Evidence map›Paper›PMID 33543054›Full record

ArticleArchives of rehabilitation research and clinical translation2019

Absence of Motor-Evoked Potentials Does Not Predict Poor Recovery in Patients With Severe-Moderate Stroke: An Exploratory Analysis.

Elizabeth S Powell, Philip M Westgate, Larry B Goldstein, Lumy Sawaki

Open access · goldAbstract read
In one paragraph

Article in Archives of rehabilitation research and clinical translation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
0.2field-weighted citation impact, top 42% 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

12 citing papers in PubMed, 16 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. 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

4 authors at 1 institution in 1 country.

Elizabeth S PowellDepartment of Physical Medicine and Rehabilitation, University of Kentucky, Lexington, Kentucky.
Philip M WestgateDepartment of Biostatistics, College of Public Health, University of Kentucky, Lexington, Kentucky.
Larry B GoldsteinDepartment of Neurology, University of Kentucky, Lexington, Kentucky.
Lumy SawakiDepartment of Physical Medicine and Rehabilitation, University of Kentucky, Lexington, Kentucky.
University of Kentucky · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo better understand the role of the presence or absence of motor-evoked potentials (MEPs) in predicting functional outcomes following a severe-moderate stroke.

designRetrospective exploratory analysis. We compared the effects of the stimulation condition (active or sham), MEP status (+ or -), and a combination of stimulation condition and MEP status on outcome. Within-group and between-group changes were assessed with longitudinal repeated measures analysis of variance and longitudinal repeated measures analysis of covariance, respectively. The proportions of participants who achieved minimal clinically important differences (MCIDs) for the main outcome measures were calculated.

settingUniversity research laboratory within a rehabilitation hospital.

participantsA total of 129 subjects with severe-moderate stroke-related motor impairments who participated in previous studies combining neuromodulation and motor training.

interventionsNeuromodulation (active or sham) and motor training.

main outcome measuresFugl-Meyer Assessment (FMA) and Action Research Arm Test (ARAT).

resultsWhen participants were grouped by stimulation condition or MEP status, all groups improved from baseline to immediate postintervention and follow-up evaluations (all

conclusionAs expected, the MEP+ group had the greatest improvement in motor function. However, it was shown that individuals without MEPs can also achieve meaningful changes, as reflected by MCID, when neuromodulation is paired with motor training. To our knowledge, this is the first study to differentiate the effects of neuromodulation by MEP status.

Indexed as

ARAT, Action Research Arm TestBMI, brain-machine interfaceFMA, Fugl-Meyer AssessmentMCID, minimal clinically important differenceMEP, motor-evoked potentialMSO, maximum stimulator outputPNS, peripheral nerve stimulationRehabilitationtDCS, transcranial direct current stimulationTMS, transcranial magnetic stimulationTranscranial direct current stimulationTranscranial magnetic stimulation

Identifiers

PMID33543054
PMCPMC7853378
OpenAlexW2972331651

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.