Evidence map›Paper›PMID 42712894›Full record

ArticleNeuroprotection (Chichester, England)2026

Noninvasive or minimally invasive neuromodulation in animal models of acute ischemic stroke: A systematic review and meta-analysis.

Igor Caitano Salles, Mateus Paquesse Pellegrino, Jessica Borges Kroth, Clara Lucato Dos Santos, Luca Schiliro Tristao, Jullyanna Sabrysna Morais Shinosaki, Wanderley Marques Bernardo, Adriana Bastos Conforto

Abstract read
In one paragraph

Article in Neuroprotection (Chichester, England), 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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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

8 authors.

Igor Caitano SallesDepartment of Neurology Clinical Hospital of the University of Sao Paulo Medical School Sao Paulo Sao Paulo Brazil.ORCID https://orcid.org/0000-0002-0309-2225
Mateus Paquesse PellegrinoRadiology Institute, Clinical Hospital of the University of Sao Paulo Medical School Sao Paulo Sao Paulo Brazil.
Jessica Borges KrothDepartment of Physical Therapy Syrian Lebanese Hospital Sao Paulo Sao Paulo Brazil.
Clara Lucato Dos SantosDepartment of Evidence-Based Medicine Brazilian Medical Association Sao Paulo Sao Paulo Brazil.
Luca Schiliro TristaoDepartment of Obstetrics and Gynecology Faculty of Medicine of ABC Santo Andre Sao Paulo Brazil.
Jullyanna Sabrysna Morais ShinosakiDepartment of Neurology Clinical Hospital of the Federal University of Uberlandia Uberlandia Minas Gerais Brazil.
Wanderley Marques BernardoDepartment of Evidence-Based Medicine Brazilian Medical Association Sao Paulo Sao Paulo Brazil.
Adriana Bastos ConfortoRadiology Institute, Clinical Hospital of the University of Sao Paulo Medical School Sao Paulo Sao Paulo Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Neuromodulation therapy has emerged as a potential brain cytoprotective strategy in the hyperacute phase of ischemic stroke (IS). This systematic review aimed to evaluate the cytoprotective effects of neuromodulation in animal models of IS. Methods: A systematic search of the MEDLINE, Embase, and LILACS databases was conducted to identify in vivo preclinical studies that investigated noninvasive or minimally invasive neuromodulation therapy administered within 24 h of arterial occlusion and included a control group. The primary outcome was infarct volume, and the secondary outcomes included assessments of neurological function using validated behavioral scales. Random-effects meta-analyses were performed for all outcomes using the Cochrane Review Manager software (version 5.4.1). The protocol was prospectively registered in the International Prospective Register of Systematic Reviews database (No. CRD42020165347). Results: Thirty studies were included in the qualitative synthesis (2347 reported animals), and 25 studies were eligible for meta-analysis. Most studies employed middle cerebral artery occlusion models. Neuromodulation techniques included electroacupuncture, repetitive transcranial magnetic stimulation, transcranial direct current stimulation, and vagus nerve stimulation. Pooled analyses demonstrated that neuromodulation significantly reduced infarct volume both in absolute (standardized mean difference [SMD]: -0.80; Conclusion: Neuromodulation confers brain cytoprotective effects in experimental IS models; however, the high heterogeneity in stimulation parameters and outcomes limits its translational potential. Standardization of experimental protocols and reporting is required to improve reproducibility.

Indexed as

animalselectric stimulation therapyelectroacupunctureischemic stroketranscranial magnetic stimulation

Identifiers

PMID42712894
PMCPMC13551444

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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.