Evidence map›Paper›PMID 34804258›Full record

ArticleBehavioural neurology2021

Upper and Lower Limb Motor Function Correlates with Ipsilesional Corticospinal Tract and Red Nucleus Structural Integrity in Chronic Stroke: A Cross-Sectional, ROI-Based MRI Study.

Denise M Peters, Julius Fridriksson, Jessica D Richardson, Jill C Stewart, Chris Rorden, Leonardo Bonilha, Addie Middleton, Stacy L Fritz

Open access · goldAbstract read
In one paragraph

Article in Behavioural neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.5field-weighted citation impact, top 10% 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, 25 citations in OpenAlex.

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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

8 authors at 5 institutions in 1 country.

Denise M PetersDepartment of Rehabilitation and Movement Science, University of Vermont, 106 Carrigan Dr., Burlington, VT, USA.ORCID https://orcid.org/0000-0003-2066-4624
Julius FridrikssonDepartment of Communication Sciences and Disorders, University of South Carolina, 915 Greene St., Columbia, SC, USA.ORCID https://orcid.org/0000-0001-9255-2045
Jessica D RichardsonDepartment of Speech and Hearing Sciences, University of New Mexico, 1700 Lomas Blvd., Albuquerque, NM, USA.ORCID https://orcid.org/0000-0003-2769-3014
Jill C StewartDepartment of Exercise Science, Physical Therapy Program, University of South Carolina, 921 Assembly St., Columbia, SC, USA.ORCID https://orcid.org/0000-0002-3275-5729
Chris RordenDepartment of Psychology, University of South Carolina, 1512 Pendleton St., Columbia, SC, USA.ORCID https://orcid.org/0000-0002-7554-6142
Leonardo BonilhaDepartment of Neurology, Medical University of South Carolina, 96 Jonathan Lucas St., Charleston, SC, USA.ORCID https://orcid.org/0000-0002-6153-8942
Addie MiddletonNew England Geriatric Research Education and Clinical Center, VA Boston Healthcare System, 150 South Huntington Ave., Jamaica Plain, MA, USA.ORCID https://orcid.org/0000-0001-8970-3703
Stacy L FritzDepartment of Exercise Science, Physical Therapy Program, University of South Carolina, 921 Assembly St., Columbia, SC, USA.ORCID https://orcid.org/0000-0002-1663-1152
University of South Carolina · USMedical University of South Carolina · USUniversity of New Mexico · USUniversity of Vermont · USVA Boston Healthcare System · US

Funding

Telerehab for Aphasia (TERRA)P50DC014664 · NIDCD · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI FRIDRIKSSON, JULIUS · 2016 to 2025
$25.0M
Treating Depression and Enhancing Locomotor Recovery Post-strokeP20GM109040 · NIGMS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI KAUTZ, STEVEN A. · 2014 to 2024
$23.5M
Vermont Center for Cardiovascular and Brain HealthP20GM135007 · NIGMS · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI Kathryn H Morelli · 2020 to 2026
$17.4M
NIDCD NIH HHS P50 DC014664NIGMS NIH HHS P20 GM109040NIGMS NIH HHS P20 GM135007
6 · The paper itself

Abstract

backgroundStructural integrity of the ipsilesional corticospinal tract (CST) is important for upper limb motor recovery after stroke. However, additional neuromechanisms associated with motor function poststroke are less well understood, especially regarding the lower limb.

objectiveTo investigate the neural basis of upper/lower limb motor deficits poststroke by correlating measures of motor function with diffusion tensor imaging-derived indices of white matter integrity (fractional anisotropy (FA), mean diffusivity (MD)) in primary and secondary motor tracts/structures.

methodsForty-three individuals with chronic stroke (time poststroke, 64.4 ± 58.8 months) underwent a comprehensive motor assessment and MRI scanning. Correlation and multiple regression analyses were performed to examine relationships between FA/MD in a priori motor tracts/structures and motor function.

resultsFA in the ipsilesional CST and red nucleus (RN) was positively correlated with motor function of both the affected upper and lower limb (

conclusionsMicrostructural integrity of the ipsilesional CST is associated with both upper and lower limb motor function poststroke, but appears less important for gait speed. Integrity of the ipsilesional RN was also associated with motor performance, suggesting increased contributions from secondary motor areas may play a role in supporting chronic motor function and could become a target for interventions.

Indexed as

Pyramidal TractsStrokeCross-Sectional StudiesDiffusion Tensor ImagingHumansLower ExtremityMagnetic Resonance ImagingRed Nucleus

Identifiers

PMID34804258
PMCPMC8601844
OpenAlexW3213141617

What OpenQuestion holds

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LicenceCC BY
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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.