Evidence map›Paper›PMID 26441014›Full record

ArticleHuman brain mapping2015

Regional volumes in brain stem and cerebellum are associated with postural impairments in young brain-injured patients.

David Drijkoningen, Inge Leunissen, Karen Caeyenberghs, Wouter Hoogkamer, Stefan Sunaert, Jacques Duysens, Stephan P Swinnen

Abstract read
In one paragraph

Article in Human brain mapping, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 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.

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

19 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  12. Consensus Paper: Ataxic Gait.Cerebellum (London, England) · 2023
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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.

David DrijkoningenKU Leuven, Movement Control and Neuroplasticity Research Group, Group Biomedical Sciences, Leuven, Belgium.
Inge LeunissenKU Leuven, Movement Control and Neuroplasticity Research Group, Group Biomedical Sciences, Leuven, Belgium.
Karen CaeyenberghsSchool of Psychology, Faculty of Health Sciences, Australian Catholic University, Melbourne, Victoria, Australia.
Wouter HoogkamerKU Leuven, Movement Control and Neuroplasticity Research Group, Group Biomedical Sciences, Leuven, Belgium.
Stefan SunaertKU Leuven, Department of Radiology, University Hospital, Leuven, Belgium.
Jacques DuysensKU Leuven, Movement Control and Neuroplasticity Research Group, Group Biomedical Sciences, Leuven, Belgium.
Stephan P SwinnenKU Leuven, Movement Control and Neuroplasticity Research Group, Group Biomedical Sciences, Leuven, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Many patients with traumatic brain injury (TBI) suffer from postural control impairments that can profoundly affect daily life. The cerebellum and brain stem are crucial for the neural control of posture and have been shown to be vulnerable to primary and secondary structural consequences of TBI. The aim of this study was to investigate whether morphometric differences in the brain stem and cerebellum can account for impairments in static and dynamic postural control in TBI. TBI patients (n = 18) and healthy controls (n = 30) completed three challenging postural control tasks on the EquiTest® system (Neurocom). Infratentorial grey matter (GM) and white matter (WM) volumes were analyzed with cerebellum-optimized voxel-based morphometry using the spatially unbiased infratentorial toolbox. Volume loss in TBI patients was revealed in global cerebellar GM, global infratentorial WM, middle cerebellar peduncles, pons and midbrain. In the TBI group and across both groups, lower postural control performance was associated with reduced GM volume in the vermal/paravermal regions of lobules I-IV, V and VI. Moreover, across all participants, worse postural control performance was associated with lower WM volume in the pons, medulla, midbrain, superior and middle cerebellar peduncles and cerebellum. This is the first study in TBI patients to demonstrate an association between postural impairments and reduced volume in specific infratentorial brain areas. Volumetric measures of the brain stem and cerebellum may be valuable prognostic markers of the chronic neural pathology, which complicates rehabilitation of postural control in TBI.

Indexed as

AdolescentAnimalsBrain InjuriesBrain StemCerebellumChildFemaleHumansImaging, Three-DimensionalMagnetic Resonance ImagingMalePostural BalanceSensation DisordersSeverity of Illness IndexWhalesbrain stemcerebellumgrey matterpostural controlspatially unbiased infratentorial templatetraumatic brain injuryvolumetric analysisvoxel-based morphometrywhite matter

Identifiers

PMID26441014
PMCPMC6869522

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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.