Evidence map›Paper›PMID 42857209›Full record

Trial reportFrontiers in neurology2026

Clinical efficacy evaluation of combined central and peripheral repetitive transcranial magnetic stimulation for elbow flexor (biceps Brachii) spasticity and upper limb motor function after stroke.

Qing Liu, Runhuai Yang, Dongxia Li, Ligang Wei, Erxing Chu, Yangdong Bao, Zhen Liu, Lei Jin, Chunrui Xue, Zhifa Wang

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Frontiers in neurology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

10 authors.

Qing Liu *Department of Rehabilitation Medicine, The Fourth Affiliated Hospital of Anhui Medical University, Hefei, China.
Runhuai Yang *School of Biomedical Engineering, 3D-Printing and Tissue Engineering Center, Anhui Medical University, Hefei, China.
Dongxia LiDepartment of Rehabilitation Medicine, The Fourth Affiliated Hospital of Anhui Medical University, Hefei, China.
Ligang WeiDepartment of Rehabilitation Medicine, The Fourth Affiliated Hospital of Anhui Medical University, Hefei, China.
Erxing ChuDepartment of Rehabilitation Medicine, The Fourth Affiliated Hospital of Anhui Medical University, Hefei, China.
Yangdong BaoDepartment of Rehabilitation Medicine, The Fourth Affiliated Hospital of Anhui Medical University, Hefei, China.
Zhen LiuDepartment of Rehabilitation Medicine, The Fourth Affiliated Hospital of Anhui Medical University, Hefei, China.
Lei JinDepartment of Rehabilitation Medicine, The Fourth Affiliated Hospital of Anhui Medical University, Hefei, China.
Chunrui XueDepartment of Rehabilitation Medicine, The Fourth Affiliated Hospital of Anhui Medical University, Hefei, China.
Zhifa WangDepartment of Rehabilitation Medicine, The Fourth Affiliated Hospital of Anhui Medical University, Hefei, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This randomized controlled trial aimed to evaluate the efficacy and temporal dynamics of a combined central and peripheral magnetic stimulation protocol, combining central (M1) and peripheral (Erb's point) stimulation with conventional rehabilitation, for post-stroke elbow flexor spasticity and motor function. Methods: One hundred eligible stroke patients with upper limb spasticity were randomly allocated to Group A ( Results: A clear phase-specific effect was observed. At 3 weeks, Group A demonstrated significantly greater reduction in MAS scores (2(2, 3) vs. 3(2, 3), Conclusion: A combined central and peripheral rTMS protocol integrated with conventional rehabilitation is effective in alleviating elbow flexor spasticity and improving motor function after stroke. The delayed-start design supports that the observed benefits are attributable to the rTMS intervention, although residual placebo effects cannot be fully excluded. The effects are phase-specific, with motor improvement maintained at 6 weeks and a complex temporal pattern of spasticity reduction, likely mediated by modulating cortical excitability and spinal motor neuron pool activity.

Indexed as

Muscle, SkeletalMuscle SpasticityStrokeStroke RehabilitationTranscranial Magnetic StimulationUpper ExtremityAdultAgedCombined Modality TherapyElbowEvoked Potentials, MotorFemaleHumansMaleMiddle AgedTreatment Outcomemotor functionneuromodulationrehabilitationrepetitive transcranial magnetic stimulationspasticitystroke

Identifiers

PMID42857209
PMCPMC13650008

What OpenQuestion holds

Textmetadata
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.