ArticleNeurorehabilitation and neural repair2017
Motor Learning in Stroke: Trained Patients Are Not Equal to Untrained Patients With Less Impairment
Article in Neurorehabilitation and neural repair, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
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Who cites it
36 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Robot-Assisted Arm Training versus Therapist-Mediated Training after Stroke: A Systematic Review and Meta-Analysis.Journal of healthcare engineering · 2020Pooled it
- Non-invasive stimulation of the human striatum disrupts reinforcement learning of motor skills.Nature human behaviour · 2024Trial
- Reward During Arm Training Improves Impairment and Activity After Stroke: A Randomized Controlled Trial.Neurorehabilitation and neural repair · 2022Trial
- Dissociating motor learning from recovery in exoskeleton training post-stroke.Journal of neuroengineering and rehabilitation · 2018Trial
- Transcranial Direct Current Stimulation Enhances Motor Skill Learning but Not Generalization in Chronic Stroke.Neurorehabilitation and neural repairTrial
- Predicting online motor learning after stroke in lower limb task using machine learning.Scientific reports · 2026Article
- Practice Parameters That Influence Vocal Motor Adaptation in Altered Auditory Feedback Paradigms.Journal of speech, language, and hearing research : JSLHR · 2026Article
- Behavioral and neurophysiological changes associated with a single session of bimanual task practice after stroke.Clinical neurophysiology practice · 2026Article
- Roles of beta synchronization for motor skill acquisition change after stroke.Brain communications · 2026Article
- A structural causal model for robot-assisted upper-limb neurorehabilitation.Frontiers in rehabilitation sciences · 2026Article
- Competition between Tool and Hand Motion Impairs Movement Planning in Limb Apraxia.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2025Article
- Movement Impairments May Not Preclude Visuomotor Adaptation After Stroke.Brain sciences · 2025Article
- Modulation of primary motor cortex after experimentally induced and use-dependent plasticity in young and older adults.Experimental brain research · 2025Article
- Disrupting stroke-induced GAT-1-syntaxin1A interaction promotes functional recovery after stroke.Cell reports. Medicine · 2024Article
- Controlling Pitch for Prosody: Sensorimotor Adaptation in Linguistically Meaningful Contexts.Journal of speech, language, and hearing research : JSLHR · 2024Article
- A single bout of moderate-intensity aerobic exercise improves motor learning in premanifest and early Huntington's disease.Frontiers in psychology · 2023Article
- The effect of gamified robot-enhanced training on motor performance in chronic stroke survivors.Heliyon · 2022Article
- Age-related increases in reaction time result from slower preparation, not delayed initiation.Journal of neurophysiology · 2022Article
- Assessing Impairments in Visuomotor Adaptation After Stroke.Neurorehabilitation and neural repair · 2022Article
- Training at asymptote stabilizes motor memories by reducing intracortical excitation.Cortex; a journal devoted to the study of the nervous system and behavior · 2021Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
BACKGROUND AND
objectiveStroke rehabilitation assumes motor learning contributes to motor recovery, yet motor learning in stroke has received little systematic investigation. Here we aimed to illustrate that despite matching levels of performance on a task, a trained patient should not be considered equal to an untrained patient with less impairment.
methodsWe examined motor learning in healthy control participants and groups of stroke survivors with mild-to-moderate or moderate-to-severe motor impairment. Participants performed a series of isometric contractions of the elbow flexors to navigate an on-screen cursor to different targets, and trained to perform this task over a 4-day period. The speed-accuracy trade-off function (SAF) was assessed for each group, controlling for differences in self-selected movement speeds between individuals.
resultsThe initial SAF for each group was proportional to their impairment. All groups were able to improve their performance through skill acquisition. Interestingly, training led the moderate-to-severe group to match the untrained (baseline) performance of the mild-to-moderate group, while the trained mild-to-moderate group matched the untrained (baseline) performance of the controls. Critically, this did not make the two groups equivalent; they differed in their capacity to improve beyond this matched performance level. Specifically, the trained groups had reached a plateau, while the untrained groups had not.
conclusionsDespite matching levels of performance on a task, a trained patient is not equal to an untrained patient with less impairment. This has important implications for decisions both on the focus of rehabilitation efforts for chronic stroke, as well as for returning to work and other activities.
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Registered trials
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.