Evidence map›Paper›PMID 27895619›Full record

ArticleFrontiers in neurology2016

A Functional Magnetic Resonance Imaging Study of Head Movements in Cervical Dystonia.

Cecília N Prudente, Randall Stilla, Shivangi Singh, Cathrin Buetefisch, Marian Evatt, Stewart A Factor, Alan Freeman, Xiaoping Philip Hu, Ellen J Hess, K Sathian and 1 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in neurology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 8% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Mapping the Neuroanatomy of Dystonia Using Causal Brain Lesions.medRxiv : the preprint server for health sciences · 2025
    Article
  3. Abnormal Connectivity of the Head Neural Integrator in Cervical Dystonia.Movement disorders : official journal of the Movement Disorder Society · 2025
    Observational
  4. Article
  5. Engaging dystonia networks with subthalamic stimulation.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  6. Engaging dystonia networks with subthalamic stimulation.medRxiv : the preprint server for health sciences · 2024
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. GABAFrontiers in neurology · 2018
    Article
  20. 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

11 authors at 3 institutions in 1 country.

Cecília N PrudenteDepartment of Neurology, Emory University , Atlanta, GA , USA.
Randall StillaDepartment of Neurology, Emory University , Atlanta, GA , USA.
Shivangi SinghDepartment of Neurology, Emory University , Atlanta, GA , USA.
Cathrin BuetefischDepartment of Neurology, Emory University, Atlanta, GA, USA; Department of Rehabilitation Medicine, Emory University, Atlanta, GA, USA.
Marian EvattDepartment of Neurology, Emory University, Atlanta, GA, USA; Atlanta Parkinson's Consortium Center, Atlanta VAMC, Decatur, GA, USA.
Stewart A FactorDepartment of Neurology, Emory University , Atlanta, GA , USA.
Alan FreemanDepartment of Neurology, Emory University , Atlanta, GA , USA.
Xiaoping Philip HuCoulter Department of Biomedical Engineering, Georgia Institute of Technology, Emory University , Atlanta, GA , USA.
Ellen J HessDepartment of Neurology, Emory University, Atlanta, GA, USA; Department of Pharmacology, Emory University, Atlanta, GA, USA.
K SathianDepartment of Neurology, Emory University, Atlanta, GA, USA; Department of Rehabilitation Medicine, Emory University, Atlanta, GA, USA; Department of Psychology, Emory University, Atlanta, USA; Rehabilitation R&D Center for Visual and Neurocognitive Rehabilitation, Atlanta VAMC, Decatur, GA, USA.
H A JinnahDepartment of Neurology, Emory University, Atlanta, GA, USA; Department of Human Genetics, Emory University, Atlanta, GA, USA; Department of Pediatrics, Emory University, Atlanta, GA, USA.
Emory University · USAtlanta VA Health Care System · USGeorgia Institute of Technology · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cervical dystonia (CD) is a neurological disorder characterized by abnormal movements and postures of the head. The brain regions responsible for these abnormal movements are not well understood, because most imaging techniques for assessing regional brain activity cannot be used when the head is moving. Recently, we mapped brain activation in healthy individuals using functional magnetic resonance imaging during isometric head rotation, when muscle contractions occur without actual head movements. In the current study, we used the same methods to explore the neural substrates for head movements in subjects with CD who had predominantly rotational abnormalities (torticollis). Isometric wrist extension was examined for comparison. Electromyography of neck and hand muscles ensured compliance with tasks during scanning, and any head motion was measured and corrected. Data were analyzed in three steps. First, we conducted within-group analyses to examine task-related activation patterns separately in subjects with CD and in healthy controls. Next, we directly compared task-related activation patterns between participants with CD and controls. Finally, considering that the abnormal head movements in CD occur in a consistently patterned direction for each individual, we conducted exploratory analyses that involved normalizing data according to the direction of rotational CD. The between-group comparisons failed to reveal any significant differences, but the normalization procedure in subjects with CD revealed that isometric head rotation in the direction of dystonic head rotation was associated with more activation in the ipsilateral anterior cerebellum, whereas isometric head rotation in the opposite direction was associated with more activity in sensorimotor cortex. These findings suggest that the cerebellum contributes to abnormal head rotation in CD, whereas regions in the cerebral cortex are involved in opposing the involuntary movements.

Indexed as

cerebellumcervical dystoniafMRIhead movementsisometricspasmodic torticollis

Identifiers

PMID27895619
PMCPMC5108767
OpenAlexW2555801507

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.