Evidence map›Paper›PMID 40661748›Full record

SynthesisFrontiers in human neuroscience2025

Effects of multi-site non-invasive brain stimulation on cognitive impairment after stroke: a systematic review and meta-analysis.

Heling Wang, Di Zhang, Xu Wang, Qixin Ding, Shenhong Ma, Qiaohua Han, Yuefang Li, Tianshu Li, Ying Li, Wanyue Li and 1 more

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in human neuroscience, 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

11 authors.

Heling WangSchool of Rehabilitation Medicine, Henan University of Chinese Medicine, Zhengzhou, China.
Di ZhangSchool of Rehabilitation Medicine, Henan University of Chinese Medicine, Zhengzhou, China.
Xu WangSchool of Rehabilitation Medicine, Henan University of Chinese Medicine, Zhengzhou, China.
Qixin DingSchool of Rehabilitation Medicine, Henan University of Chinese Medicine, Zhengzhou, China.
Shenhong MaSchool of Rehabilitation Medicine, Henan University of Chinese Medicine, Zhengzhou, China.
Qiaohua HanSchool of Clinical Medicine, Henan University, Zhengzhou, China.
Yuefang LiSchool of Clinical Medicine, Henan University, Zhengzhou, China.
Tianshu LiZhengzhou First People's Hospital, Zhengzhou, China.
Ying LiDepartment of Rehabilitation Medicine, Henan Provincial People's Hospital, Zhengzhou, China.
Wanyue LiDepartment of Rehabilitation Medicine, Henan Provincial People's Hospital, Zhengzhou, China.
Weisheng ZhuangSchool of Rehabilitation Medicine, Henan University of Chinese Medicine, Zhengzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Post-stroke cognitive impairment (PSCI) is one of the core symptoms following a stroke, which severely affects the prognosis of patients. This systematic review and meta-analysis aim to explore the effectiveness and safety of multi-site non-invasive brain stimulation (MS-NIBS) in enhancing the cognitive function of PSCI patients. Methods: A comprehensive search was conducted in multiple databases, including MEDLINE (PubMed), Embase, Web of Science, China National Knowledge Infrastructure (CNKI), Wanfang Data, VIP Database for Chinese Technical Periodicals, and Chinese Biomedical Literature Database (CBM). The search was performed up to 18 January 2025. The inclusion criteria for this meta-analysis were randomized controlled trials (RCTs) of MS-NIBS for PSCI. The primary outcome measure was the change in the global cognitive scale, while the secondary outcomes focused on improvements in attention, memory, visuospatial perception, and activities of daily living. The Cochrane Risk of Bias Tool was used to assess the quality of each eligible study. Meta-analysis and bias analysis were performed using RevMan (Version 5.3). Results: A total of 6 RCTs involving 416 samples were included in this paper. The findings from the primary outcomes revealed that the MS-NIBS group had significantly higher scores on the Montreal Cognitive Assessment (MOCA) of the cognitive composite scale (MD = 1.84, 95% CI = 1.21-2.48, Conclusion: This meta-analysis provides evidence supporting that MS-NIBS, as an emerging neuromodulatory tool, is superior to SS-NIBS in improving the overall cognitive abilities of stroke patients. However, given the limited number of included studies, it is necessary to further validate these findings through large-scale, multi-center, double-blind, and high-quality RCTs. Systematic review registration: https://www.crd.york.ac.uk/prospero/, CRD42025640015.

Indexed as

cognition functionmeta-analysisMS-NIBSrehabilitationstroke

Identifiers

PMID40661748
PMCPMC12256478

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.