Evidence map›Paper›PMID 41877266›Full record

ArticleTrials2026

Effects of combined cerebellar tACS-iTBS in individuals with ataxia (EtABeta): a crossover investigation.

Danny Adrian Spampinato, Valentina Pezzopane, Alex Martino Cinnera, Martina D'Arienzo, Diego Piatti, Matteo Ferraresi, Andrea Carolina Vinci, Vito Luigi Colona, Gessica Vasco, Maria Grazia Grasso and 3 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06420271 (Effects of Combined Transcranial Electrical and Magnetic Stimulation of Cerebellum on Balance Function in Ataxia Patients), which is not on this 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.

NCT06420271 narecruitingnot on this map

Effects of Combined Transcranial Electrical and Magnetic Stimulation of Cerebellum on Balance Function in Ataxia Patients

TypeinterventionalSponsorI.R.C.C.S. Fondazione Santa LuciaRan2025 to 2026Enrolled30ConditionsAtaxiaArmsReal (real iTBS/tACS + exergaming), Sham (sham iTBS/tACS + exergaming)
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

13 authors.

Danny Adrian SpampinatoScientific Institute for Research, Hospitalization and Health Care IRCCS Santa Lucia Foundation, Rome, Italy.
Valentina PezzopaneScientific Institute for Research, Hospitalization and Health Care IRCCS Santa Lucia Foundation, Rome, Italy.
Alex Martino CinneraScientific Institute for Research, Hospitalization and Health Care IRCCS Santa Lucia Foundation, Rome, Italy. a.martino@hsantalucia.it.ORCID http://orcid.org/0000-0001-7267-3253
Martina D'ArienzoScientific Institute for Research, Hospitalization and Health Care IRCCS Santa Lucia Foundation, Rome, Italy.
Diego PiattiScientific Institute for Research, Hospitalization and Health Care IRCCS Santa Lucia Foundation, Rome, Italy.
Matteo FerraresiScientific Institute for Research, Hospitalization and Health Care IRCCS Santa Lucia Foundation, Rome, Italy.
Andrea Carolina VinciScientific Institute for Research, Hospitalization and Health Care IRCCS Santa Lucia Foundation, Rome, Italy.
Vito Luigi ColonaResearch Unit of Neurorehabilitation, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Gessica VascoResearch Unit of Neurorehabilitation, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Maria Grazia GrassoScientific Institute for Research, Hospitalization and Health Care IRCCS Santa Lucia Foundation, Rome, Italy.
Stefano PaolucciScientific Institute for Research, Hospitalization and Health Care IRCCS Santa Lucia Foundation, Rome, Italy.
Sonia BonnìScientific Institute for Research, Hospitalization and Health Care IRCCS Santa Lucia Foundation, Rome, Italy.
Giacomo KochScientific Institute for Research, Hospitalization and Health Care IRCCS Santa Lucia Foundation, Rome, Italy.

Funding

Ministero della Salute Ricerca Corrente 2026
6 · The paper itself

Abstract

backgroundCerebellar ataxia (CA) is a neurodegenerative disorder characterized by progressive impairments in coordination, balance, and gait disturbances. Conventional rehabilitation therapies offer only limited benefits, driving interest toward exploring alternative non-invasive interventions. Among these, non-invasive brain stimulation techniques, such as cerebellar transcranial alternating current stimulation (tACS) and intermittent theta burst stimulation (iTBS) have emerged as promising approaches. This study aims to investigate the effectiveness of a combined cerebellar tACS-iTBS protocol in alleviating symptoms of CA, specifically targeting improvements in motor coordination, balance control, and quality of life.

methodsIn this randomized, sham-controlled crossover study, 31 patients diagnosed with CA will participate in two experimental conditions (real and sham stimulation), each lasting 2 weeks (phase A and B) and separated by a 3-week washout period. In the real condition, patients will receive cerebellar tACS at 5 Hz (2 mA, 190 s) delivered simultaneously with iTBS (600 pulses at 50 Hz; 80% of active motor threshold). In the sham condition, TMS will be applied without active stimulation, and cerebellar tACS will be applied only briefly for participant blinding. Following each stimulation session, patients will perform sensor-based balance training using an adaptive system with a force platform for a total of 30 min. Outcome assessments will take place at baseline of each phase (A and B) (T0 DISCUSSION: This study will provide valuable insights into the therapeutic potential of cerebellar tACS-iTBS as a non-invasive intervention for CA. By assessing its effects on balance, coordination, and overall quality of life, the findings could help establish whether this combined stimulation method serves as a beneficial aid to sensor-based balance training. If successful, cerebellar tACS-iTBS could offer a promising new strategy to enhance clinical outcomes and improve the quality of life in individuals with CA.

trial registrationClinicalTrial.gov NCT06420271. Registered on 2024-05-20.

Indexed as

Cerebellar AtaxiaCerebellumTheta RhythmTranscranial Direct Current StimulationTranscranial Magnetic StimulationAdultCross-Over StudiesFemaleHumansMaleMiddle AgedMotor ActivityPostural BalanceQuality of LifeRandomized Controlled Trials as TopicRecovery of FunctionBalance impairmentMotor controlNeuroplasticityNeurostimulationRehabilitation techniques

Identifiers

PMID41877266
PMCPMC13134076

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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.