Evidence map›Paper›PMID 41896883›Full record

SynthesisJournal of neuroengineering and rehabilitation2026

Efficacy and safety of non-invasive brain stimulation for chronic low back pain: a systematic review and meta-analysis of randomised controlled trials.

Ketao Du, Yifan Jiang, Jiaxin Pan, Marco Yiu Chung Pang, Jack Yingxiu Diao, Jae Qijing Liu, Qianwen Lan, Xiaomin Niu, Shengqian Jing, Jianghua Cheng

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Journal of neuroengineering and rehabilitation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

  1. Pooled it
  2. Trial
  3. 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

10 authors.

Ketao DuDepartment of Rehabilitation Medicine, Medical School, South China Hospital, Shenzhen University, Shenzhen, Guangdong, China.
Yifan JiangDepartment of Rehabilitation Sciences, Hong Kong Polytechnic University, Kowloon, Hong Kong, China.
Jiaxin PanSchool of Nursing and Health Sciences, Hong Kong Metropolitan University, Ho Man Tin, Hong Kong, China.
Marco Yiu Chung PangDepartment of Rehabilitation Sciences, Hong Kong Polytechnic University, Kowloon, Hong Kong, China.
Jack Yingxiu DiaoDepartment of Rehabilitation Sciences, Hong Kong Polytechnic University, Kowloon, Hong Kong, China.
Jae Qijing LiuDepartment of Rehabilitation Sciences, Hong Kong Polytechnic University, Kowloon, Hong Kong, China.
Qianwen LanSchool of Health Sciences, Faculty of Medicine and Health, Sydney Musculoskeletal Health, The University of Sydney, Camperdown, Australia.
Xiaomin NiuDepartment of Rehabilitation Medicine, Medical School, South China Hospital, Shenzhen University, Shenzhen, Guangdong, China.
Shengqian JingDepartment of Sports Medicine and Rehabilitation, Peking University Shenzhen Hospital, Shenzhen, Guangdong, China. JingSQ518@163.com.
Jianghua ChengDepartment of Rehabilitation Medicine, Medical School, South China Hospital, Shenzhen University, Shenzhen, Guangdong, China. 18370158062@163.com.

Funding

Basic Research Program of Shenzhen (Natural Science Foundation) JCYJ20240813144009013
6 · The paper itself

Abstract

Non-invasive brain stimulation (NIBS), including transcranial direct current stimulation (tDCS) and repetitive transcranial magnetic stimulation (rTMS), is a potential treatment for chronic low back pain (CLBP). However, its efficacy and safety remain inconclusive. In this systematic review and meta-analysis, the clinical benefits of NIBS for pain relief, functional improvement, and quality of life (QoL) in patients with CLBP were evaluated. Five databases (PubMed, Web of Science, Cochrane Library, Embase and Scopus) were searched to identify randomised controlled trials (RCTs) of NIBS for CLBP. The final review included 21 RCTs involving 744 participants. The included studies assessed pain intensity, disability, and QoL outcomes, along with adverse events. Risk of bias (RoB) was evaluated using the RoB-2 tool, and meta-analyses were conducted using the R platform. NIBS was found to significantly reduce pain intensity (standardised mean difference [SMD] =  − 0.85 [− 1.21, − 0.49]) and disability (SMD =  − 0.52 [− 0.89, − 0.16]) compared with sham or control interventions. Subgroup analyses revealed that tDCS yielded broader benefits for both pain (SMD =  − 0.80) and disability (SMD =  − 0.59), while rTMS had the largest effect on pain reduction (SMD =  − 1.09). tDCS targeting the primary motor cortex (M1) showed the strongest effects on pain relief (SMD =  − 0.95) and functional improvement (SMD =  − 0.59), while dorsolateral prefrontal cortex stimulation also yielded significant benefits for both pain (SMD =  − 0.64) and disability (SMD =  − 0.65). There is very low to moderate evidence that NIBS can help relieve pain and reduce disability in individuals with CLBP.

Indexed as

Chronic PainLow Back PainTranscranial Direct Current StimulationTranscranial Magnetic StimulationHumansQuality of LifeRandomized Controlled Trials as TopicTreatment OutcomeChronic low back painNeuromodulationNon-invasive brain stimulationRepetitive transcranial magnetic stimulationTranscranial direct current stimulation

Identifiers

PMID41896883
PMCPMC13023120

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.