Evidence map›Paper›PMID 30063219›Full record

ArticleJournal of neural engineering2018

Controlling pre-movement sensorimotor rhythm can improve finger extension after stroke.

S L Norman, D J McFarland, A Miner, S C Cramer, E T Wolbrecht, J R Wolpaw, D J Reinkensmeyer

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Journal of neural engineering, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06307834 (Restoring Grasp Ability in Stroke Survivors Through Motor Imagery-Based Training With EEG Feedback), which is not on this map. Cited by 21 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 4 pooled it
3.0field-weighted citation impact, top 8% 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.

NCT06307834 naunknown statusnot on this mapstarted 2024, after this paper: background citation

Restoring Grasp Ability in Stroke Survivors Through Motor Imagery-Based Training With EEG Feedback

TypeinterventionalSponsorNorth Carolina State UniversityRan2024 to 2025Enrolled20ConditionsStrokeArmsNeurofeedback - based therapy, Standard hand exercise therapy
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 4 syntheses or guidelines pooled it, 49 citations in OpenAlex.

  1. Pooled it
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  3. Pooled it
  4. Pooled it
  5. Trial
  6. Review
  7. Review
  8. EEG-based sensorimotor neurofeedback for motor neurorehabilitation in children and adults: A scoping review.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2024
    Article
  9. Article
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  11. Enhancing neurorehabilitation by targeting beneficial plasticity.Frontiers in rehabilitation sciences · 2023
    Review
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  13. Article
  14. Article
  15. Article
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  18. Review
  19. Article
  20. Feasibility of Wearable Sensing for In-Home Finger Rehabilitation Early After Stroke.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2020
    Article
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 3 institutions in 1 country.

S L NormanUniversity of California Irvine, Irvine, CA, United States of America.ORCID 0000-0001-9945-697X
D J McFarlandNational Center for Adaptive Neurotechnologies, Wadsworth Center, Albany, NY, United States of America.
A MinerUniversity of California Irvine, Irvine, CA, United States of America.
S C CramerUniversity of California Irvine, Irvine, CA, United States of America.
E T WolbrechtUniversity of Idaho, Moscow, ID, United States of America.
J R WolpawNational Center for Adaptive Neurotechnologies, Wadsworth Center, Albany, NY, United States of America.
D J ReinkensmeyerUniversity of California Irvine, Irvine, CA, United States of America.
University of California, Irvine · USWadsworth Center · USUniversity of Idaho · US

Funding

University of California Health Participation in the National COVID Cohort Collaborative (N3C)UL1TR001414 · NCATS · UNIVERSITY OF CALIFORNIA-IRVINE · PI COOPER, DAN M, VILAIN, ERIC J. · 2015 to 2023
$35.1M
Training and DisseminationP41EB018783 · NIBIB · WADSWORTH CENTER · PI Yi Chen · 2014 to 2026
$15.4M
Corticospinal control of spinal reflex plasticityI01CX001812 · VA · STRATTON VETERANS ADMIN MEDICAL CENTER · PI WOLPAW, JONATHAN RICKEL · 2019 to 2023
–
CSRD VA I01 CX001812NCATS NIH HHS UL1 TR001414NIBIB NIH HHS P41 EB018783
6 · The paper itself

Abstract

objectiveBrain-computer interface (BCI) technology is attracting increasing interest as a tool for enhancing recovery of motor function after stroke, yet the optimal way to apply this technology is unknown. Here, we studied the immediate and therapeutic effects of BCI-based training to control pre-movement sensorimotor rhythm (SMR) amplitude on robot-assisted finger extension in people with stroke. APPROACH: Eight people with moderate to severe hand impairment due to chronic stroke completed a four-week three-phase protocol during which they practiced finger extension with assistance from the FINGER robotic exoskeleton. In Phase 1, we identified spatiospectral SMR features for each person that correlated with the intent to extend the index and/or middle finger(s). In Phase 2, the participants learned to increase or decrease SMR features given visual feedback, without movement. In Phase 3, the participants were cued to increase or decrease their SMR features, and when successful, were then cued to immediately attempt to extend the finger(s) with robot assistance. MAIN

resultsOf the four participants that achieved SMR control in Phase 2, three initiated finger extensions with a reduced reaction time after decreasing (versus increasing) pre-movement SMR amplitude during Phase 3. Two also extended at least one of their fingers more forcefully after decreasing pre-movement SMR amplitude. Hand function, measured by the box and block test (BBT), improved by 7.3  ±  7.5 blocks versus 3.5  ±  3.1 blocks in those with and without SMR control, respectively. Higher BBT scores at baseline correlated with a larger change in BBT score. SIGNIFICANCE: These results suggest that learning to control person-specific pre-movement SMR features associated with finger extension can improve finger extension ability after stroke for some individuals. These results merit further investigation in a rehabilitation context.

Indexed as

Brain-Computer InterfacesAdultAgedAged, 80 and overAlgorithmsCuesElectroencephalographyExoskeleton DeviceFemaleFingersHumansMaleMiddle AgedMovementReaction TimeRecovery of Function

Identifiers

PMID30063219
PMCPMC6158016
OpenAlexW2885627745

What OpenQuestion holds

Textmetadata
LicenceTDM
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.