Evidence map›Paper›PMID 34863456›Full record

ArticleJournal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia2021

Exploring the presence of multiple abnormal non-motor features in patients with cervical dystonia.

Aaditi G Naik, David Ezana, Grace Cannard, Nia Mitchell, Miranda Tomaras, Jacqueline C Meystedt, Lea Sayce, David Charles, Mallory L Hacker

Open access · greenAbstract read
In one paragraph

Article in Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 49% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Isolated Cervical Dystonia: Diagnosis and Classification.Movement disorders : official journal of the Movement Disorder Society · 2023
    Review
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

9 authors at 2 institutions in 1 country.

Aaditi G NaikDepartment of Neurology, Vanderbilt University Medical Center, 1211 Medical Center Dr, Nashville TN 37232, USA; Pritzker School of Medicine, University of Chicago, 924 E. 57(th) St, Chicago, IL 60637, USA. Electronic address: aaditi.naik@uchospitals.edu.
David EzanaDepartment of Neurology, Vanderbilt University Medical Center, 1211 Medical Center Dr, Nashville TN 37232, USA. Electronic address: david.a.ezana@vanderbilt.edu.
Grace CannardDepartment of Neurology, Vanderbilt University Medical Center, 1211 Medical Center Dr, Nashville TN 37232, USA; Tulane University School of Medicine, 1430 Tulane Ave, New Orleans, LA 70112, USA. Electronic address: kcannard@tulane.edu.
Nia MitchellDepartment of Neurology, Vanderbilt University Medical Center, 1211 Medical Center Dr, Nashville TN 37232, USA. Electronic address: nia.m.mitchell@duke.edu.
Miranda TomarasDepartment of Neurology, Vanderbilt University Medical Center, 1211 Medical Center Dr, Nashville TN 37232, USA. Electronic address: miranda.c.tomaras@vanderbilt.edu.
Jacqueline C MeystedtDepartment of Neurology, Vanderbilt University Medical Center, 1211 Medical Center Dr, Nashville TN 37232, USA. Electronic address: Jacqueline.c.meystedt@vanderbilt.edu.
Lea SayceDepartment of Neurology, Vanderbilt University Medical Center, 1211 Medical Center Dr, Nashville TN 37232, USA; Department of Communication Science and Disorders, University of Pittsburgh School of Health and Rehabilitation Sciences, 5035 Forbes Tower, Pittsburgh, PA 15260, USA. Electronic address: lea.sayce@pitt.edu.
David CharlesDepartment of Neurology, Vanderbilt University Medical Center, 1211 Medical Center Dr, Nashville TN 37232, USA. Electronic address: david.charles@vumc.org.
Mallory L HackerDepartment of Neurology, Vanderbilt University Medical Center, 1211 Medical Center Dr, Nashville TN 37232, USA; Department of Physical Medicine and Rehabilitation, Vanderbilt University Medical Center, 1211 Medical Center Dr, Nashville, TN 37232, USA. Electronic address: mallory.hacker@vumc.org.
Vanderbilt University Medical Center · USUniversity of Chicago · US

Funding

Vanderbilt Institute for Clinical and Translational Research (VICTR) -Identifying correlates of functional immunity in SARS-CoV-2 convalescent plasmaUL1TR002243 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Paul A. Harris, Wesley H Self · 2017 to 2026
$130.7M
NCATS NIH HHS UL1 TR002243
6 · The paper itself

Abstract

This study's aim was to investigate prevalence of four non-motor symptoms in patients with cervical dystonia and healthy controls to explore whether the presence of multiple non-motor features is associated with cervical dystonia diagnosis. Fifteen patients with cervical dystonia and 15 healthy controls underwent non-invasive testing of spatial discrimination threshold, temporal discrimination threshold, vibration-induced illusion of movement, and kinesthesia. All spatial discrimination threshold, temporal discrimination threshold, and vibration-induced illusion of movement measures were converted to standardized Z scores with scores >2.0 considered abnormal. Any incorrect kinesthesia response was considered abnormal. Prevalence of each abnormal non-motor feature was compared between groups using a chi-squared test. A higher proportion of patients with cervical dystonia had abnormal spatial discrimination threshold (p = 0.01) and abnormal kinesthesia (p = 0.03) scores compared to healthy control subjects. There were no significant differences between the proportion of patients with cervical dystonia versus healthy controls for abnormal temporal discrimination threshold (p = 0.07) or abnormal vibration-induced illusion of movement (p = 0.14). Forty-seven percent of patients with cervical dystonia (7/15) demonstrated one abnormal non-motor feature, 20% (3/15) displayed two abnormal features, and 13% (2/15) displayed three abnormal features. Kinesthesia was the only non-motor feature identified as abnormal in the control group (20%, 3/15). All four tests demonstrated high specificity (80-100%) and low-moderate sensitivity (13-60%). These findings suggest that non-motor feature testing, specifically for spatial discrimination threshold and kinesthesia, could be a highly specific diagnostic tool to inform cervical dystonia diagnosis. Further investigation is needed to confirm these findings.

Indexed as

TorticollisHumansMovementDystoniaKinesthesisSensory thresholdsSpatial discrimination thresholdTorticollis

Identifiers

PMID34863456
PMCPMC8650287
OpenAlexW3212386822

What OpenQuestion holds

Textmetadata
LicenceTDM
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.