Evidence map›Paper›PMID 30888251›Full record

Trial reportNeurorehabilitation and neural repair2019

Myoelectric Computer Interface Training for Reducing Co-Activation and Enhancing Arm Movement in Chronic Stroke Survivors: A Randomized Trial.

Emily M Mugler, Goran Tomic, Aparna Singh, Saad Hameed, Eric W Lindberg, Jon Gaide, Murad Alqadi, Elizabeth Robinson, Katherine Dalzotto, Camila Limoli and 3 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Neurorehabilitation and neural repair, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03579992 (Myoelectric Computer Interface to Reduce Muscle Co-activation After Stroke), which is not on this map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 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.

NCT03579992 nacompletednot on this map

Myoelectric Computer Interface to Reduce Muscle Co-activation After Stroke

TypeinterventionalSponsorNorthwestern UniversityRan2014 to 2017Enrolled35ConditionsStrokeArms60-min isometric MyCI training, 90-min isometric MyCI training, 90-min movement MyCI training
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Serious games for upper limb rehabilitation after stroke: a meta-analysis.Journal of neuroengineering and rehabilitation · 2021
    Pooled it
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  10. Self-Organizing Recruitment of Compensatory Cortical Areas Post-Stroke Can Maximize Residual Motor Performance.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2026
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  16. Muscle synergies in upper limb stroke rehabilitation: a scoping review.European journal of physical and rehabilitation medicine · 2024
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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

13 authors.

Emily M Mugler1 Northwestern University, Chicago, IL, USA.
Goran Tomic1 Northwestern University, Chicago, IL, USA.
Aparna Singh1 Northwestern University, Chicago, IL, USA.
Saad Hameed1 Northwestern University, Chicago, IL, USA.
Eric W Lindberg1 Northwestern University, Chicago, IL, USA.
Jon Gaide1 Northwestern University, Chicago, IL, USA.
Murad Alqadi2 University of Illinois, Chicago, IL, USA.
Elizabeth Robinson3 Shirley Ryan AbilityLab, Chicago, IL, USA.
Katherine Dalzotto3 Shirley Ryan AbilityLab, Chicago, IL, USA.
Camila Limoli4 University of Sao Paolo, Sao Paolo, Brazil.
Tyler Jacobson1 Northwestern University, Chicago, IL, USA.ORCID 0000-0002-9655-1186
Jungwha Lee1 Northwestern University, Chicago, IL, USA.
Marc W Slutzky1 Northwestern University, Chicago, IL, USA.ORCID 0000-0003-2269-7729

Funding

Northwestern University Clinical and Translational Science Institute (NUCATS)UL1TR001422 · NCATS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI D'AQUILA, RICHARD · 2015 to 2023
$56.8M
A wearable myoelectric computer interface to reduce muscle co-activation in acute and chronic strokeR01NS099210 · NINDS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI SLUTZKY, MARC W. · 2016 to 2020
$1.7M
Myoelectric Computer Interface to Reduce Muscle Co-Activation after StrokeR21NS084069 · NINDS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI SLUTZKY, MARC W. · 2014 to 2015
$421k
NCATS NIH HHS UL1 TR001422NINDS NIH HHS R01 NS099210NINDS NIH HHS R21 NS084069
6 · The paper itself

Abstract

backgroundAbnormal muscle co-activation contributes to impairment after stroke. We developed a myoelectric computer interface (MyoCI) training paradigm to reduce abnormal co-activation. MyoCI provides intuitive feedback about muscle activation patterns, enabling decoupling of these muscles.

objectiveTo investigate tolerability and effects of MyoCI training of 3 muscle pairs on arm motor recovery after stroke, including effects of training dose and isometric versus movement-based training.

methodsWe randomized chronic stroke survivors with moderate-to-severe arm impairment to 3 groups. Two groups tested different doses of isometric MyoCI (60 vs 90 minutes), and one group tested MyoCI without arm restraint (90 minutes), over 6 weeks. Primary outcome was arm impairment (Fugl-Meyer Assessment). Secondary outcomes included function, spasticity, and elbow range-of-motion at weeks 6 and 10.

resultsOver all 32 subjects, MyoCI training of 3 muscle pairs significantly reduced impairment (Fugl-Meyer Assessment) by 3.3 ± 0.6 and 3.1 ± 0.7 ( P < 10

conclusionsMyoCI is a well-tolerated, novel rehabilitation tool that enables stroke survivors to reduce abnormal co-activation. It may reduce impairment and spasticity and improve arm function, even in severely impaired patients.

Indexed as

ArmBiofeedback, PsychologyMovementStroke RehabilitationAdultAgedBiomechanical PhenomenaChronic DiseaseComputersElectromyographyFemaleHumansMaleMiddle AgedMuscle, SkeletalMuscle Spasticityco-activationEMGfeedbackfunctionimpairmentstroke rehabilitationupper extremity

Identifiers

PMID30888251
PMCPMC6611547

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.