Evidence map›Paper›PMID 26807338›Full record

SynthesisBrain and behavior2015

Correlations between arm motor behavior and brain function following bilateral arm training after stroke: a systematic review.

Pei Ling Choo, Helen L Gallagher, Jacqui Morris, Valerie M Pomeroy, Frederike van Wijck

Abstract readSystematic Review
In one paragraph

Synthesis in Brain and behavior, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 4 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

17 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. The modulatory effects of bilateral arm training (BAT) on the brain in stroke patients: a systematic review.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2021
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  17. Improving a Bimanual Motor Skill Through Unimanual Training.Frontiers in integrative neuroscience · 2016
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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

5 authors.

Pei Ling ChooSchool of Health and Life Sciences Glasgow Caledonian University Glasgow UK.
Helen L GallagherSchool of Health and Life Sciences Glasgow Caledonian University Glasgow UK.
Jacqui MorrisNursing, Midwifery and Allied Health Professions Research Unit Glasgow Caledonian University Glasgow UK.
Valerie M PomeroyAcquired Brain Injury Rehabilitation Alliance (ABIRA) Norwich UK; University of East Anglia Norwich UK.
Frederike van WijckSchool of Health and Life Sciences Glasgow Caledonian University Glasgow UK.

Funding

Chief Scientist Office NMAHP2
6 · The paper itself

Abstract

backgroundBilateral training (BT) of the upper limb (UL) might enhance recovery of arm function after stroke. To better understand the therapeutic potential of BT, this study aimed to determine the correlation between arm motor behavior and brain structure/function as a result of bilateral arm training poststroke.

methodsA systematic review of quantitative studies of BT evaluating both UL motor behavior and neuroplasticity was conducted. Eleven electronic databases were searched. Two reviewers independently selected studies, extracted data and assessed methodological quality, using the Effective Public Health Practice Project (EPHPP) tool.

resultsEight studies comprising 164 participants met the inclusion criteria. Only two studies rated "strong" on the EPHPP tool. Considerable heterogeneity of participants, BT modes, comparator interventions and measures contraindicated pooled outcome analysis. Modes of BT included: in-phase and anti-phase; functional movements involving objects; and movements only. Movements were mechanically coupled, free, auditory-cued, or self-paced. The Fugl-Meyer Assessment (UL section) was used in six of eight studies, however, different subsections were used by different studies. Neural correlates were measured using fMRI and TMS in three and five studies, respectively, using a wide variety of variables. Associations between changes in UL function and neural plasticity were inconsistent and only two studies reported a statistical correlation following BT.

conclusionsNo clear pattern of association between UL motor and neural response to BT was apparent from this review, indicating that the neural correlates of motor behavior response to BT after stroke remain unknown. To understand the full therapeutic potential of BT and its different modes, further investigation is required.

Indexed as

Stroke RehabilitationArmBrainHumansMusculoskeletal ManipulationsNeuronal PlasticityRecovery of FunctionStrokeBilateralimagingrehabilitationreviewStrokeupper limb

Identifiers

PMID26807338
PMCPMC4714643

What OpenQuestion holds

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LicenceCC BY
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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.