Evidence map›Paper›PMID 41815098›Full record

ArticleFrontiers in human neuroscience2026

Exploring cortical excitability modulation to promote cognitive resilience in aging: an rTMS study protocol.

Chiara Di Fazio, Eugenio Scaliti, Mario Stanziano, Anna Nigri, Greta Demichelis, Marco Tamietto, Sara Palermo

Abstract read
In one paragraph

Article in Frontiers in human neuroscience, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
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  8. 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

7 authors.

Chiara Di Fazio *Department of Psychology, University of Turin, Turin, Italy.
Eugenio Scaliti *Human Science and Technologies, University of Turin, Torino, Italy.
Mario StanzianoNeuroradiology Unit, Diagnostic and Technology Department, Fondazione Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Istituto Neurologico Carlo Besta, Milan, Italy.
Anna NigriNeuroradiology Unit, Diagnostic and Technology Department, Fondazione Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Istituto Neurologico Carlo Besta, Milan, Italy.
Greta DemichelisNeuroradiology Unit, Diagnostic and Technology Department, Fondazione Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Istituto Neurologico Carlo Besta, Milan, Italy.
Marco TamiettoDepartment of Psychology, University of Turin, Turin, Italy.
Sara PalermoDepartment of Psychology, University of Turin, Turin, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Promoting cognitive resilience in aging is essential for preserving autonomy and quality of life. Non-invasive brain stimulation techniques, such as repetitive transcranial magnetic stimulation (rTMS), have shown promise in enhancing neuroplasticity and cognitive functioning in older adults. This study protocol outlines the methodological framework for an investigation designed to examine whether high-frequency rTMS applied over the left dorsolateral prefrontal cortex (DLPFC) can modulate cortical excitability (CE) and characterize changes in cognitive and emotional functioning in healthy older individuals. The protocol provides detailed descriptions of stimulation parameters, safety monitoring procedures, and assessment tools. Cortical excitability will be measured using transcranial magnetic stimulation-derived motor-evoked potentials (MEPs), while cognitive and emotional outcomes will be assessed with a comprehensive neuropsychological battery. A preliminary feasibility phase with four participants was conducted to refine procedures and assess tolerability, safety, and data acquisition reliability. The study aims to determine the feasibility and signal characterization of cortical excitability modulation within a crossover framework and to explore the potential relationship between CE modulation and behavioral outcomes. Observations from this pilot phase will inform procedural refinement and the design of a larger ongoing trial.

Indexed as

brain agingcognitive resiliencecortical excitabilitydorsolateral prefrontal cortexhigh-frequency repetitive TMSneuroplasticityquality of liferepetitive transcranial magnetic stimulation

Identifiers

PMID41815098
PMCPMC12971981

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.