Evidence map›Paper›PMID 26704255›Full record

ArticleNeurorehabilitation and neural repair2016

Effects of Subdural Monopolar Cortical Stimulation Paired With Rehabilitative Training on Behavioral and Neurophysiological Recovery After Cortical Ischemic Stroke in Adult Squirrel Monkeys.

Erik J Plautz, Scott Barbay, Shawn B Frost, Elena V Zoubina, Ann M Stowe, Numa Dancause, Ines Eisner-Janowicz, Scott D Bury, Michael D Taylor, Randolph J Nudo

Abstract read
In one paragraph

Article in Neurorehabilitation and neural repair, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
0.9field-weighted citation impact, top 22% 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

17 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Non-human primate models of focal cortical ischemia for neuronal replacement therapy.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2023
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Cerebellar Neuromodulation for Stroke.Current physical medicine and rehabilitation reports · 2020
    Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. 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

10 authors at 4 institutions in 2 countries.

Erik J PlautzUniversity of Texas Southwestern Medical Center, Dallas, TX, USA erik.plautz@utsouthwestern.edu.
Scott BarbayUniversity of Kansas Medical Center, Kansas City, KS, USA.
Shawn B FrostUniversity of Kansas Medical Center, Kansas City, KS, USA.
Elena V ZoubinaMassasoit Community College, Brockton, MA, USA.
Ann M StoweUniversity of Texas Southwestern Medical Center, Dallas, TX, USA.
Numa DancauseUniversity of Montreal, Montreal, Quebec, Canada.
Ines Eisner-JanowiczUniversity of Kansas Medical Center, Kansas City, KS, USA.
Scott D BuryUniversity of Kansas Medical Center, Kansas City, KS, USA.
Michael D TaylorUniversity of Kansas Medical Center, Kansas City, KS, USA.
Randolph J NudoUniversity of Kansas Medical Center, Kansas City, KS, USA.
University of Kansas Medical Center · USThe University of Texas Southwestern Medical Center · USMassasoit Community College · USUniversité de Montréal · CA

Funding

Research Design and Analysis Core (RDAC)P30HD002528 · NICHD · UNIVERSITY OF KANSAS LAWRENCE · PI FOWLER, STEPHEN CLETIUS · 1985 to 2015
$22.1M
REORGANIZATION OF MOTOR CORTEX FOLLOWING BRAIN INJURYR01NS030853 · NINDS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI NUDO, RANDOLPH J. · 1993 to 2020
$6.5M
Reorganization of motor cortex following brain injuryR37NS030853 · NINDS · UNIVERSITY OF KANSAS MEDICAL CENTER · PI NUDO, RANDOLPH J. · 2008 to 2014
$4.6M
Optimization of the Cortical Stimulation Protocol for Motor RecoveryU54NS048126 · NINDS · UNIVERSITY OF KANSAS MEDICAL CENTER · PI NUDO, RANDOLPH J. · 2005 to 2008
$3.8M
NICHD NIH HHS HD02528NICHD NIH HHS P30 HD002528NINDS NIH HHS NS30853NINDS NIH HHS NS48126NINDS NIH HHS R01 NS030853NINDS NIH HHS R37 NS030853NINDS NIH HHS U54 NS048126
6 · The paper itself

Abstract

backgroundCortical stimulation (CS) combined with rehabilitative training (RT) has proven effective for enhancing poststroke functional recovery in rats, but human clinical trials have had mixed outcomes.

objectiveTo assess the efficacy of CS/RT versus RT in a nonhuman primate model of cortical ischemic stroke.

methodsSquirrel monkeys learned a pellet retrieval task, then received an infarct to the distal forelimb (DFL) representation of primary motor cortex. A subdural monopolar electrode was implanted over the spared DFL representation in dorsal premotor cortex (PMD). Seven weeks postinfarct, monkeys underwent 4 to 6 weeks of RT (n = 8) or CS/RT (n = 7; 100 Hz, cathodal current) therapy. Behavioral performance was assessed before and after infarct, prior to therapy, and 1 and 12 weeks posttherapy (follow-up). The primary outcome measure was motor performance at 1 week posttherapy. Secondary outcomes included follow-up performance at 12 weeks and treatment-related changes in neurophysiological maps of spared DFL representations.

resultsWhile postinfarct performance deficits were found in all monkeys, both groups demonstrated similar recovery profiles, with no difference in motor recovery between the RT and CS/RT groups. Posttherapy, PMD DFL area was significantly expanded in the RT group but not the CS/RT group. A significant relationship was found between motor recovery and DFL expansion in premotor cortex.

conclusionsResults suggest that the specific parameters utilized here were not optimal for promoting behavioral recovery in nonhuman primates. Though CS/RT has consistently shown efficacy in rat stroke models, the present finding has cautionary implications for translation of CS/RT therapy to clinical populations.

Indexed as

AnimalsBehavior, AnimalBrain IschemiaDisease Models, AnimalElectric Stimulation TherapyFemaleMaleMotor CortexNeuronal PlasticityRecovery of FunctionSaimiriStrokeStroke Rehabilitationimplanted stimulation electrodesneuronal plasticitypremotor cortexprimary motor cortexprimate

Identifiers

PMID26704255
PMCPMC4732886
OpenAlexW2284155821

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.