Evidence map›Paper›PMID 30806664›Full record

Observational studyPhysical therapy2019

Safety and Feasibility of Transcranial Magnetic Stimulation as an Exploratory Assessment of Corticospinal Connectivity in Infants After Perinatal Brain Injury: An Observational Study.

Samuel T Nemanich, Chao-Ying Chen, Mo Chen, Elizabeth Zorn, Bryon Mueller, Colleen Peyton, Jed T Elison, James Stinear, Raghu Rao, Michael Georgieff and 3 more

Retracted Registry-linked trialOpen access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Physical therapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It has been retracted, and should not be counted. It is linked to trial NCT05013736 (Perinatal Stroke), which is not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.6field-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.

NCT05013736 recruitingnot on this mapstarted 2022, after this paper: background citation

Perinatal Stroke: Longitudinal Assessment of Infant Brain Organization and Recovery Through Neuroexcitability, Neuroimaging and Motor Development

TypeobservationalSponsorUniversity of Wisconsin, MadisonRan2022 to 2026Enrolled65ConditionsPerinatal StrokeArmsMagnetic Resonance Imaging, Behavioral Assessments, Non invasive Transcranial Magnetic Stimulation
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 19 citations in OpenAlex.

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4 · The record

Corrections and comments

  • Reinstatement · 2019-02-26Date of Article and/or Notice Unknown · Error by Journal/Publisher · Notice - Limited or No Information · Retract and Replace · Temporary Removal · · article retracted and reinstated unknown dates;
5 · Who and what money

Authors and funding

13 authors at 4 institutions in 3 countries.

Samuel T NemanichDepartment of Rehabilitation Medicine, University of Minnesota, MMC 388, 420 Delaware St SE, Minneapolis, MN 55455 (USA). Address all correspondence to Dr Nemanich at: nemanich@umn.edu.
Chao-Ying ChenDepartment of Rehabilitation Sciences, Hong Kong Polytechnic University, Kowloon, Hong Kong.
Mo ChenDepartment of Psychiatry and Behavioral Sciences, University of Minnesota.
Elizabeth ZornDepartment of Pediatrics, University of Minnesota.
Bryon MuellerDepartment of Psychiatry and Behavioral Sciences, University of Minnesota.
Colleen PeytonPhysical Therapy and Human Movement Sciences, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
Jed T ElisonDepartment of Pediatrics; and Institute of Child Development, College of Education and Human Development, University of Minnesota.
James StinearDepartment of Exercise Sciences, University of Auckland, Auckland, New Zealand.
Raghu RaoDepartment of Pediatrics, University of Minnesota.
Michael GeorgieffDepartment of Pediatrics, University of Minnesota.
Jeremiah MenkSchool of Public Health, Division of Biostatistics, University of Minnesota.
Kyle RudserSchool of Public Health, Division of Biostatistics, University of Minnesota.
Bernadette GillickDepartment of Rehabilitation Medicine, University of Minnesota.
University of Minnesota · USHong Kong Polytechnic University · HKNorthwestern University · USUniversity of Auckland · NZ

Funding

University of Minnesota Clinical and Translational Science Institute (UMN CTSI)UL1TR002494 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R, WEISDORF, DANIEL J · 2018 to 2022
$34.9M
Techniques DevelopmentP2CHD086844 · NICHD · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI THOMPSON, AIKO · 2015 to 2024
$12.7M
NMR Imaging and SpectroscopyP41EB015894 · NIBIB · UNIVERSITY OF MINNESOTA · PI UGURBIL, KAMIL · 2012 to 2017
$8.4M
Novel Neuromodulatory Intervention in the Rehabilitation of Pediatric HemiparesisK01HD078484 · NICHD · UNIVERSITY OF MINNESOTA · PI GILLICK, BERNADETTE THERESE · 2014 to 2018
$654k
High Performance Connectome Upgrade for Human 3T MR ScannerS10OD017974 · OD · UNIVERSITY OF MINNESOTA · PI LIM, KELVIN O. · 2014 to 2014
$600k
NCATS NIH HHS UL1 TR002494NIBIB NIH HHS P41 EB015894NICHD NIH HHS K01 HD078484NICHD NIH HHS P2C HD086844NIH HHS S10 OD017974
6 · The paper itself

Abstract

backgroundPerinatal brain injuries often impact the corticospinal system, leading to motor impairment and cerebral palsy. Although transcranial magnetic stimulation (TMS) has been widely used to study corticospinal connectivity in adults and older children, similar studies of young infants are limited.

objectivesThe objective was to establish the safety and feasibility of advanced TMS assessments of the corticospinal connectivity of young infants with perinatal brain injury.

designThis was a pilot, cross-sectional study of 3- to 12-month-old (corrected age) infants with perinatal stroke or intracranial hemorrhage.

methodsSix participants (2 term, 4 preterm) were assessed with stereotactic neuronavigation-guided TMS. Single-pulse TMS was applied to each hemisphere and responses were recorded simultaneously from both upper limbs. During data collection, vital signs and stress responses were measured to assess safety. Developmental motor outcomes were evaluated using the General Movements Assessment and Bayley Scales of Infant and Toddler Development (3rd edition). A clinical diagnosis of cerebral palsy was recorded, if available.

resultsNo adverse events occurred during TMS testing. All sessions were well tolerated. Contralateral motor evoked responses were detected in 4 of 6 participants. Both contralateral and ipsilateral responses were observed in 2 of 6 participants. LIMITATIONS: TMS responses were not obtained in all participants. This could be related to the location of brain injury or developmental stage of the corticospinal system controlling the wrist flexor muscle group from which responses were recorded.

conclusionsThis study provides a summary of the framework for performing novel TMS assessments in infants with perinatal brain injury. Implementing this approach to measure corticospinal connectivity in hypothesis-driven studies in young infants appears to be justified. Such studies could inform the characterization of corticospinal development and the neural mechanisms driving recovery following early interventions.

Indexed as

Brain InjuriesCross-Sectional StudiesDevelopmental DisabilitiesEvoked Potentials, MotorFeasibility StudiesFemaleFunctional LateralityHumansInfant, NewbornMaleMotor CortexPilot ProjectsTranscranial Magnetic StimulationTreatment Outcome

Identifiers

PMID30806664
PMCPMC6545276
OpenAlexW2946963909

What OpenQuestion holds

Textmetadata
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.