Evidence map›Paper›PMID 41779498›Full record

SynthesisCoDAS2026

Effects of Transcranial Direct Current Stimulation on Speech and Voice Changes in Parkinson's Disease: a Systematic Review with Meta-Analysis.

Renata Serrano de Andrade Pinheiro, Hercílio Barbosa da Silva Júnior, Bruno Braga Guimarães, Ivonaldo Leidson Barbosa Lima, Rafael Nóbrega Bandeira, Nelson Torro Alves

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in CoDAS, 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

6 authors.

Renata Serrano de Andrade PinheiroPrograma de Pós-graduação em Neurociências Cognitiva e Comportamento - PpgNeC, Departamento de Psicologia, Universidade Federal da Paraíba - UFPB - João Pessoa (PB), Brasil.ORCID http://orcid.org/0000-0002-6089-3934
Hercílio Barbosa da Silva JúniorDepartamento de Pesquisa do Neuronus, Instituto Transdisciplinar de Ensino e Pesquisa sobre o Cérebro - Goiânia (GO), Brasil.ORCID http://orcid.org/0000-0003-1873-4865
Bruno Braga GuimarãesDepartamento de Pesquisa do Neuronus, Instituto Transdisciplinar de Ensino e Pesquisa sobre o Cérebro - Goiânia (GO), Brasil.ORCID http://orcid.org/0009-0003-7881-6878
Ivonaldo Leidson Barbosa LimaDepartamento de Fonoaudiologia, Universidade Federal do Rio Grande do Norte - UFRN, Natal (RN), Brasil.ORCID http://orcid.org/0000-0003-1716-1575
Rafael Nóbrega BandeiraDepartamento de Fonoaudiologia, Universidade Federal da Paraíba - UFPB - João Pessoa (PB), Brasil.ORCID http://orcid.org/0000-0002-5380-5035
Nelson Torro AlvesPrograma de Pós-graduação em Neurociências Cognitiva e Comportamento - PpgNeC, Departamento de Psicologia, Universidade Federal da Paraíba - UFPB - João Pessoa (PB), Brasil.ORCID http://orcid.org/0000-0003-3678-5762

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis meta-analysis aims to evaluate the existing evidence on the effects of tDCS on speech and voice alterations in patients with PD. SEARCH STRATEGIES: PubMed, LILACS, EMBASE, Cochrane Central Register of Controlled Trials, Science Direct, Web of Science, Scopus, and gray literature searches: Google Scholar and Open Grey. The search included the descriptors: "Parkinson Disease, Transcranial Direct Current Stimulation, Voice, Speech" combined with AND and OR. SELECTION CRITERIA: Patients with Parkinson's Disease, both sexes. Use of Transcranial Direct Current Stimulation (tDCS) to treat voice and speech parameters in patients with Parkinson's Disease. DATA ANALYSIS: A total of 1,345 articles were included, 14 articles in the systematic review and 6 articles in the meta-analysis. The risk of bias and level of evidence were assessed using REVIEW MANAGER 5.4.1 and GRADE software.

resultsThe results showed an overall effect size of tDCS of Z=0.89 (P=0.37). Studies targeting the prefrontal cortex (PFC) showed a larger effect size of 1.38 (P=0.17), thus demonstrating a greater impact on speech and voice outcomes with the use of tDCS for PD. Three studies presented a low risk of bias, and three studies presented an unclear risk.

conclusionDespite the small number of studies, the findings of this meta-analysis suggest the potential applicability of tDCS as an adjunctive tool in the treatment of voice and speech disorders in patients with PD.

Indexed as

Parkinson DiseaseSpeech DisordersTranscranial Direct Current StimulationVoice DisordersHumansTreatment Outcome

Identifiers

PMID41779498
PMCPMC12978332

What OpenQuestion holds

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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.