Evidence map›Paper›PMID 29526858›Full record

ArticleRestorative neurology and neuroscience2018

Paired associative stimulation modulates corticomotor excitability in chronic stroke: A preliminary investigation.

Jacqueline A Palmer, Steven L Wolf, Michael R Borich

Abstract read
In one paragraph

Article in Restorative neurology and neuroscience, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  7. Targeted Modulation of Human Brain Interregional Effective Connectivity With Spike-Timing Dependent Plasticity.Neuromodulation : journal of the International Neuromodulation Society · 2023
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  13. Neurostimulation for Stroke Rehabilitation.Frontiers in neuroscience · 2021
    Review
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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

3 authors.

Jacqueline A PalmerDepartment of Rehabilitation Medicine, Division of Physical Therapy, Emory University, Atlanta, GA, USA.
Steven L WolfDepartment of Rehabilitation Medicine, Division of Physical Therapy, Emory University, Atlanta, GA, USA.
Michael R BorichDepartment of Rehabilitation Medicine, Division of Physical Therapy, Emory University, Atlanta, GA, USA.

Funding

MULTICENTER CAREER DEVELOPMENT PROGRAM FOR PHYSICAL AND OCCUPATIONAL THERAPYK12HD055931 · NICHD · WASHINGTON UNIVERSITY · PI HAYES, MARCIE HARRIS · 2007 to 2021
$12.7M
NICHD NIH HHS K12 HD055931
6 · The paper itself

Abstract

backgroundPaired associative stimulation (PAS) combining repeated pairing of electrical stimulation of a peripheral nerve with transcranial magnetic stimulation (TMS) over the primary motor cortex (M1) can induce neuroplastic adaptations in the human brain and enhance motor learning in neurologically-intact individuals. However, the extent to which PAS is an effective technique for inducing associative plasticity and improving motor function in individuals post-stroke is unclear.

objectiveThe objective of this pilot study was to investigate the effects of a single session of PAS to modulate corticomotor excitability and motor skill performance in individuals post-stroke.

methodsSeven individuals with chronic stroke completed two separate visits separated by at least one week. We assessed general corticomotor excitability, intracortical network activity and behavioral outcomes prior to and at three time points following PAS and compared these outcomes to those following a sham PAS condition (PASSHAM).

resultsFollowing PAS, we found increased general corticomotor excitability but no significant difference in behavioral measures between PAS conditions. There was a relationship between PAS-induced corticomotor excitability increase and enhanced motor skill performance across post-PAS testing time points.

conclusionThese results provide preliminary evidence for the potential of PAS to increase corticomotor excitability that could favorably impact motor skill performance in chronic individuals post-stroke and are an important first step for future studies investigating the clinical application and behavioral relevance of PAS interventions in post stroke patient populations.

Indexed as

AdultAgedAged, 80 and overChronic DiseaseCross-Over StudiesEvoked Potentials, MotorEvoked Potentials, SomatosensoryFemaleHumansMaleMiddle AgedMotor ActivityMotor CortexMotor SkillsPilot ProjectsReaction Timemotor learningpaired associative stimulationTranscranial magnetic stimulation

Identifiers

PMID29526858
PMCPMC5870032

What OpenQuestion holds

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LicenceCC BY-NC
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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.