Evidence map›Paper›PMID 30327684›Full record

ArticleTherapeutic advances in neurological disorders2018

Effect of the combination of motor imagery and electrical stimulation on upper extremity motor function in patients with chronic stroke: preliminary results.

Kohei Okuyama, Miho Ogura, Michiyuki Kawakami, Kengo Tsujimoto, Kohsuke Okada, Kazuma Miwa, Yoko Takahashi, Kaoru Abe, Shigeo Tanabe, Tomofumi Yamaguchi and 1 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Therapeutic advances in neurological disorders, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07480122 (Investigation of the Relationship Between Motor Imagery Skill and Neglect Level, Upper Extremity Motor Function, Activities of Daily Living, and Quality of Life in Individuals After Stroke), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 14% 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.

NCT07480122 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Investigation of the Relationship Between Motor Imagery Skill and Neglect Level, Upper Extremity Motor Function, Activities of Daily Living, and Quality of Life in Individuals After Stroke

TypeobservationalSponsorInonu UniversityRan2026 to 2026Enrolled50ConditionsStroke, Neglect, Hemispatial, Motor ımargery, Upper Extremity FunctionArmsNo intervention will be made, an assessment will be conducted.
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Effect of the period of EEG signals on the decoding of motor information.Physical and engineering sciences in medicine · 2024
    Article
  7. Review
  8. 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

11 authors at 4 institutions in 1 country.

Kohei OkuyamaDepartment of Rehabilitation Medicine, Keio University School of Medicine, Tokyo, Japan.
Miho OguraDepartment of Rehabilitation Medicine, Keio University School of Medicine, Tokyo, Japan.
Michiyuki KawakamiDepartment of Rehabilitation Medicine, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan.
Kengo TsujimotoDepartment of Rehabilitation Medicine, Keio University School of Medicine, Tokyo, Japan.
Kohsuke OkadaDepartment of Rehabilitation Medicine, Keio University School of Medicine, Tokyo, Japan.
Kazuma MiwaDepartment of Rehabilitation Medicine, Keio University Hospital, Tokyo, Japan.
Yoko TakahashiDepartment of Rehabilitation Medicine, Keio University School of Medicine, Tokyo, Japan.
Kaoru AbeDepartment of Rehabilitation Medicine, Keio University Hospital, Tokyo, Japan.
Shigeo TanabeFaculty of Rehabilitation, School of Health Sciences, Fujita Health University, Toyoake-shi, Aichi, Japan.
Tomofumi YamaguchiDepartment of Physical Therapy, Yamagata Prefectural University of Health Sciences, Yamagata-shi, Yamagata, Japan.
Meigen LiuDepartment of Rehabilitation Medicine, Keio University School of Medicine, Tokyo, Japan.
Keio University · JPKeio University Hospital · JPFujita Health University · JPYamagata Prefectural University of Health Sciences · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe combination of motor imagery (MI) and afferent input with electrical stimulation (ES) enhances the excitability of the corticospinal tract compared with motor imagery alone or electrical stimulation alone. However, its therapeutic effect is unknown in patients with hemiparetic stroke. We performed a preliminary examination of the therapeutic effects of MI + ES on upper extremity (UE) motor function in patients with chronic stroke.

methodsA total of 10 patients with chronic stroke demonstrating severe hemiparesis participated. The imagined task was extension of the affected finger. Peripheral nerve electrical stimulation was applied to the radial nerve at the spiral groove. MI + ES intervention was conducted for 10 days. UE motor function as assessed with the Fugl-Meyer assessment UE motor score (FMA-UE), the amount of the affected UE use in daily life as assessed with a Motor Activity Log (MAL-AOU), and the degree of hypertonia in flexor muscles as assessed with the Modified Ashworth Scale (MAS) were evaluated before and after intervention. To assess the change in spinal neural circuits, reciprocal inhibition between forearm extensor and flexor muscles with the H reflex conditioning-test paradigm at interstimulus intervals (ISIs) of 0, 20, and 100 ms were measured before and after intervention.

resultsUE motor function, the amount of the affected UE use, and muscle hypertonia in flexor muscles were significantly improved after MI + ES intervention (FMA-UE:

conclusionMI + ES intervention was effective for improving UE motor function in patients with severe paralysis.

Indexed as

cerebrovascular diseaseelectrical stimulationhemiparesismotor imageryrehabilitation

Identifiers

PMID30327684
PMCPMC6178123
OpenAlexW2898065841

What OpenQuestion holds

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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.