Evidence map›Paper›PMID 40556649›Full record

ArticleFrontiers in neurology2025

Impact of transcranial direct current stimulation combined with median nerve stimulation on CRS-R in patients with prolonged disorders of consciousness after cerebral hemorrhage: protocol for a randomized controlled trial.

Hanbo Chen, Shujuan Huang, Si Chen, Zitian Wang, Yong Luo, Yongliang Guo, Weifeng Wen, Jinfeng Liang, Yunhong Deng, Xiao Lv

Abstract read
In one paragraph

Article in Frontiers in neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Hanbo ChenDepartment of Rehabilitation Therapy, Guangdong Sanjiu Brain Hospital, Guangzhou, China.
Shujuan HuangDepartment of Rehabilitation Therapy, Guangdong Sanjiu Brain Hospital, Guangzhou, China.
Si ChenDepartment of Rehabilitation Therapy, Guangdong Sanjiu Brain Hospital, Guangzhou, China.
Zitian WangZhujiang Hospital, Southern Medical University, Guangzhou, China.
Yong LuoDepartment of Rehabilitation Therapy, Guangdong Sanjiu Brain Hospital, Guangzhou, China.
Yongliang GuoDepartment of Rehabilitation Therapy, Guangdong Sanjiu Brain Hospital, Guangzhou, China.
Weifeng WenDepartment of Rehabilitation Therapy, Guangdong Sanjiu Brain Hospital, Guangzhou, China.
Jinfeng LiangDepartment of Rehabilitation Therapy, Guangdong Sanjiu Brain Hospital, Guangzhou, China.
Yunhong DengDepartment of Rehabilitation Therapy, Guangdong Sanjiu Brain Hospital, Guangzhou, China.
Xiao LvDepartment of Rehabilitation Medicine, Guangdong Sanjiu Brain Hospital, Guangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Prolonged disorders of consciousness (pDoC) resulting from intracerebral hemorrhage (ICH) significantly impair patients' quality of life. This study aims to investigate the therapeutic effects of transcranial direct current stimulation (tDCS) combined with median nerve stimulation (MNS) in patients with pDoC 3-12 months post-ICH. Methods: This prospective, double-blind, randomized controlled trial will enroll 138 eligible patients with pDoC following ICH. Participants will be randomly assigned to three groups of 27 each: (1) tDCS + MNS, (2) sham tDCS + MNS, and (3) tDCS + sham MNS. The intervention will last for 4 weeks, followed by a 6-month follow-up period. The primary outcome measure is the change in the Coma Recovery Scale-Revised (CRS-R) scores. Secondary outcomes include electrophysiological and neuroimaging data. Assessments will be conducted at baseline, after 4 weeks of treatment, and at 2 weeks, 4 weeks, 12 weeks, and 24 weeks post-intervention. Discussion: The strengths of this study include the combined intervention approach of tDCS and MNS, as well as comprehensive outcome measures. This intervention may promote consciousness recovery through multiple mechanisms, including enhanced neuroplasticity and modulation of brain networks. This study aims to provide a novel approach for consciousness-promoting treatment in pDoC, potentially improving patient prognosis and quality of life. Clinical trial registration: https://www.chictr.org.cn/showproj.html?proj=203618, identifier ChiCTR2300075190.

Indexed as

CRS-Rmedian nerve stimulationprolonged disorders of consciousnessprotocoltranscranial direct current stimulation

Identifiers

PMID40556649
PMCPMC12185530

What Socratic holds

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Registered trials

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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 Socratic graph.