Evidence map›Paper›PMID 29740105›Full record

ArticleScientific reports2018

Distributed representation of pelvic floor muscles in human motor cortex.

Moheb S Yani, Joyce H Wondolowski, Sandrah P Eckel, Kornelia Kulig, Beth E Fisher, James E Gordon, Jason J Kutch

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05557175 (A Mixed-methods Evaluation of the Clinical and Cost-effectiveness of Repetitive Transcranial Magnetic Stimulation), which is not on this map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.7field-weighted citation impact, top 10% 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.

NCT05557175 nacompletednot on this mapstarted 2022, after this paper: background citation

A Mixed-methods Evaluation of the Clinical and Cost-effectiveness of Repetitive Transcranial Magnetic Stimulation (rTMS) on Neurogenic Overactive Bladder in Stroke

TypeinterventionalSponsorThe Hong Kong Polytechnic UniversityRan2022 to 2024Enrolled60ConditionsUrgency Urinary Incontinence, Overactive BladderArmsRepetitive transcranial magnetic stimulation, Sham rTMS
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 40 citations in OpenAlex.

  1. Trial
  2. Neuromotor modules revealed by direct electrical stimulation of the human primary motor cortex.Proceedings of the National Academy of Sciences of the United States of America · 2026
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  9. Frontiers in neuroscience · 2023
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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 1 institution in 1 country.

Moheb S YaniDivision of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles, CA, 90033, USA.
Joyce H WondolowskiDivision of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles, CA, 90033, USA.
Sandrah P EckelDivision of Biostatistics, University of Southern California, Los Angeles, CA, 90033, USA.ORCID 0000-0001-6050-7880
Kornelia KuligDivision of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles, CA, 90033, USA.
Beth E FisherDivision of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles, CA, 90033, USA.
James E GordonDivision of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles, CA, 90033, USA.
Jason J KutchDivision of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles, CA, 90033, USA. kutch@usc.edu.
University of Southern California · US

Funding

Sensorimotor impairments in men with Chronic Prostatitis/Chronic Pelvic Pain Syndrome: relationship of resting state brain activity to pelvic floor muscle activationR01DK110669 · NIDDK · UNIVERSITY OF SOUTHERN CALIFORNIA · PI KUTCH, JASON J. · 2017 to 2020
$1.3M
NIDDK NIH HHS R01 DK110669
6 · The paper itself

Abstract

Human motor cortex can activate pelvic floor muscles (PFM), but the motor cortical representation of the PFM is not well characterized. PFM representation is thought to be focused in the supplementary motor area (SMA). Here we examine the degree to which PFM representation is distributed between SMA and the primary motor cortex (M1), and how this representation is utilized to activate the PFM in different coordination patterns. We show that two types of coordination patterns involving PFM can be voluntarily accessed: one activates PFM independently of synergists and a second activates PFM prior to and in proportion with synergists (in this study, the gluteus maximus muscle - GMM). Functional magnetic resonance imaging (fMRI) showed that both coordination patterns involve overlapping activation in SMA and M1, suggesting the presence of intermingled but independent neural populations that access the different patterns. Transcranial magnetic stimulation (TMS) confirmed SMA and M1 representation for the PFM. TMS also showed that, equally for SMA and M1, PFM can be activated during rest but GMM can only be activated after voluntary drive to GMM, suggesting that these populations are distinguished by activation threshold. We conclude that PFM representation is broadly distributed in SMA and M1 in humans.

Indexed as

AdultElectromyographyFemaleHealthy VolunteersHumansMagnetic Resonance ImagingMaleMiddle AgedMotor CortexMuscle ContractionPelvic FloorRestTranscranial Magnetic Stimulation

Identifiers

PMID29740105
PMCPMC5940845
OpenAlexW2799330499

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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.