Evidence map›Paper›PMID 28077661›Full record

ArticleJournal of neurophysiology2017

Characterizing differential poststroke corticomotor drive to the dorsi- and plantarflexor muscles during resting and volitional muscle activation.

Jacqueline A Palmer, Ryan Zarzycki, Susanne M Morton, Trisha M Kesar, Stuart A Binder-Macleod

Open access · greenAbstract read
In one paragraph

Article in Journal of neurophysiology, 2017. 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
1.5field-weighted citation impact, top 18% 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, 22 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Delayed cortical engagement associated with balance dysfunction after stroke.medRxiv : the preprint server for health sciences · 2023
    Article
  6. Article
  7. Article
  8. Article
  9. Impaired interlimb coordination is related to asymmetries during pedaling after stroke.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2019
    Article
  10. Article
  11. Article
  12. Article
  13. Brain imaging of locomotion in neurological conditions.Neurophysiologie clinique = Clinical neurophysiology · 2018
    Review
  14. Characterizing the corticomotor connectivity of the bilateral ankle muscles during rest and isometric contraction in healthy adults.Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology · 2018
    Article
  15. Association Between Altered Hip Extension and Kinetic Gait Variables.American journal of physical medicine & rehabilitation · 2018
    Article
  16. Review
  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

5 authors at 2 institutions in 1 country.

Jacqueline A PalmerDivision of Physical Therapy, School of Medicine, Emory University, Atlanta, Georgia palmerja@udel.edu.
Ryan ZarzyckiDepartment of Physical Therapy, University of Delaware, Newark, Delaware.
Susanne M MortonDepartment of Physical Therapy, University of Delaware, Newark, Delaware.
Trisha M KesarDivision of Physical Therapy, School of Medicine, Emory University, Atlanta, Georgia.
Stuart A Binder-MacleodDepartment of Physical Therapy, University of Delaware, Newark, Delaware.
University of Delaware · USEmory University · US

Funding

Fast Treadmill Training/Functional Electrical Stimulation to Improve WalkingR01NR010786 · NINR · UNIVERSITY OF DELAWARE · PI BINDER-MACLEOD, STUART A. · 2007 to 2011
$2.8M
Cortical and spinal correlates of stroke gait rehabilitationK01HD079584 · NICHD · EMORY UNIVERSITY · PI KESAR, TRISHA · 2014 to 2018
$632k
NICHD NIH HHS K01 HD079584NINR NIH HHS R01 NR010786
6 · The paper itself

Abstract

Imbalance of corticomotor excitability between the paretic and nonparetic limbs has been associated with the extent of upper extremity motor recovery poststroke, is greatly influenced by specific testing conditions such as the presence or absence of volitional muscle activation, and may vary across muscle groups. However, despite its clinical importance, poststroke corticomotor drive to lower extremity muscles has not been thoroughly investigated. Additionally, whereas conventional gait rehabilitation strategies for stroke survivors focus on paretic limb foot drop and dorsiflexion impairments, most contemporary literature has indicated that paretic limb propulsion and plantarflexion impairments are the most significant limiters to poststroke walking function. The purpose of this study was to compare corticomotor excitability of the dorsi- and plantarflexor muscles during resting and active conditions in individuals with good and poor poststroke walking recovery and in neurologically intact controls. We found that plantarflexor muscles showed reduced corticomotor symmetry between paretic and nonparetic limbs compared with dorsiflexor muscles in individuals with poor poststroke walking recovery during active muscle contraction but not during rest. Reduced plantarflexor corticomotor symmetry during active muscle contraction was a result of reduced corticomotor drive to the paretic muscles and enhanced corticomotor drive to the nonparetic muscles compared with the neurologically intact controls. These results demonstrate that atypical corticomotor drive exists in both the paretic and nonparetic lower limbs and implicate greater severity of corticomotor impairments to plantarflexor vs. dorsiflexor muscles during muscle activation in stroke survivors with poor walking recovery.

Indexed as

AgedAnalysis of VarianceCross-Sectional StudiesElectromyographyEvoked Potentials, MotorFemaleHumansLower ExtremityMaleMiddle AgedMuscle, SkeletalParesisRestStrokeTranscranial Magnetic StimulationYoung Adultcorticomotorgaitstrokesymmetrytranscranial magnetic stimulation

Identifiers

PMID28077661
PMCPMC5380782
OpenAlexW2573343474

What OpenQuestion holds

Textmetadata
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.