Evidence map›Paper›PMID 28691140›Full record

ReviewTranslational stroke research2017

Preclinical and Clinical Evidence on Ipsilateral Corticospinal Projections: Implication for Motor Recovery.

Ali Alawieh, Stephen Tomlinson, DeAnna Adkins, Steve Kautz, Wuwei Feng

Open access · greenAbstract readReview
In one paragraph

Review in Translational stroke research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 12% 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

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 58 citations in OpenAlex.

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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

5 authors at 1 institution in 1 country.

Ali AlawiehDepartment of Microbiology and Immunology, College of Medicine, Medical University of South Carolina, Charleston, SC, USA.ORCID 0000-0003-2601-8850
Stephen TomlinsonDepartment of Microbiology and Immunology, College of Medicine, Medical University of South Carolina, Charleston, SC, USA.
DeAnna AdkinsRalph H. Johnson VA Medical Center, Charleston, SC, USA.
Steve KautzRalph H. Johnson VA Medical Center, Charleston, SC, USA.
Wuwei FengDepartment of Health Science and Research, College of Health Professions, Medical University of South Carolina, Charleston, SC, USA. feng@musc.edu.
Medical University of South Carolina · US

Funding

Treating Depression and Enhancing Locomotor Recovery Post-strokeP20GM109040 · NIGMS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI KAUTZ, STEVEN A. · 2014 to 2024
$23.5M
SOUTH CAROLINA CLINICAL & TRANSLATIONAL RESEARCH INSTITUTE (SCTR)UL1RR029882 · NCRR · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI BRADY, KATHLEEN T. · 2009 to 2011
$10.1M
Cortical Stimulation to Enhance Motor Recovery Following Traumatic Brain InjuryR01NS065866 · NINDS · UNIVERSITY OF TEXAS AT AUSTIN · PI ADKINS, DEANNA L · 2011 to 2015
$1.2M
The Complement System and Spinal Cord InjuryI01BX001218 · VA · RALPH H JOHNSON VA MEDICAL CENTER · PI TOMLINSON, STEPHEN · 2012 to 2015
–
Novel Therapies to Improve Functional Recovery After StrokeI01RX001141 · VA · RALPH H JOHNSON VA MEDICAL CENTER · PI TOMLINSON, STEPHEN · 2014 to 2022
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BLRD VA I01 BX001218NCRR NIH HHS UL1 RR029882NIGMS NIH HHS P20 GM109040NINDS NIH HHS R01 NS065866RRD VA I01 RX001141
6 · The paper itself

Abstract

Motor impairment is the most common complication after stroke, and recovery of motor function has been shown to be dependent on the extent of lesion in the ipsilesional corticospinal tract (iCST) and activity within ipsilesional primary and secondary motor cortices. However, work from neuroimaging research has suggested a role of the contralesional hemisphere in promoting recovery after stroke potentially through the ipsilateral uncrossed CST fibers descending to ipsilateral spinal segments. These ipsilateral fibers, sometimes referred to as "latent" projections, are thought to contribute to motor recovery independent of the crossed CST. The aim of this paper is to evaluate using cumulative evidence from animal models and human patients on whether an uncrossed CST component is present in mammals and conserved through primates and humans, and whether iCST fibers have a functional role in hemiparetic/hemiplegic human conditions. This review highlights that an ipsilateral uncrossed CST exists in human during development, but the evidence on a functionally relevant iCST component in adult humans is still elusive. In addition, this review argues that whereas activity within the ipsilesional cortex is essential for enhancing motor recovery after stroke, the role of iCST projections specifically is still controversial. Finally, conclusions from current literature emphasize the importance of activity in the ipsilesional cortex and the integrity of crossed CST fibers as major determinants of motor recovery after brain injury.

Indexed as

AnimalsFunctional LateralityHumansPyramidal TractsRecovery of FunctionStrokeCortical re-organizationCorticospinal tractDescending motor controlIpsilateral hemisphereMotor recovery

Identifiers

PMID28691140
PMCPMC5802360
OpenAlexW2733813570

What OpenQuestion holds

Textmetadata
LicenceTDM
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.