Evidence map›Paper›PMID 24671534›Full record

ArticleJournal of neurophysiology2014

Finger-thumb coupling contributes to exaggerated thumb flexion in stroke survivors.

Derek G Kamper, Heidi C Fischer, Megan O Conrad, Joseph D Towles, William Z Rymer, Kristen M Triandafilou

Open access · greenAbstract read
In one paragraph

Article in Journal of neurophysiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
0.4field-weighted citation impact, top 31% 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.

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

14 citing papers in PubMed, 22 citations in OpenAlex.

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  10. Observational
  11. Finger strength, individuation, and their interaction: Relationship to hand function and corticospinal tract injury after stroke.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2018
    Article
  12. Impact of Targeted Assistance of Multiarticular Finger Musculotendons on the Coordination of Finger Muscles During Isometric Force Production.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2018
    Article
  13. Article
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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

6 authors at 1 institution in 1 country.

Derek G KamperDepartment of Biomedical Engineering, Illinois Institute of Technology, Chicago, Illinois; Sensory Motor Performance Program, Rehabilitation Institute of Chicago, Chicago, Illinois; and kamper@iit.edu.
Heidi C FischerSensory Motor Performance Program, Rehabilitation Institute of Chicago, Chicago, Illinois; and.
Megan O ConradSensory Motor Performance Program, Rehabilitation Institute of Chicago, Chicago, Illinois; and.
Joseph D TowlesSensory Motor Performance Program, Rehabilitation Institute of Chicago, Chicago, Illinois; and Rehabilitation R&D Service, Edward Hines Jr. Veterans Affairs Hospital, Hines, Illinois.
William Z RymerSensory Motor Performance Program, Rehabilitation Institute of Chicago, Chicago, Illinois; and Rehabilitation R&D Service, Edward Hines Jr. Veterans Affairs Hospital, Hines, Illinois.
Kristen M TriandafilouSensory Motor Performance Program, Rehabilitation Institute of Chicago, Chicago, Illinois; and.
Shirley Ryan AbilityLab · US

Funding

ENGINEERING FOR NEUROLOGIC REHABILITATIONR24HD050821 · NICHD · REHABILITATION INSTITUTE OF CHICAGO D/B/A SHIRLEY RYAN ABILITYLAB · PI RYMER, WILLIAM ZEV · 2005 to 2014
$7.9M
NICHD NIH HHS R24 HD050821
6 · The paper itself

Abstract

The purpose of this study was to investigate altered finger-thumb coupling in individuals with chronic hemiparesis poststroke. First, an external device stretched finger flexor muscles by passively rotating the metacarpophalangeal (MCP) joints. Subjects then performed isometric finger or thumb force generation. Forces/torques and electromyographic signals were recorded for both the thumb and finger muscles. Stroke survivors with moderate (n = 9) and severe (n = 9) chronic hand impairment participated, along with neurologically intact individuals (n = 9). Stroke survivors exhibited strong interactions between finger and thumb flexors. The stretch reflex evoked by stretch of the finger flexors of stroke survivors led to heteronymous reflex activity in the thumb, while attempts to produce isolated voluntary finger MCP flexion torque/thumb flexion force led to increased and undesired thumb force/finger MCP torque production poststroke with a striking asymmetry between voluntary flexion and extension. Coherence between the long finger and thumb flexors estimated using intermuscular electromyographic correlations, however, was small. Coactivation of thumb and finger flexor muscles was common in stroke survivors, whether activation was evoked by passive stretch or voluntary activation. The coupling appears to arise from subcortical or spinal sources. Flexor coupling between the thumb and fingers seems to contribute to undesired thumb flexor activity after stroke and may impact rehabilitation outcomes.

Indexed as

ElectromyographyFingersHand StrengthHumansIsometric ContractionMaleMiddle AgedMotor ActivityMuscle, SkeletalParesisReflex, StretchStrokeThumbTorqueVolitioncoactivationfingerspasticitystrokethumb

Identifiers

PMID24671534
PMCPMC6442660
OpenAlexW2322393215

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.