Evidence map›Paper›PMID 41695702›Full record

SynthesisPeerJ2026

Systematic reviews of low-frequency repetitive transcranial magnetic stimulation on cognition and epileptiform discharge in patients with epilepsy.

Simin Xu, Shufan Li, Fen Yu, Chen Wei, Feng Ding, Xing Wang, Shihang Lin

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in PeerJ, 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.

Simin XuSchool of Physical Education, Shanghai University of Sport, Shanghai, China.
Shufan LiSchool of Physical Education, Shanghai University of Sport, Shanghai, China.
Fen YuSchool of Physical Education, Shanghai University of Sport, Shanghai, China.
Chen WeiCollege of Sports Science, Shenyang Normal University, Shenyang, China.
Feng DingSchool of Physical Education, Shanghai University of Sport, Shanghai, China.
Xing WangSchool of Physical Education, Shanghai University of Sport, Shanghai, China.
Shihang LinSchool of Physical Education, Shanghai University of Sport, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: This systematic review investigates the efficacy of low-frequency repetitive transcranial magnetic stimulation (LF-rTMS) in improving cognitive function and reducing epileptiform discharges in patients with epilepsy. It further examines whether patient age moderates the treatment effect. Additionally, the review evaluates whether intervention parameters, including duration, frequency, session time, and stimulation site, positively influence the improvement of cognition and epileptiform discharges. Methods: Seven databases were searched: Embase, Web of Science, PubMed, The Cochrane Library, Wanfang, VIP, and China National Knowledge Infrastructure. The search period was from database inception to September 2025. Two researchers independently screened the literature to identify randomized controlled trials (RCTs) that investigated the effects of TMS on cognition in patients with epilepsy. Quality assessment was performed using PEDro, and Meta-analysis and publication bias were tested using RevMan 5.4.1 and Stata 17.0, respectively. The quality of evidence for outcome indicators was evaluated using GRADEPro software. The standardized mean difference (SMD) and 95% CI were used as effect size statistics. Results: This meta-analysis included 12 randomized controlled trials ( Conclusion: The included studies (average PEDro = 6.3) had moderate quality, limited by incomplete blinding/allocation reporting. Heterogeneity stemmed from intervention parameters (site, duration, frequency, medications). No significant publication bias was observed. Evidence quality was high for cognition and moderate for epileptiform discharge. LF-rTMS effectively improves both outcomes, influenced by treatment protocols, supporting its clinical use in the management and treatment of epilepsy. Other: This study has been registered on PROSPERO No. CRD42024593502. Registration Platform: www.crd.york.ac.uk.

Indexed as

CognitionEpilepsyTranscranial Magnetic StimulationCognitive EnhancementHumansRandomized Controlled Trials as TopicTreatment OutcomeCognitive functionEpilepsyEpileptiform dischargeLow-frequency repetitive transcranial magnetic stimulationSystematic reviews

Identifiers

PMID41695702
PMCPMC12897352

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.