Evidence map›Paper›PMID 28944083›Full record

ArticleSpinal cord series and cases2017

White matter changes in corticospinal tract associated with improvement in arm and hand functions in incomplete cervical spinal cord injury: pilot case series.

Nuray Yozbatiran, Zafer Keser, Khader Hasan, Argyrios Stampas, Radha Korupolu, Sam Kim, Marcia K O'Malley, Felipe Fregni, Gerard E Francisco

Open access · bronzeAbstract read
In one paragraph

Article in Spinal cord series and cases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.7field-weighted citation impact, top 29% 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

6 citing papers in PubMed, 13 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Article
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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

9 authors at 4 institutions in 1 country.

Nuray YozbatiranDepartment of Physical Medicine and Rehabilitation, University of Texas Health Science Center, UTHealth NeuroRecovery Research Center at TIRR Memorial Hermann, Houston, TX, USA.
Zafer KeserDepartment of Physical Medicine and Rehabilitation, University of Texas Health Science Center, UTHealth NeuroRecovery Research Center at TIRR Memorial Hermann, Houston, TX, USA.
Khader HasanDepartment of Diagnostic and Interventional Imaging, University of Texas Health Science Center, Houston, TX, USA.
Argyrios StampasDepartment of Physical Medicine and Rehabilitation, University of Texas Health Science Center, UTHealth NeuroRecovery Research Center at TIRR Memorial Hermann, Houston, TX, USA.
Radha KorupoluDepartment of Physical Medicine and Rehabilitation, University of Texas Health Science Center, UTHealth NeuroRecovery Research Center at TIRR Memorial Hermann, Houston, TX, USA.
Sam KimDepartment of Physical Medicine and Rehabilitation, University of Texas Health Science Center, UTHealth NeuroRecovery Research Center at TIRR Memorial Hermann, Houston, TX, USA.
Marcia K O'MalleyDepartment of Mechanical Engineering, Rice University, Houston, TX, USA.
Felipe FregniSpaulding Neuromodulation Center, Spaulding Rehabilitation Hospital and Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Gerard E FranciscoDepartment of Physical Medicine and Rehabilitation, University of Texas Health Science Center, UTHealth NeuroRecovery Research Center at TIRR Memorial Hermann, Houston, TX, USA.
The University of Texas Health Science Center at Houston · USMemorial Hermann Institute for Rehabilitation and Research Foundation · USHarvard University · USRice University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis is a prospective clinical pilot case series. Improvement of arm and hand functions after spinal cord injury (SCI) is one of the major rehabilitation goals. Electrical stimulation of the primary motor cortex via transcranial direct current stimulation (tDCS) coupled with high-intensity repetitive motor training may have potential to facilitate improvement in motor function in chronic, incomplete cervical SCI. We investigated the relationship between motor recovery and changes in white matter integrity in response to treatment intervention. This study was conducted in The Institute for Rehabilitation and Research Memorial Hermann, Houston, USA. CASE PRESENTATION: Four right-handed adults with chronic, incomplete cervical SCI (age, 36-63 years, American Spinal Injury Association Impairment Scale grade C-D) were enrolled in 10 sessions of anodal tDCS at 2 mA versus sham tDCS followed by 1 h of robotic-assisted arm training. Changes in arm and hand function were measured with Jebsen-Taylor Hand Function Test and Motor Activity Log-Amount of Use. Diffusion tension imaging was used to measure changes in fractional anisotropy (FA) of corticospinal tracts (CSTs). DISCUSSION: After 10 sessions of treatment, we found greater improvement in hand function and hand usage in patients who received active tDCS treatment versus sham treatment. There was an overall positive change in FA values across all patients. We show changes in arm and hand function associated with changes in CST tractographic mapping to quantify the motor system components in chronic incomplete cervical SCI.

Indexed as

Clinical trial designOutcomes research

Identifiers

PMID28944083
PMCPMC5601321
OpenAlexW2626555015

What OpenQuestion holds

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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.