Evidence map›Paper›PMID 33536034›Full record

Trial reportJournal of neuroengineering and rehabilitation2021

Brain lateralization in children with upper-limb reduction deficiency.

Jorge M Zuniga, James E Pierce, Christopher Copeland, Claudia Cortes-Reyes, David Salazar, YingYing Wang, K M Arun, Theodore Huppert

Registry-linked trialOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in Journal of neuroengineering and rehabilitation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04110730 (The Influence of 3D Printed Prostheses on Neural Activation Patterns of the Primary Motor Cortex in Children With Unilateral Congenital Upper-limb Reductions), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.0field-weighted citation impact, top 28% 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.

NCT04110730 narecruitingnot on this map

The Influence of 3D Printed Prostheses on Neural Activation Patterns of the Primary Motor Cortex in Children With Unilateral Congenital Upper-limb Reductions

TypeinterventionalSponsorUniversity of NebraskaRan2020 to 2026Enrolled40ConditionsAmniotic Band Syndrome, Upper Extremity Deformities, CongenitalArms3D Printed Upper-limb Prosthesis, Home Intervention
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
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  7. 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

8 authors at 4 institutions in 2 countries.

Jorge M ZunigaDepartment of Biomechanics, University of Nebraska at Omaha, Omaha, NE, 68182, USA. jmzuniga@unomaha.edu.ORCID 0000-0001-8901-7631
James E PierceDepartment of Biomechanics, University of Nebraska at Omaha, Omaha, NE, 68182, USA.
Christopher CopelandDepartment of Biomechanics, University of Nebraska at Omaha, Omaha, NE, 68182, USA.
Claudia Cortes-ReyesDepartment of Biomechanics, University of Nebraska at Omaha, Omaha, NE, 68182, USA.
David SalazarDepartment of Biomechanics, University of Nebraska at Omaha, Omaha, NE, 68182, USA.
YingYing WangDepartment of Special Education and Communication Disorders (SECD), University of Nebraska-Lincoln, Lincoln, NE, 68182, USA.
K M ArunDepartment of Imaging Sciences and Interventional Radiology, Sree Chitra Tirunal Institute for Medical Science and Technology, Thiruvananthapuram, India.
Theodore HuppertDepartment of Radiology, University of Pittsburgh Medical Center, Pittsburgh, PA, 16148, USA.
University of Nebraska at Omaha · USSree Chitra Thirunal Institute for Medical Sciences and Technology · INUniversity of Nebraska–Lincoln · USUniversity of Pittsburgh Medical Center · US

Funding

Brain AnalyzIR: A software platform for improving scientific rigor in functional NIRS statistical analysisR01EB028248 · NIBIB · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Theodore James Huppert · 2019 to 2026
$2.0M
The influence of 3D printed prostheses on neural activation patterns of the primary motor cortex in children with unilateral congenital upper-limb reductionsR01NS114282 · NINDS · UNIVERSITY OF NEBRASKA OMAHA · PI KNARR, BRIAN ANDREW, ZUNIGA, JORGE M · 2020 to 2023
$1.5M
NINDS NIH HHS R01 NS114282NINDS NIH HHS R01NS114282
6 · The paper itself

Abstract

backgroundThe purpose of the current study was to determine the influence of upper-limb prostheses on brain activity and gross dexterity in children with congenital unilateral upper-limb reduction deficiencies (ULD) compared to typically developing children (TD).

methodsFive children with ULD (3 boys, 2 girls, 8.76 ± 3.37 years of age) and five age- and sex-matched TD children (3 boys, 2 girls, 8.96 ± 3.23 years of age) performed a gross manual dexterity task (Box and Block Test) while measuring brain activity (functional near-infrared spectroscopy; fNIRS).

resultsThere were no significant differences (p = 0.948) in gross dexterity performance between the ULD group with prosthesis (7.23 ± 3.37 blocks per minute) and TD group with the prosthetic simulator (7.63 ± 5.61 blocks per minute). However, there was a significant (p = 0.001) difference in Laterality Index (LI) between the ULD group with prosthesis (LI = - 0.2888 ± 0.0205) and TD group with simulator (LI = 0.0504 ± 0.0296) showing in a significant ipsilateral control for the ULD group. Thus, the major finding of the present investigation was that children with ULD, unlike the control group, showed significant activation in the ipsilateral motor cortex on the non-preferred side using a prosthesis during a gross manual dexterity task.

conclusionsThis ipsilateral response may be a compensation strategy in which the existing cortical representations of the non-affected (preferred) side are been used by the affected (non-preferred) side to operate the prosthesis. This study is the first to report altered lateralization in children with ULD while using a prosthesis. Trial registration The clinical trial (ClinicalTrial.gov ID: NCT04110730 and unique protocol ID: IRB # 614-16-FB) was registered on October 1, 2019 ( https://clinicaltrials.gov/ct2/show/NCT04110730 ) and posted on October 1, 2019. The study start date was January 10, 2020. The first participant was enrolled on January 14, 2020, and the trial is scheduled to be completed by August 23, 2023. The trial was updated January 18, 2020 and is currently recruiting.

Indexed as

Artificial LimbsChildFemaleFunctional LateralityHumansMaleMotor CortexMotor SkillsUpper Extremity Deformities, CongenitalBrain activationfNIRSPediatricProsthesisUpper-limb deficiency

Identifiers

PMID33536034
PMCPMC7860186
OpenAlexW3128493757

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.