Evidence map›Paper›PMID 28337941›Full record

ArticleMultiple sclerosis (Houndmills, Basingstoke, England)2018

Lesion symptom map of cognitive-postural interference in multiple sclerosis.

Serena Ruggieri, Fulvia Fanelli, Letizia Castelli, Nikolaos Petsas, Laura De Giglio, Luca Prosperini

Abstract read
In one paragraph

Article in Multiple sclerosis (Houndmills, Basingstoke, England), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Review
  6. Brain and cognitive reserve mitigate balance dysfunction in multiple sclerosis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2023
    Article
  7. Article
  8. The X factor in neurodegeneration.The Journal of experimental medicine · 2022
    Article
  9. Article
  10. Article
  11. Article
  12. Spotlight on postural control in patients with multiple sclerosis.Degenerative neurological and neuromuscular disease · 2018
    Review
  13. Does the radiologically isolated syndrome exist? A dual-task cost pilot study.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2017
    Article
  14. 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

6 authors.

Serena RuggieriDepartment of Neurology and Psychiatry, Sapienza University of Rome, Rome, Italy/Department of Neurosciences, San Camillo Forlanini Hospital, Rome, Italy.
Fulvia FanelliDepartment of Neurology and Psychiatry, Sapienza University of Rome, Rome, Italy.
Letizia CastelliDepartment of Neurology and Psychiatry, Sapienza University of Rome, Rome, Italy.
Nikolaos PetsasDepartment of Neurology and Psychiatry, Sapienza University of Rome, Rome, Italy/IRCCS Santa Lucia Foundation, Rome, Italy.
Laura De GiglioDepartment of Neurology and Psychiatry, Sapienza University of Rome, Rome, Italy.
Luca ProsperiniDepartment of Neurology and Psychiatry, Sapienza University of Rome, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the disease-altered structure-function relationship underlying the cognitive-postural interference (CPI) phenomenon in multiple sclerosis (MS).

methodsWe measured postural sway of 96 patients and 48 sex-/age-matched healthy controls by force platform in quiet standing (single-task (ST)) while performing the Stroop test (dual-task (DT)) to estimate the dual-task cost (DTC) of balance. In patient group, binary T2 and T1 lesion masks and their corresponding lesion volumes were obtained from magnetic resonance imaging (MRI) of brain. Normalized brain volume (NBV) was also estimated by SIENAX. Correlations between DTC and lesion location were determined by voxel-based lesion symptom mapping (VLSM) analyses.

resultsPatients had greater DTC than controls ( p < 0.001). Among whole brain MRI metrics, only T1 lesion volume correlated with DTC ( r = -0.27; p < 0.01). However, VLSM analysis did not reveal any association with DTC using T1 lesion masks. By contrast, we found clusters of T2 lesions in distinct anatomical regions (anterior and superior corona radiata, bilaterally) to be correlated with DTC ( p < 0.01 false discovery rate (FDR)-corrected). A multivariable stepwise regression model confirmed findings from VLSM analysis. NBV did not contribute to fit the model.

conclusionOur findings suggest that the CPI phenomenon in MS can be explained by disconnection along specific areas implicated in task-switching abilities and divided attention.

Indexed as

CognitionExecutive FunctionPostural BalanceAdultBehavior Observation TechniquesCerebral VentriclesCross-Sectional StudiesDisability EvaluationFemaleHospitals, UniversityHumansMagnetic Resonance ImagingMaleMiddle AgedMultiple SclerosisMultivariate Analysisatrophybalancecognitive–motor interferenceMRIMultiple sclerosisT2 lesions

Identifiers

PMID28337941
PMCPMC5946662

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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.