Evidence map›Paper›PMID 21945568›Full record

Trial reportJournal of biomechanics2011

Paretic muscle atrophy and non-contractile tissue content in individual muscles of the post-stroke lower extremity.

John W Ramsay, Peter J Barrance, Thomas S Buchanan, Jill S Higginson

2 registry-linked trialsAbstract readClinical TrialComparative Study
In one paragraph

Trial report in Journal of biomechanics, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
4.7field-weighted citation impact, top 5% 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.

NCT06255145 nacompletednot on this mapstarted 2021, after this paper: background citation

Assessment of Body Composition, Fatigue, Mobility and Functional Status in Post-Stroke Individuals

TypeinterventionalSponsorPamukkale UniversityRan2021 to 2022Enrolled42ConditionsCerebrovascular Stroke, Body CompositionArmsBioelectrical Impedance Analysis
NCT07314918 completednot on this mapstarted 2025, after this paper: background citation

Structural Remodeling of the Tibialis Anterior Muscle in Subacute and Chronic Stroke: A Clinical Correlation Study

Typeobservational_patient_registrySponsorIstanbul Physical Medicine Rehabilitation Training and Research HospitalRan2025 to 2025Enrolled36ConditionsStroke, Tibialis Anterior Architecture
3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 70 citations in OpenAlex.

  1. Trial
  2. Mechanisms of Post-stroke Stiff-Knee Gait: A Narrative Review.American journal of physical medicine & rehabilitation · 2025
    Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Observational
  10. Article
  11. Article
  12. Article
  13. Longer electromechanical delay in paretic triceps surae muscles during voluntary isometric plantarflexion torque generation in chronic hemispheric stroke survivors.Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology · 2021
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
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

4 authors at 2 institutions in 1 country.

John W RamsayDepartment of Mechanical Engineering, Center for Biomedical Engineering Research, University of Delaware, Newark, DE 19716, USA. jramsay@udel.edu
Peter J Barrance
Thomas S Buchanan
Jill S Higginson
Kessler Foundation · USUniversity of Delaware · US

Funding

ACL Injured Knee: MRI and Biomechanical ModelingR01AR046386 · NIAMS · UNIVERSITY OF DELAWARE · PI BUCHANAN, THOMAS S · 1999 to 2011
$2.8M
Muscle Morphology, Strength and Compensatory Strategies Following StrokeR01NS055383 · NINDS · UNIVERSITY OF DELAWARE · PI HIGGINSON, JILL S · 2008 to 2012
$1.7M
NIAMS NIH HHS AR046386NIAMS NIH HHS R01 AR046386NINDS NIH HHS NS055383NINDS NIH HHS R01 NS055383
6 · The paper itself

Abstract

Muscle atrophy is one of many factors contributing to post-stroke hemiparetic weakness. Since muscle force is a function of muscle size, the amount of muscle atrophy an individual muscle undergoes has implications for its overall force-generating capability post-stroke. In this study, post-stroke atrophy was determined bilaterally in fifteen leg muscles with volumes quantified using magnetic resonance imaging (MRI). All muscle volumes were adjusted to exclude non-contractile tissue content, and muscle atrophy was quantified by comparing the volumes between paretic and non-paretic sides. Non-contractile tissue or intramuscular fat was calculated by determining the amount of tissue excluded from the muscle volume measurement. With the exception of the gracilis, all individual paretic muscles examined had smaller volumes in the non-paretic side. The average decrease in volume for these paretic muscles was 23%. The gracilis volume, on the other hand, was approximately 11% larger on the paretic side. The amount of non-contractile tissue was higher in all paretic muscles except the gracilis, where no difference was observed between sides. To compensate for paretic plantar flexor weakness, one idea might be that use of the paretic gracilis actually causes the muscle to increase in size and not develop intramuscular fat. By eliminating non-contractile tissue from our volume calculations, we have presented volume data that more appropriately represents force-generating muscle tissue. Non-uniform muscle atrophy was observed across muscles and may provide important clues when assessing the effect of muscle atrophy on post-stroke gait.

Indexed as

GaitAgedFemaleHumansLower ExtremityMaleMiddle AgedMuscle, SkeletalMuscular AtrophyOrgan SizeStroke

Identifiers

PMID21945568
PMCPMC3208767
OpenAlexW2046950038

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.