ArticleFrontiers in neurology2022
Virtuous and Vicious Cycles of Arm Use and Function Post-stroke.
Article in Frontiers in neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
What it found
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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.
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.
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Who cites it
18 citing papers in PubMed.
- Preventing slowing down of alpha rhythms in stroke patients through modulation of cortical excitatory-inhibitory balance: a randomized controlled trial.Journal of neuroengineering and rehabilitation · 2026Trial
- Encouraging arm use in stroke survivors: the impact of smart reminders during a home-based intervention.Journal of neuroengineering and rehabilitation · 2024Trial
- Providing Real-Time Wearable Feedback to Increase Hand Use after Stroke: A Randomized, Controlled Trial.Sensors (Basel, Switzerland) · 2022Trial
- To learn or not to learn? Model-based estimation of motor learning in a large, "in the wild", home rehabilitation database.PLOS digital health · 2026Article
- Validity of FuncUseRatio for ecological monitoring of functional arm use after stroke: toward precision neurorehabilitation.Journal of neuroengineering and rehabilitation · 2026Article
- Article
- Collaborative AI for precision neurorehabilitation: a roadmap.Journal of neuroengineering and rehabilitation · 2025Review
- Advancing stroke rehabilitation: the role of wearable technology according to research experts.Disability and rehabilitation. Assistive technology · 2025Article
- Beyond Arm Capacity in Chronic Stroke: Evaluating Paretic Arm Non-Use Through Arm Efficiency-A Cross-Sectional Study.Neurorehabilitation and neural repair · 2025Article
- Gravity support from a robotic exoskeleton increases spontaneous use of the nondominant upper extremity during a choice reaching task.Journal of neurophysiology · 2024Article
- Behavioral Risk Profiles of Stroke Survivors Among US Adults: Geographic Differences Between Stroke Belt and Non-Stroke Belt States.Preventing chronic disease · 2024Article
- Chronic stroke survivors underestimate their upper limb motor ability in a simple 2D motor task.Journal of neuroengineering and rehabilitation · 2024Article
- Somatosensory stimulation on the wrist enhances the subsequent hand-choice by biasing toward the stimulated hand.Scientific reports · 2024Article
- Feasibility of a Self-directed Upper Extremity Training Program to Promote Actual Arm Use for Individuals Living in the Community With Chronic Stroke.Archives of rehabilitation research and clinical translation · 2024Article
- Wearable Technology to Capture Arm Use of People With Stroke in Home and Community Settings: Feasibility and Early Insights on Motor Performance.Physical therapy · 2024Article
- Movement Diversity and Complexity Increase as Arm Impairment Decreases After Stroke: Quality of Movement Experience as a Possible Target for Wearable Feedback.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2024Article
- Predicting Arm Nonuse in Individuals with Good Arm Motor Function after Stroke Rehabilitation: A Machine Learning Study.International journal of environmental research and public health · 2023Article
- Perceived Facilitators and Barriers for Actual Arm Use during Everyday Activities in Community Dwelling Individuals with Chronic Stroke.International journal of environmental research and public health · 2022Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
Large doses of movement practice have been shown to restore upper extremities' motor function in a significant subset of individuals post-stroke. However, such large doses are both difficult to implement in the clinic and highly inefficient. In addition, an important reduction in upper extremity function and use is commonly seen following rehabilitation-induced gains, resulting in "rehabilitation in vain". For those with mild to moderate sensorimotor impairment, the limited spontaneous use of the more affected limb during activities of daily living has been previously proposed to cause a decline of motor function, initiating a vicious cycle of recovery, in which non-use and poor performance reinforce each other. Here, we review computational, experimental, and clinical studies that support the view that if arm use is raised above an effective threshold, one enters a virtuous cycle in which arm use and function can reinforce each other via self-practice in the wild. If not, one enters a vicious cycle of declining arm use and function. In turn, and in line with best practice therapy recommendations, this virtuous/vicious cycle model advocates for a paradigm shift in neurorehabilitation whereby rehabilitation be embedded in activities of daily living such that self-practice with the aid of wearable technology that reminds and motivates can enhance paretic limb use of those who possess adequate residual sensorimotor capacity. Altogether, this model points to a user-centered approach to recovery post-stroke that is tailored to the participant's level of arm use and designed to motivate and engage in self-practice through progressive success in accomplishing meaningful activities in the wild.
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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.