Evidence map›Paper›PMID 33302061›Full record

Observational studyClinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology2021

Influence of post-stroke fatigue on reaction times and corticospinal excitability during movement preparation.

William De Doncker, Katlyn E Brown, Annapoorna Kuppuswamy

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 19% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Neuroimaging correlates of post-stroke fatigue: A systematic review and meta-analysis.International journal of stroke : official journal of the International Stroke Society · 2023
    Pooled it
  2. Article
  3. Network Localization of Fatigue in Multiple Sclerosis.Annals of clinical and translational neurology · 2026
    Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Observational
  10. Review
  11. Review
  12. Article
  13. The Neurobiology of Pathological Fatigue: New Models, New Questions.The Neuroscientist : a review journal bringing neurobiology, neurology and psychiatry · 2022
    Article
  14. Article
  15. 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

3 authors at 2 institutions in 2 countries.

William De DonckerDepartment of Clinical and Movement Neuroscience, Institute of Neurology, University College London, UK. Electronic address: william.doncker.11@ucl.ac.uk.
Katlyn E BrownDepartment of Clinical and Movement Neuroscience, Institute of Neurology, University College London, UK; University of Waterloo, Department of Kinesiology, Faculty of Applied Health Sciences, Waterloo, ON, Canada.
Annapoorna KuppuswamyDepartment of Clinical and Movement Neuroscience, Institute of Neurology, University College London, UK.
University College London · GBUniversity of Waterloo · CA

Funding

Wellcome Trust 202346/Z/16/Z
6 · The paper itself

Abstract

objectivesReduced corticospinal excitability at rest is associated with post-stroke fatigue (PSF). However, it is not known if corticospinal excitability prior to a movement is also altered in fatigue which may then influence subsequent behaviour. We hypothesized that the levels of PSF can be explained by differences in modulation of corticospinal excitability during movement preparation.

methods73 stroke survivors performed an auditory reaction time task. Corticospinal excitability was measured using transcranial magnetic stimulation. Fatigue was quantified using the fatigue severity scale. The effect of time and fatigue on corticospinal excitability and reaction time was analysed using a mixed effects model.

resultsThose with greater levels of PSF showed reduced suppression of corticospinal excitability during movement preparation and increased facilitation immediately prior to movement onset (β = -0.0066, t = -2.22, p = 0.0263). Greater the fatigue, slower the reaction times the closer the stimulation time to movement onset (β = 0.0024, t = 2.47, p = 0.0159).

conclusionsLack of pre-movement modulation of corticospinal excitability in high fatigue may indicate poor sensory processing supporting the sensory attenuation model of fatigue. SIGNIFICANCE: We take a systems-based approach and investigate the motor system and its role in pathological fatigue allowing us to move towards gaining a mechanistic understanding of chronic pathological fatigue.

Indexed as

Acoustic StimulationAgedCross-Sectional StudiesElectromyographyEvoked Potentials, MotorFatigueFemaleHumansMaleMiddle AgedMotor CortexMovementMuscle, SkeletalPyramidal TractsReaction TimeStrokeFatigueMovement preparationStrokeTMS

Identifiers

PMID33302061
PMCPMC7810236
OpenAlexW3106578606

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.