Evidence map›Paper›PMID 35451540›Full record

ArticleHuman brain mapping2022

Robotic mapping of motor cortex in children with perinatal stroke and hemiparesis.

Hsing-Ching Kuo, Ephrem Zewdie, Adrianna Giuffre, Liu Shi Gan, Helen L Carlson, James Wrightson, Adam Kirton

Open access · goldAbstract read
In one paragraph

Article in Human brain mapping, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 40% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. 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

7 authors at 1 institution in 2 countries.

Hsing-Ching KuoCalgary Pediatric Stroke Program, University of Calgary, Calgary, Alberta, Canada.ORCID 0000-0002-7019-7895
Ephrem ZewdieCalgary Pediatric Stroke Program, University of Calgary, Calgary, Alberta, Canada.ORCID 0000-0003-1206-2471
Adrianna GiuffreCalgary Pediatric Stroke Program, University of Calgary, Calgary, Alberta, Canada.ORCID 0000-0001-9632-0612
Liu Shi GanHotchkiss Brain Institute (HBI), Calgary, Alberta, Canada.
Helen L CarlsonCalgary Pediatric Stroke Program, University of Calgary, Calgary, Alberta, Canada.ORCID 0000-0002-5788-0542
James WrightsonCalgary Pediatric Stroke Program, University of Calgary, Calgary, Alberta, Canada.ORCID 0000-0001-7106-7470
Adam KirtonCalgary Pediatric Stroke Program, University of Calgary, Calgary, Alberta, Canada.ORCID 0000-0001-5209-3374
Allen Institute for Brain Science · US

Funding

CIHR
6 · The paper itself

Abstract

Brain stimulation combined with intensive therapy may improve hand function in children with perinatal stroke-induced unilateral cerebral palsy (UCP). However, response to therapy varies and underlying neuroplasticity mechanisms remain unclear. Here, we aimed to characterize robotic motor mapping outcomes in children with UCP. Twenty-nine children with perinatal stroke and UCP (median age 11 ± 2 years) were compared to 24 typically developing controls (TDC). Robotic, neuronavigated transcranial magnetic stimulation was employed to define bilateral motor maps including area, volume, and peak motor evoked potential (MEP). Map outcomes were compared to the primary clinical outcome of the Jebsen-Taylor Test of Hand Function (JTT). Maps were reliably obtained in the contralesional motor cortex (24/29) but challenging in the lesioned hemisphere (5/29). Within the contralesional M1 of participants with UCP, area and peak MEP amplitude of the unaffected map were larger than the affected map. When comparing bilateral maps within the contralesional M1 in children with UCP to that of TDC, only peak MEP amplitudes were different, being smaller for the affected hand as compared to TDC. We observed correlations between the unaffected map when stimulating the contralesional M1 and function of the unaffected hand. Robotic motor mapping can characterize motor cortex neurophysiology in children with perinatal stroke. Map area and peak MEP amplitude may represent discrete biomarkers of developmental plasticity in the contralesional M1. Correlations between map metrics and hand function suggest clinical relevance and utility in studies of interventional plasticity.

Indexed as

Cerebral PalsyMotor CortexRobotic Surgical ProceduresStrokeStroke RehabilitationAdolescentChildEvoked Potentials, MotorHumansParesisTranscranial Magnetic Stimulationcerebral palsymotor mappingperinatal strokeplasticityrobotic TMStranscranial magnetic stimulation

Identifiers

PMID35451540
PMCPMC9294290
OpenAlexW4224242439

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.