Evidence map›Paper›PMID 24353109›Full record

ReviewNeurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics2014

Invasive neurostimulation in stroke rehabilitation.

Ela B Plow, Andre Machado

2 registry-linked trialsOpen access · bronzeAbstract readReview
In one paragraph

Review in Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics, 2014. 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 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
3.0field-weighted citation impact, top 10% 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.

NCT06303869 narecruitingnot on this mapstarted 2025, after this paper: background citation

Deep Brain Stimulation Motor Ventral Thalamus (VOP/VIM) for Restoration of Speech and Upper-limb Function in People With Subcortical Stroke

TypeinterventionalSponsorJorge Gonzalez-MartinezRan2025 to 2029Enrolled10ConditionsStroke, Brain Disease, Central Nervous System Diseases, Nervous System DiseasesArmsDeep Brain Stimulation (DBS) of the Motor Thalamus
NCT07056348 narecruitingnot on this mapstarted 2022, after this paper: background citation

Chronic Stimulation of the Motor Ventral Thalamus (VOP/VIM) for Motor Control in Humans

TypeinterventionalSponsorJorge Gonzalez-MartinezRan2022 to 2030Enrolled60ConditionsTraumatic Brain Injury, Stroke, Brain Disease, Movement Disorders (Incl Parkinsonism)ArmsDeep Brain Stimulation (DBS) of the Motor Thalamus
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 40 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Neurostimulation for Stroke Rehabilitation.Frontiers in neuroscience · 2021
    Review
  10. Cerebellar Neuromodulation for Stroke.Current physical medicine and rehabilitation reports · 2020
    Article
  11. Review
  12. Review
  13. Review
  14. Article
  15. Article
  16. Sensory-parietal cortical stimulation improves motor recovery in severe capsular infarct.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2016
    Article
  17. Challenges in Recruitment for the Study of Noninvasive Brain Stimulation in Stroke: Lessons from Deep Brain Stimulation.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2016
    Article
  18. Review
  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

2 authors at 1 institution in 1 country.

Ela B PlowDepartment of Biomedical Engineering, Lerner Research Institute, Cleveland Clinic Foundation, 9500 Euclid Ave, ND20, Cleveland, OH, 44195, USA, plowe2@ccf.org.
Andre Machado
Cleveland Clinic · US

Funding

Clinical and Translational Science Collaborative of ClevelandUL1TR000439 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI KONSTAN, MICHAEL W. · 2012 to 2016
$50.0M
Dentatothalamocortical electrical stimulation in post-stroke motor recoveryR01HD061363 · NICHD · CLEVELAND CLINIC LERNER COM-CWRU · PI MACHADO, ANDRE GUELMAN · 2010 to 2014
$1.5M
Brain Stimulation- aided Stroke Rehabilitation: Neural Mechanisms of RecoveryK01HD069504 · NICHD · CLEVELAND CLINIC LERNER COM-CWRU · PI PLOW, ELA B · 2011 to 2015
$531k
NCATS NIH HHS UL1 TR000439NICHD NIH HHS K01 HD069504NICHD NIH HHS K01HD069504NICHD NIH HHS R01 HD061363NICHD NIH HHS R01-HD061363
6 · The paper itself

Abstract

The last decade has seen a growing interest in adjuvant treatments that synergistically influence mechanisms underlying rehabilitation of paretic upper limb in stroke. One such approach is invasive neurostimulation of spared cortices at the periphery of a lesion. Studies in animals have shown that during training of paretic limb, adjuvant stimulation targeting the peri-infarct circuitry enhances mechanisms of its reorganization, generating functional advantage. Success of early animal studies and clinical reports, however, failed to translate to a phase III clinical trial. As lesions in humans are diffuse, unlike many animal models, peri-infarct circuitry may not be a feasible, or consistent target across most. Instead, alternate mechanisms, such as changing transcallosal inhibition between hemispheres, or reorganization of other viable regions in motor control, may hold greater potential. Here, we review comprehensive mechanisms of clinical recovery and factors that govern which mechanism(s) become operative when. We suggest novel approaches that take into account a patient's initial clinical-functional state, and findings from neuroimaging and neurophysiology to guide to their most suitable mechanism for ideal targeting. Further, we suggest new localization schemes, and bypass strategies that indirectly target peri-lesional circuitry, and methods that serve to counter technical and theoretical challenge in identifying and stimulating such targets at the periphery of infarcts in humans. Last, we describe how stimulation may modulate mechanisms differentially across varying phases of recovery- a temporal effect that may explain missed advantage in clinical trials and help plan for the next stage. With information presented here, future trials would effectively be able to target patient's specific mechanism(s) with invasive (or noninvasive) neurostimulation for the greatest, most consistent benefit.

Indexed as

Electric Stimulation TherapyStroke RehabilitationAnimalsBrain MappingCerebral CortexClinical Trials as TopicHumansImplantable NeurostimulatorsMagnetic Resonance ImagingMotor CortexParesisRecovery of FunctionStrokeTranscranial Magnetic Stimulation

Identifiers

PMID24353109
PMCPMC4121447
OpenAlexW2089035490

What OpenQuestion holds

Textmetadata
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.