Evidence map›Paper›PMID 27451352›Full record

ArticleJournal of neurology, neurosurgery, and psychiatry2016

The contribution of lesion location to upper limb deficit after stroke.

Chang-Hyun Park, Nancy Kou, Nick S Ward

Open access · hybridAbstract read
In one paragraph

Article in Journal of neurology, neurosurgery, and psychiatry, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
5.5field-weighted citation impact, top 4% 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

25 citing papers in PubMed, 41 citations in OpenAlex.

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  13. The predictive value of lesion and disconnectome loads for upper limb motor impairment after stroke.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
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  14. Periinfarct rewiring supports recovery after primary motor cortex stroke.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2021
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  20. Brain regions important for recovery after severe post-stroke upper limb paresis.Journal of neurology, neurosurgery, and psychiatry · 2017
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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

3 authors at 3 institutions in 3 countries.

Chang-Hyun ParkSobell Department of Motor Neuroscience, UCL Institute of Neurology, London, UK.
Nancy KouSobell Department of Motor Neuroscience, UCL Institute of Neurology, London, UK.
Nick S WardSobell Department of Motor Neuroscience, UCL Institute of Neurology, London, UK.
Ewha Womans University · KRSobell House · GBUniversity College London · GB

Funding

Wellcome TrustWellcome Trust 088414
6 · The paper itself

Abstract

backgroundMotor deficit after stroke is related to regional anatomical damage.

objectiveTo examine the influence of lesion location on upper limb motor deficit in chronic patients with stroke.

methodsLesion likelihood maps were created from T1-weighted structural MRI in 33 chronic patients with stroke with either purely subcortical lesions (SC, n=19) or lesions extending to any of the cortical motor areas (CM, n=14). We estimated lesion likelihood maps over the whole brain and applied multivoxel pattern analysis to seek the contribution weight of lesion likelihood to upper limb motor deficit. Among 5 brain regions of interest, the brain region with the greatest contribution to motor deficit was determined for each subgroup.

resultsThe corticospinal tract was most likely to be damaged in both subgroups. However, while damage in the corticospinal tract was the best indicator of motor deficit in the SC patients, motor deficit in the CM patients was best explained by damage in brain areas activated during handgrip.

conclusionsQuantification of structural damage can add to models explaining motor outcome after stroke, but assessment of corticospinal tract damage alone is unlikely to be sufficient when considering patients with stroke with a wide range of lesion topography.

Indexed as

Magnetic Resonance ImagingAgedApraxiasArmBrainBrain MappingCerebral InfarctionChronic DiseaseDisability EvaluationFemaleHumansMaleMiddle AgedMotor CortexNeurologic ExaminationPyramidal TractsANATOMYIMAGE ANALYSISMRISTROKE

Identifiers

PMID27451352
PMCPMC5136717
OpenAlexW2492396774

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.