Evidence map›Paper›PMID 42046090›Full record

Trial reportTrials2026

Effects of tDCS on brain function in patients with post-stroke cognitive impairment: a randomised controlled study protocol based on TMS and fNIRS.

Yuan Zhu, Hongxia Duan, Qun Zhang, Peijun Li, Linhong Jiang, Yidie Bao, Wenxiang Li, Min Zhuang, Xiaodan Liu

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Trials, 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

9 authors.

Yuan Zhu *School of Rehabilitation Science, Shanghai University of Traditional Chinese Medicine, Shanghai, People's Republic of China.
Hongxia Duan *School of Rehabilitation Science, Shanghai University of Traditional Chinese Medicine, Shanghai, People's Republic of China.
Qun ZhangDepartment of Rehabilitation Medicine, Huashan Hospital, Fudan University, Shanghai, People's Republic of China.
Peijun LiSchool of Rehabilitation Science, Shanghai University of Traditional Chinese Medicine, Shanghai, People's Republic of China.
Linhong JiangSchool of Rehabilitation Science, Shanghai University of Traditional Chinese Medicine, Shanghai, People's Republic of China.
Yidie BaoSchool of Rehabilitation Science, Shanghai University of Traditional Chinese Medicine, Shanghai, People's Republic of China.
Wenxiang LiSchool of Rehabilitation Science, Shanghai University of Traditional Chinese Medicine, Shanghai, People's Republic of China.
Min ZhuangDepartment of Rehabilitation Medicine, Huashan Hospital, Fudan University, Shanghai, People's Republic of China. 491357350@qq.com.
Xiaodan LiuSchool of Rehabilitation Science, Shanghai University of Traditional Chinese Medicine, Shanghai, People's Republic of China. hzhp403@126.com.ORCID http://orcid.org/0000-0002-8379-0292

Funding

Health Discipline Leader Project of Shanghai Municipal Health Commission 2022XD044Innovative Research Group Project of the National Natural Science Foundation of China 82072551Innovative Research Group Project of the National Natural Science Foundation of China 82372573
6 · The paper itself

Abstract

backgroundTranscranial direct current stimulation (tDCS) positively affects post-stroke cognitive impairment (PSCI). However, the optimal stimulation protocol remains unclear, possibly because of the lack of objective assessment methods. Therefore, this study aims to investigate the impact of tDCS on the modulation of the excitation/inhibition (E/I) balance and its effects on brain function in patients with PSCI using transcranial magnetic stimulation (TMS) and functional near-infrared spectroscopy (fNIRS).

methodsThis study is a single-centre, two-armed randomised controlled trial. A total of 40 patients with PSCI will be recruited and randomly assigned to real and sham tDCS groups in a 1:1 ratio. Both groups will receive either real or sham tDCS in addition to conventional treatment. In both groups, electrodes will be placed at the same positions, with the anode and cathode above the left and right dorsolateral prefrontal cortex, respectively. The real tDCS group will receive continuous current throughout the session, whereas the sham tDCS group will receive current generation for only the first 30 s. The treatment will consist of a 3-week intervention with one session per day, five sessions per week and 30 min per session. A 4-week follow-up will be conducted at the end of the treatment. The primary outcome is the change in Montreal cognitive assessment (MoCA) scores from baseline (T0) to immediately post-intervention (T1). Secondary outcomes include Barthel index, levels of intracortical inhibition measured by TMS and cortical activation and interhemispheric connectivity assessed by fNIRS during a Stroop task. DISCUSSION: This study will combine TMS and fNIRS to explore the effects of tDCS on the modulation of the E/I balance and its impact on blood oxygen levels and neural activity. Our results are expected to provide a clinical reference for the development of more precise tDCS protocols.

trial registrationChinese Clinical Trials Registry ChiCTR2300077453. Registered on November 9, 2023.

Indexed as

BrainCognitionCognitive DysfunctionStrokeStroke RehabilitationTranscranial Direct Current StimulationTranscranial Magnetic StimulationAdultAgedCognitive EnhancementFemaleHumansMaleMiddle AgedSpectroscopy, Near-InfraredTime FactorsFunctional near-infrared spectroscopyIntracortical inhibitionPost-stroke cognitive impairmentTranscranial direct current stimulationTranscranial magnetic stimulation

Identifiers

PMID42046090
PMCPMC13255351

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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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.