Evidence map›Paper›PMID 42689736›Full record

Trial reportRevista de neurologia2026

Comparison of Continuous and Gait-synchronized Transcutaneous Electrical Nerve Stimulation During Gait Training in Chronic Stroke: A Pilot Randomized Trial.

Ji-Min Na, Min-Keun Song, Hyeng-Kyu Park, In-Sung Choi, Junyeong Lee, Jungwon Yoon, Jae-Young Han

Abstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in Revista de neurologia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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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

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Ji-Min NaDepartment of Physical and Rehabilitation Medicine, Chonnam National University Medical School & Hospital, 61469 Jeonnam-Gwangju, Republic of Korea.
Min-Keun SongDepartment of Physical and Rehabilitation Medicine, Chonnam National University Medical School & Hospital, 61469 Jeonnam-Gwangju, Republic of Korea.
Hyeng-Kyu ParkDepartment of Physical and Rehabilitation Medicine, Chonnam National University Medical School & Hospital, 61469 Jeonnam-Gwangju, Republic of Korea.
In-Sung ChoiDepartment of Physical and Rehabilitation Medicine, Chonnam National University Medical School & Hospital, 61469 Jeonnam-Gwangju, Republic of Korea.
Junyeong LeeDepartment of AI Convergence, Gwangju Institute of Science and Technology (GIST), 61005 Jeonnam-Gwangju, Republic of Korea.
Jungwon YoonDepartment of AI Convergence, Gwangju Institute of Science and Technology (GIST), 61005 Jeonnam-Gwangju, Republic of Korea.
Jae-Young HanDepartment of Physical and Rehabilitation Medicine, Chonnam National University Medical School & Hospital, 61469 Jeonnam-Gwangju, Republic of Korea.

Funding

CNUH-GIST research collaboration grant BCRI24095
6 · The paper itself

Abstract

backgroundPost-stroke gait dysfunction may involve impaired integration of motor commands, somatosensory feedback, and phase-dependent peripheral sensory input during locomotion. Transcutaneous electrical nerve stimulation (TENS) combined with gait training may provide additional sensory input, but the relevance of different temporal stimulation profiles remains unclear.

objectiveTo evaluate the feasibility, safety, and preliminary clinical signals of continuous and gait-synchronized TENS during gait training in individuals with chronic stroke.

methodsTwenty-four participants with chronic stroke were randomized to continuous stimulation (CS), gait-synchronized stimulation (GS), or sham stimulation during standardized gait training. Participants received 12 intervention sessions over 4 weeks. CS delivered non-phase-specific stimulation, whereas GS delivered stimulation according to stance and swing phases. Outcomes were assessed at baseline, post-intervention, and 8-week follow-up. The primary longitudinal analysis was conducted in the modified intention-to-treat (mITT) population using baseline-adjusted linear mixed-effects models, with false discovery rate correction applied to group × time interaction

resultsOne participant withdrew before intervention without baseline assessment; therefore, 23 participants were included in the mITT analysis. Intervention adherence was high, with 99% of scheduled sessions completed, and no intervention-related adverse events were reported. Comfortable gait speed showed no significant group × time interaction. Maximal gait speed and Berg Balance Scale showed nominal group × time interaction effects before correction, but these did not remain significant after false discovery rate correction. No robust group × time interaction effects were observed after correction. Exploratory per-protocol analyses were unadjusted for baseline imbalance and were interpreted as supportive only.

conclusionsContinuous and gait-synchronized TENS combined with standardized gait training were feasible and well tolerated in individuals with chronic stroke. The adjusted analysis did not provide robust evidence of differential clinical effects among stimulation-timing groups after correction for multiple outcome testing. Larger, adequately powered trials are needed to determine whether continuous or gait-synchronized TENS provides clinically meaningful benefits during post-stroke gait rehabilitation. CLINICAL

trial registrationNo: KCT0008481. Registered 17 May, 2023, https://cris.nih.go.kr/cris/search/detailSearch.do?seq=24719&search_page=L.

Indexed as

GaitGait Disorders, NeurologicStroke RehabilitationTranscutaneous Electric Nerve StimulationAgedChronic DiseaseFeasibility StudiesFemaleHumansMaleMiddle AgedPilot ProjectsStrokeTreatment Outcomegaitpilot projectsrehabilitationstroketranscutaneous electrical nerve stimulation

Identifiers

PMID42689736
PMCPMC13541420

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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.