Evidence map›Paper›PMID 41562118›Full record

ArticlePain reports2026

No significant modulation of pressure pain sensitivity and cardioception after transauricular vagal nerve stimulation.

Laura Moniek Ronda De Herde, Ken Steffen Frahm, Claus Graff, Thomas Dos Santos Nielsen, Thomas Graven-Nielsen, Hartwig Roman Siebner, Daniel Ciampi de Andrade

Abstract read
In one paragraph

Article in Pain reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Laura Moniek Ronda De HerdeCenter for Neuroplasticity and Pain (CNAP), Department of Health Science and Technology, Faculty of Medicine, Aalborg University, Aalborg, Denmark.ORCID https://orcid.org/0009-0001-4855-1667
Ken Steffen FrahmCenter for Neuroplasticity and Pain (CNAP), Department of Health Science and Technology, Faculty of Medicine, Aalborg University, Aalborg, Denmark.
Claus GraffDepartment of Health Science and Technology, Faculty of Medicine, Aalborg University, Aalborg, Denmark.
Thomas Dos Santos NielsenCenter for Neuroplasticity and Pain (CNAP), Department of Health Science and Technology, Faculty of Medicine, Aalborg University, Aalborg, Denmark.
Thomas Graven-NielsenCenter for Neuroplasticity and Pain (CNAP), Department of Health Science and Technology, Faculty of Medicine, Aalborg University, Aalborg, Denmark.ORCID https://orcid.org/0000-0002-7787-4860
Hartwig Roman SiebnerDanish Research Centre for Magnetic Resonance, Centre for Functional and Diagnostic Imaging and Research, Copenhagen University Hospital-Amager and Hvidovre, Copenhagen, Denmark.
Daniel Ciampi de AndradeCenter for Neuroplasticity and Pain (CNAP), Department of Health Science and Technology, Faculty of Medicine, Aalborg University, Aalborg, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Transauricular vagal nerve stimulation (taVNS) is gaining interest as a chronic pain treatment due to its convergence with nociceptive pathways. Although pain-modulation by taVNS has been demonstrated, this research often lacks the use of active control or does not simultaneously explore effects on associated interoceptive pathways or vagal activation. Objectives: This double-blind, active-controlled, cross-over study aimed to corroborate the pain-modulating effect of taVNS whilst further investigating cardioception and vagal-activation markers. Methods: Thirty healthy individuals underwent 20 minutes of continuous 25-Hz electrical stimulation of the left concha cymba (taVNS) or earlobe (active control). Stimulation intensity was individually adjusted at two-thirds between perception and suprapain thresholds. Assessments were obtained before, immediately after, and 30 minutes after stimulation. These included pressure pain sensitivity measures including, pressure pain perception, detection, tolerance thresholds and conditioned pain modulation (CPM) as well as heart rate variability (HRV), pupillometry and cardioception measures. Results: Although stimulation intensities were higher for control stimulation than taVNS ( Conclusion: Although the findings offer partial support for the proposed vagal mechanism of taVNS, they highlight the limited understanding of which parameters and when stimulation exerts effects.

Indexed as

CardioceptionHeart rate variabilityPressure pain sensitivityPupillometryTransauricular vagal nerve stimulation

Identifiers

PMID41562118
PMCPMC12815542

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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.