Evidence map›Paper›PMID 25856485›Full record

ReviewNeuron2015

Neuromechanical principles underlying movement modularity and their implications for rehabilitation.

Lena H Ting, Hillel J Chiel, Randy D Trumbower, Jessica L Allen, J Lucas McKay, Madeleine E Hackney, Trisha M Kesar

3 registry-linked trialsAbstract readReview
In one paragraph

Review in Neuron, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 219 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
219citing papers in PubMed, 1 pooled it
–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.

NCT04154514 nacompletednot on this mapstarted 2019, after this paper: background citation

A Wearable for Post-stroke Rehabilitative Multi-muscle Stimulation Inspired by the Natural Organization of Neuromuscular Control

TypeinterventionalSponsorChinese University of Hong KongRan2019 to 2025Enrolled53ConditionsChronic StrokeArmsA functional electrical stimulation device for post-stroke rehabilitation
NCT05020080 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Examining the Effects of Operant Conditioning of Wrist Extensor MEP on Arm Intermuscular Coordination After Stroke

TypeinterventionalSponsorUniversity of HoustonRan2022 to 2024Enrolled20ConditionsStrokeArmsOperant conditioning of motor evoked potentials
NCT07218094 naenrolling by invitationnot on this mapstarted 2025, after this paper: background citation

Neuromechanical Mechanisms of Exosuit-assisted Gait Rehabilitation After Stroke

TypeinterventionalSponsorBoston University Charles River CampusRan2025 to 2027Enrolled22ConditionsStrokeArmsWalking with robotic ankle assistance
3 · Its place in the literature

Who cites it

219 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  7. Neuromotor modules revealed by direct electrical stimulation of the human primary motor cortex.Proceedings of the National Academy of Sciences of the United States of America · 2026
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  11. A spinal substrate for modular control of natural behavior.bioRxiv : the preprint server for biology · 2026
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159 more citing papers are in PubMed but not listed here.

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

7 authors.

Lena H TingW.H. Coulter Department of Biomedical Engineering, Emory University and Georgia Institute of Technology, Atlanta, GA 30332, USA; Department of Rehabilitation Medicine, Division of Physical Therapy, Emory University, Atlanta, GA 30322, USA. Electronic address: lting@emory.edu.
Hillel J ChielDepartment of Biology, Case Western Reserve University, Cleveland, OH 44106, USA; Department of Neurosciences, Case Western Reserve University, Cleveland, OH 44106, USA; Department of Biomedical Engineering, Case Western Reserve University, Cleveland, OH 44106, USA.
Randy D TrumbowerW.H. Coulter Department of Biomedical Engineering, Emory University and Georgia Institute of Technology, Atlanta, GA 30332, USA; Department of Rehabilitation Medicine, Division of Physical Therapy, Emory University, Atlanta, GA 30322, USA.
Jessica L AllenW.H. Coulter Department of Biomedical Engineering, Emory University and Georgia Institute of Technology, Atlanta, GA 30332, USA.
J Lucas McKayW.H. Coulter Department of Biomedical Engineering, Emory University and Georgia Institute of Technology, Atlanta, GA 30332, USA.
Madeleine E HackneyAtlanta VA Center for Visual and Neurocognitive Rehabilitation, Atlanta, GA 30033, USA; Department of Medicine, Division of General Medicine and Geriatrics, Emory University, Atlanta, GA 30322, USA.
Trisha M KesarW.H. Coulter Department of Biomedical Engineering, Emory University and Georgia Institute of Technology, Atlanta, GA 30332, USA; Department of Rehabilitation Medicine, Division of Physical Therapy, Emory University, Atlanta, GA 30322, USA.

Funding

Atlanta Clinical and Translational Science Institute (ACTSI) RenewalUL1TR000454 · NCATS · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2012 to 2016
$25.8M
MULTICENTER CAREER DEVELOPMENT PROGRAM FOR PHYSICAL AND OCCUPATIONAL THERAPYK12HD055931 · NICHD · WASHINGTON UNIVERSITY · PI HAYES, MARCIE HARRIS · 2007 to 2021
$12.7M
Neuromechanical Modeling of Postural Responses:Mechanisms of Balance Impairments in Parkinson's DiseaseR01HD046922 · NICHD · GEORGIA INSTITUTE OF TECHNOLOGY · PI Michael Robert Borich, Lena H Ting · 2004 to 2026
$7.7M
TRAINING IN TRANSLATIONAL RESEARCH IN NEUROLOGYT32NS007480 · NINDS · EMORY UNIVERSITY · PI LEVEY, ALLAN I · 2000 to 2020
$4.5M
Atlanta Clinical and Translational Science Institute (ACTSI) RenewalKL2TR000455 · NCATS · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2012 to 2016
$2.9M
Mechanisms of intermittent hypoxia-induced motor recovery in persons with SCIR01HD081274 · NICHD · SPAULDING REHABILITATION HOSPITAL · PI TRUMBOWER, RANDY D · 2014 to 2018
$2.4M
Cortical and spinal correlates of stroke gait rehabilitationK01HD079584 · NICHD · EMORY UNIVERSITY · PI KESAR, TRISHA · 2014 to 2018
$632k
Photonic Analgesia: Controlled Inhibition of Peripheral Nerve with Infrared LightR56NS087249 · NINDS · VANDERBILT UNIVERSITY · PI JANSEN, E. DUCO · 2014 to 2014
$381k
Mechanisms of improvement in neurorehabilitation of Parkinson's diseaseR21HD075612 · NICHD · EMORY UNIVERSITY · PI TING, LENA H · 2013 to 2014
$348k
Optimizing motor training in Parkinson disease through neural mechanismsIK2RX000870 · VA · VETERANS HEALTH ADMINISTRATION · PI HACKNEY, MADELEINE EVE · 2015 to 2018
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NCATS NIH HHS KL2 TR000455NCATS NIH HHS NIH KL2TR000455NCATS NIH HHS UL1 TR000454NICHD NIH HHS K01 HD079584NICHD NIH HHS K12 HD055931NICHD NIH HHS R01 HD046922NICHD NIH HHS R01 HD081274NICHD NIH HHS R01 HD46922NICHD NIH HHS R21 HD075612NICHD NIH HHS R21HD075612NINDS NIH HHS R56 NS087249NINDS NIH HHS T32 NS007480NINDS NIH HHS T32 NS007480-14RRD VA IK2 RX000870
6 · The paper itself

Abstract

Neuromechanical principles define the properties and problems that shape neural solutions for movement. Although the theoretical and experimental evidence is debated, we present arguments for consistent structures in motor patterns, i.e., motor modules, that are neuromechanical solutions for movement particular to an individual and shaped by evolutionary, developmental, and learning processes. As a consequence, motor modules may be useful in assessing sensorimotor deficits specific to an individual and define targets for the rational development of novel rehabilitation therapies that enhance neural plasticity and sculpt motor recovery. We propose that motor module organization is disrupted and may be improved by therapy in spinal cord injury, stroke, and Parkinson's disease. Recent studies provide insights into the yet-unknown underlying neural mechanisms of motor modules, motor impairment, and motor learning and may lead to better understanding of the causal nature of modularity and its underlying neural substrates.

Indexed as

Biomechanical PhenomenaBrainHumansMovementMovement DisordersNeuronal Plasticity

Identifiers

PMID25856485
PMCPMC4392340

What OpenQuestion holds

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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.