Evidence map›Paper›PMID 29034483›Full record

ArticleAnnals of neurology2017

Effect of sensory and motor connectivity on hand function in pediatric hemiplegia.

Disha Gupta, Alexandre Barachant, Andrew M Gordon, Claudio Ferre, Hsing-Ching Kuo, Jason B Carmel, Kathleen M Friel

Open access · greenAbstract read
In one paragraph

Article in Annals of neurology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
3.6field-weighted citation impact, top 6% 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

33 citing papers in PubMed, 59 citations in OpenAlex.

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  5. Modeling cerebral palsy in animals.Developmental medicine and child neurology · 2026
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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

7 authors at 4 institutions in 2 countries.

Disha GuptaBurke Medical Research Institute, White Plains, NY.
Alexandre BarachantBurke Medical Research Institute, White Plains, NY.
Andrew M GordonTeachers College, Columbia University, New York, NY.
Claudio FerreBurke Medical Research Institute, White Plains, NY.ORCID http://orcid.org/0000-0002-4370-6965
Hsing-Ching KuoAlberta Children's Hospital Research Institute, University of Calgary, Calgary, Alberta, Canada.
Jason B CarmelBurke Medical Research Institute, White Plains, NY.
Kathleen M FrielBurke Medical Research Institute, White Plains, NY.
Cornell University · USBurke Medical Research Institute · USColumbia University · USUniversity of Calgary · CA

Funding

Disparities in COVID Disease Severity and Outcomes in New York CityUL1TR002384 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI JULIANNE L IMPERATO-MCGINLEY · 2017 to 2026
$86.2M
Clinical and Translational Science CenterUL1TR000457 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI IMPERATO-MCGINLEY, JULIANNE L · 2012 to 2016
$46.0M
Targeted transcranial direct current stimulation combined with bimanual training for children with cerebral palsyR01HD076436 · NICHD · WINIFRED MASTERSON BURKE MED RES INST · PI GORDON, ANDREW M., RATNADURAI GIRIDHARAN, SHIVAKESHAVAN · 2014 to 2024
$5.5M
Injury and adaptation in the developing rat corticospinal and rubrospinal tractsK08NS073796 · NINDS · WINIFRED MASTERSON BURKE MED RES INST · PI CARMEL, JASON BRANT · 2011 to 2015
$910k
NCATS NIH HHS UL1 TR000457NCATS NIH HHS UL1 TR002384NICHD NIH HHS R01 HD076436NINDS NIH HHS K08 NS073796
6 · The paper itself

Abstract

objectiveWe tested the hypothesis that somatosensory system injury would more strongly affect movement than motor system injury in children with unilateral cerebral palsy (USCP). This hypothesis was based on how somatosensory and corticospinal circuits adapt to injury during development; whereas the motor system can maintain connections to the impaired hand from the uninjured hemisphere, this does not occur in the somatosensory system. As a corollary, cortical injury strongly impairs sensory function, so we hypothesized that cortical lesions would impair hand function more than subcortical lesions.

methodsTwenty-four children with unilateral cerebral palsy had physiological and anatomical measures of the motor and somatosensory systems and lesion classification. Motor physiology was performed with transcranial magnetic stimulation and somatosensory physiology with vibration-evoked electroencephalographic potentials. Tractography of the corticospinal tract and the medial lemniscus was performed with diffusion tensor imaging, and lesions were classified by magnetic resonance imaging. Anatomical and physiological results were correlated with measures of hand function using 2 independent statistical methods.

resultsChildren with disruptions in the somatosensory connectivity and cortical lesions had the most severe upper extremity impairments, particularly somatosensory function. Motor system connectivity was significantly correlated with bimanual function, but not unimanual function or somatosensory function.

interpretationBoth sensory and motor connectivity impact hand function in children with USCP. Somatosensory connectivity could be an important target for recovery of hand function in children with USCP. Ann Neurol 2017;82:766-780.

Indexed as

AdolescentCerebral PalsyChildDiffusion Tensor ImagingEvoked Potentials, SomatosensoryFemaleHandHemiplegiaHumansMagnetic Resonance ImagingMaleNeural PathwaysNeuroimagingPyramidal TractsTranscranial Magnetic StimulationVibration

Identifiers

PMID29034483
PMCPMC5708868
OpenAlexW2766944249

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.