Evidence map›Paper›PMID 21333591›Full record

ArticleClinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology2011

Corticospinal tract integrity correlates with knee extensor weakness in chronic stroke survivors.

Sangeetha Madhavan, Chandramouli Krishnan, Arun Jayaraman, William Z Rymer, James W Stinear

Registry-linked trialAbstract read
In one paragraph

Article in Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03122821 (Effect of Transcranial Stimulation Augmented With Mental Imagery in Upper Limb Stroke Rehabilitation), which is not on this map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
3.6field-weighted citation impact, top 7% of its field
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.

NCT03122821 nacompletednot on this mapstarted 2017, after this paper: background citation

Effect of Transcranial Stimulation Augmented With Mental Imagery in Upper Limb Stroke Rehabilitation: A Randomized Controlled Trial

TypeinterventionalSponsorMajmaah UniversityRan2017 to 2022Enrolled64ConditionsStrokeArmsReal Transcranial direct stimulation+Mental Imagery, Sham Transcranial Direct Stimulation +Mental Imagery
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 50 citations in OpenAlex.

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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

5 authors at 3 institutions in 1 country.

Sangeetha MadhavanDepartment of Physical Therapy, College of Applied Health Sciences, University of Illinois, Chicago, IL, USA.
Chandramouli Krishnan
Arun Jayaraman
William Z Rymer
James W Stinear
Shirley Ryan AbilityLab · USNorthwestern University · USUniversity of Illinois Chicago · US

Funding

Electrical stimulation of motor cortex: a candidate adjuvant to stroke therapy?K01HD056216 · NICHD · REHABILITATION INSTITUTE OF CHICAGO D/B/A SHIRLEY RYAN ABILITYLAB · PI STINEAR, JAMES WILLIAM · 2007 to 2010
$431k
Symmetrical walking enhanced neuroplasticity post-strokeR21HD059287 · NICHD · REHABILITATION INSTITUTE OF CHICAGO D/B/A SHIRLEY RYAN ABILITYLAB · PI STINEAR, JAMES WILLIAM · 2008 to 2009
$386k
NICHD NIH HHS K01 HD056216NICHD NIH HHS K01HD056216NICHD NIH HHS R21 HD059287NICHD NIH HHS R21HD059287PHS HHS H133E070013PHS HHS H133F090009
6 · The paper itself

Abstract

objectiveMuscle weakness develops rapidly after stroke, adversely affecting motor performance, and contributing to reduced functional ability. While the contributions of structural and functional alterations in skeletal muscle to post-stroke weakness have been well described, the relationship between motor pathway integrity, measured using both radiological and electrophysiological techniques, and post-stroke muscle weakness is not clear. This study sought to determine the role of corticospinal tract (CST) integrity on knee extensor weakness in chronic stroke survivors.

methodsKnee extensor strength and activation testing were performed at 90° of knee flexion using an interpolated triplet technique. CST integrity was evaluated using data obtained from Diffusion Tensor Imaging and transcranial magnetic stimulation.

resultsRecordings in nine stroke subjects indicated substantial knee extensor weakness and activation deficits in the paretic legs of the stroke survivors. Regression analysis revealed that asymmetry in CST integrity was strongly related to between-leg differences in knee strength.

conclusionsThe results of this study suggest a strong link between CST integrity and lower extremity strength, and add to the growing evidence of substantial knee extensor weakness and activation impairments in stroke survivors. SIGNIFICANCE: The findings from this study further our understanding of the anatomical and neurophysiological contributions to motor impairments after stroke, which may benefit clinicians and researchers in the field of stroke rehabilitation.

Indexed as

SurvivorsAdultAged, 80 and overBrain MappingChronic DiseaseDiffusion Tensor ImagingElectromyographyEvoked Potentials, MotorFemaleHumansKnee JointMaleMiddle AgedMuscle WeaknessPyramidal TractsReflex, Abnormal

Identifiers

PMID21333591
PMCPMC3107350
OpenAlexW2123223784

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Registered trials

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.