Nerve Stimulation (taVNS), Sham Auricular Stimulation
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

12 authors.

Xiaolong PengDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA. Electronic address: pengxi@musc.edu.
Stewart S CoxDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.
Brenna Baker-VogelDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.
Fisayo OmonijeDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.
Katherine TuckerDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.
Bailey HuttigDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.
Falon SuttonDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.
Nicole CashDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.
Marion WoodDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.
Steven A KautzRalph H. Johnson VA Medical Center, Charleston, SC, USA; Department of Health Sciences and Research, College of Health Professions, Medical University of South Carolina, Charleston, SC, USA; Division of Physical Therapy, Department of Rehabilitation Sciences, College of Health Professions, Medical University of South Carolina, Charleston, SC, USA.
Bashar W BadranDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.
Jeffrey J BorckardtDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA; Ralph H. Johnson VA Medical Center, Charleston, SC, USA.

Funding

Understanding the Mechanistic, Neurophysiological, and Antinociceptive Effects of Transcutaneous Auricular Neurostimulation for Treatment of Chronic PainRM1NS128787 · NINDS · UNIVERSITY OF TEXAS MED BR GALVESTON · PI Jeffrey J Borckardt, Kathryn A. Cunningham · 2022 to 2026
$8.9M
Quantitative Behavioral Assessment & Rehabilitation Core (QBAR)P30GM154630 · NIGMS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI STEVEN A. KAUTZ · 2024 to 2026
$4.4M
NIGMS NIH HHS P30 GM154630NINDS NIH HHS RM1 NS128787
6 · The paper itself

Abstract

backgroundChronic pain is a common and debilitating consequence of stroke. Although pharmacologic interventions are typically the first-line treatment, they often have limited efficacy and carry risks such as side effects and dependence. Evidence for neuromodulation therapies is positive but limited owing to high cost and invasiveness. Therefore, developing noninvasive, affordable neuromodulation approaches for treating poststroke pain could offer significant clinical benefits. Transcutaneous auricular neurostimulation (tAN), an affordable and wearable neuromodulation technique, has shown promise for analgesia, but research specific to poststroke pain remains limited.

objectivesThis pilot study aims to explore the safety/feasibility, in addition to the analgesic effects, of tAN in patients with stroke with chronic upper-extremity pain. MATERIALS AND

methodsOverall, 15 patients with stroke with chronic upper-extremity pain were enrolled. Each participant received a single 30-minute session of tAN (active or sham). Subjective stroke-related pain ratings and thermal pain thresholds (through quantitative sensory testing; QST) were collected immediately before and after the 30-minute tAN session. Repeated-measures two-way analyses of variance were performed with group (sham vs active tAN) and time (pre- vs post-tAN) as factors to evaluate the potential analgesic effects of tAN on both pain measures.

resultsQST pain threshold analysis in the 14 patients who completed the study revealed a significant time × group interaction [F(1,12) = 7.658, p = 0.017]. Post hoc analysis indicated a potentiation in pain threshold after active stimulation (p = 0.032), whereas no change was observed in the sham group.

conclusionsThis pilot study showed that tAN is safe and feasible for patients with chronic poststroke pain. Although subjective pain scores improved in both groups, pain threshold increased significantly in the active group compared with the sham. Future studies should aim to assess long-term efficacy and optimized parameters, dosing, and treatment duration of tAN for this clinical population to aid in poststroke pain. CLINICAL

trial registrationThe Clinicaltrials.gov registration number for the study is NCT06456385.

Indexed as

Chronic PainPain PerceptionStrokeTranscutaneous Electric Nerve StimulationUpper ExtremityAdultAgedFemaleHumansMaleMiddle AgedPain MeasurementPain ThresholdPilot ProjectsTreatment OutcomeChronic painneuromodulationQSTstrokeTan

Identifiers

PMID41543462
PMCPMC13371169

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Registered trials

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.