Evidence map›Paper›PMID 25976926›Full record

ArticleNeuroImage2015

fMRI and MRS measures of neuroplasticity in the pharyngeal motor cortex.

Emilia Michou, Steve Williams, Rishma Vidyasagar, Darragh Downey, Satish Mistry, Richard A E Edden, Shaheen Hamdy

Abstract read
In one paragraph

Article in NeuroImage, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
5.7field-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.

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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Four dimensions of individualization in brain stimulation for psychiatric disorders: context, target, dose, and timing.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2025
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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

7 authors at 4 institutions in 3 countries.

Emilia MichouCentre for Gastrointestinal Sciences, Institute of Inflammation and Repair, Faculty of Medical and Human Sciences, University of Manchester, Clinical Sciences Building, Salford Royal Hospital (part of the Manchester Academic Health Sciences Centre (MAHSC)), Eccles Old Road, Salford M6 8HD, UK. Electronic address: emilia.michou@manchester.ac.uk.
Steve WilliamsCentre for Imaging Science, Manchester Academic Health Sciences Centre, University of Manchester, Oxford Road, M13 9PT, UK.
Rishma VidyasagarFlorey Institute of Neuroscience and Mental Health, Melbourne Brain Centre, Melbourne, Victoria, Australia; Department of Anatomy and Neuroscience, Melbourne University, Melbourne, Victoria, Australia.
Darragh DowneyNeuroscience and Psychiatry Unit, Manchester Academic Health Sciences Centre, University of Manchester, Oxford Road, M13 9PT, UK.
Satish MistryCentre for Gastrointestinal Sciences, Institute of Inflammation and Repair, Faculty of Medical and Human Sciences, University of Manchester, Clinical Sciences Building, Salford Royal Hospital (part of the Manchester Academic Health Sciences Centre (MAHSC)), Eccles Old Road, Salford M6 8HD, UK.
Richard A E EddenFM Kirby Center for Functional Brain Imaging, Kennedy Krieger Institute, Baltimore, MD, USA; The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Shaheen HamdyCentre for Gastrointestinal Sciences, Institute of Inflammation and Repair, Faculty of Medical and Human Sciences, University of Manchester, Clinical Sciences Building, Salford Royal Hospital (part of the Manchester Academic Health Sciences Centre (MAHSC)), Eccles Old Road, Salford M6 8HD, UK.
University of Manchester · GBSalford Royal Hospital · GBFlorey Institute of Neuroscience and Mental Health · AUJohns Hopkins Medicine · US

Funding

TR&D 4: Algorithms for functional and anatomical brain analysisP41EB015909 · NIBIB · HUGO W. MOSER RES INST KENNEDY KRIEGER · PI VAN ZIJL, PETER CM · 2012 to 2020
$13.1M
Universal GABA-edited MRS at 3TR01EB016089 · NIBIB · JOHNS HOPKINS UNIVERSITY · PI Richard Anthony Edward Edden · 2013 to 2026
$5.4M
NIBIB NIH HHS P41 EB015909NIBIB NIH HHS R01 EB016089
6 · The paper itself

Abstract

introductionPaired associative stimulation (PAS), is a novel non-invasive technique where two neural substrates are employed in a temporally coordinated manner in order to modulate cortico-motor excitability within the motor cortex (M1). In swallowing, combined pharyngeal electrical and transcranial-magnetic-stimulation induced beneficial neurophysiological and behavioural effects in healthy subjects and dysphagic stroke patients. Here, we aimed to investigate the whole-brain changes in neural activation during swallowing using functional magnetic resonance imaging (fMRI) following PAS application and in parallel assess associated GABA changes with magnetic resonance spectroscopy (MRS).

methodsHealthy adults (n=11, 38±9years old) were randomised to receive real and sham PAS to the 'stronger' motor cortex pharyngeal representation, on 2 separate visits. Following PAS, event-related fMRI was performed to assess changes in brain activation in response to water and saliva swallowing and during rest. Data were analysed (SPM8) at P<.001. MRS data were acquired using MEGA-PRESS before and after the fMRI acquisitions on both visits and GABA concentrations were measured (AMARES, jMRUI).

resultsFollowing real PAS, BOLD signal changes (group analyses) increased at the site of stimulation during water and saliva swallowing, compared to sham PAS. It is also evident that PAS induced significant increases in BOLD signal to contralateral (to stimulation) hemispheric areas that are of importance to the swallowing neural network. Following real PAS, GABA:creatine ratio showed a trend to increase contralateral to PAS.

conclusionTargeted PAS applied to the human pharyngeal motor cortex induces local and remote changes in both primary and non-primary areas for water and saliva tasks. There is a possibility that changes of the inhibitory neurotransmitter, GABA, may play a role in the changes in BOLD signal. These findings provide evidence for the mechanisms underlying the beneficial effects of PAS on the brain swallowing network.

Indexed as

DeglutitionNeuronal PlasticityAdultBrain MappingElectromyographyEvoked Potentials, MotorFemalegamma-Aminobutyric AcidHumansMagnetic Resonance ImagingMagnetic Resonance SpectroscopyMaleMotor CortexPharyngeal MusclesTranscranial Magnetic Stimulationgamma-Aminobutyric AcidCortexGABANeuroplasticityPaired associative stimulationPharynxSwallowing

Identifiers

PMID25976926
PMCPMC4828970
OpenAlexW269519225

What OpenQuestion holds

Textmetadata
LicenceTDM
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.