Evidence map›Paper›PMID 32883710›Full record

ArticleThe Journal of neuroscience : the official journal of the Society for Neuroscience2020

Distinct Corticospinal and Reticulospinal Contributions to Voluntary Control of Elbow Flexor and Extensor Muscles in Humans with Tetraplegia.

Sina Sangari, Monica A Perez

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of neuroscience : the official journal of the Society for Neuroscience, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed
3.8field-weighted citation impact, top 6% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 59 citations in OpenAlex.

  1. Trial
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  4. Descending Brainstem Systems Contribute to Ankle Clonus in Humans with Spinal Cord Injury.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2026
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  5. Review
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  9. Enhanced Reticulospinal Output in Subacute Spinal Cord Injury Patients with Spasticity.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2026
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  10. Observational
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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

2 authors at 1 institution in 1 country.

Sina SangariShirley Ryan AbilityLab, Chicago, Illinois, Department of Physical Medicine and Rehabilitation, Northwestern University, Chicago, Illinois, 60611, and Edward Hines Jr. VA Hospital, Hines, Illinois, 60141.
Monica A PerezShirley Ryan AbilityLab, Chicago, Illinois, Department of Physical Medicine and Rehabilitation, Northwestern University, Chicago, Illinois, 60611, and Edward Hines Jr. VA Hospital, Hines, Illinois, 60141 mperez04@sralab.org.
Edward Hines, Jr. VA Hospital · US

Funding

Corticospinal Function after Spinal Cord InjuryR01NS090622 · NINDS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI PEREZ, MONICA A · 2014 to 2018
$1.6M
Maximizing Spike - Timing Dependent Plasticity after Spinal Cord InjuryI01RX001807 · VA · VETERANS HEALTH ADMINISTRATION · PI OUDEGA, MARTIN, PEREZ, MONICA A · 2016 to 2020
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Grasping Function after Spinal Cord InjuryI01RX002474 · VA · MIAMI VA HEALTH CARE SYSTEM · PI PEREZ, MONICA A · 2018 to 2024
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Repetitive Acute Intermittent Hypoxia for Spinal Cord RepairI01RX002848 · VA · EDWARD HINES JR VA HOSPITAL · PI CASELLA, GIZELDA T.B., OUDEGA, MARTIN · 2020 to 2024
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NINDS NIH HHS R01 NS090622RRD VA I01 RX001807RRD VA I01 RX002474
6 · The paper itself

Abstract

Humans with cervical spinal cord injury (SCI) often recover voluntary control of elbow flexors and, to a much lesser extent, elbow extensor muscles. The neural mechanisms underlying this asymmetrical recovery remain unknown. Anatomical and physiological evidence in animals and humans indicates that corticospinal and reticulospinal pathways differentially control elbow flexor and extensor motoneurons; therefore, it is possible that reorganization in these pathways contributes to the asymmetrical recovery of elbow muscles after SCI. To test this hypothesis, we examined motor-evoked potentials (MEPs) elicited by transcranial magnetic stimulation over the arm representation of the primary motor cortex, maximal voluntary contractions, the StartReact response (a shortening in reaction time evoked by a startling stimulus), and the effect of an acoustic startle cue on MEPs elicited by cervicomedullary stimulation (CMEPs) on biceps and triceps brachii in males and females with and without chronic cervical incomplete SCI. We found that SCI participants showed similar MEPs and maximal voluntary contractions in biceps but smaller responses in triceps compared with controls, suggesting reduced corticospinal inputs to elbow extensors. The StartReact and CMEP facilitation was larger in biceps but similar to controls in triceps, suggesting enhanced reticulospinal inputs to elbow flexors. These findings support the hypothesis that the recovery of biceps after cervical SCI results, at least in part, from increased reticulospinal inputs and that the lack of these extra inputs combined with the loss of corticospinal drive contribute to the pronounced weakness found in triceps.

Indexed as

AdultAgedCuesElbowElectromyographyEvoked Potentials, MotorFemaleHumansMaleMiddle AgedMotor CortexMuscle ContractionMuscle, SkeletalPyramidal TractsQuadriplegiaRecruitment, Neurophysiologicalbicepscorticospinalhumansreticulospinalspinal cord injurytriceps

Identifiers

PMID32883710
PMCPMC7659455
OpenAlexW3083431757

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.