Evidence map›Paper›PMID 35488791›Full record

ArticleAnnals of clinical and translational neurology2022

Associative cued asynchronous BCI induces cortical plasticity in stroke patients.

Imran Khan Niazi, Muhammad Samran Navid, Usman Rashid, Imran Amjad, Sharon Olsen, Heidi Haavik, Gemma Alder, Nitika Kumari, Nada Signal, Denise Taylor and 2 more

Open access · goldAbstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 20% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
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  6. TMS-Based Neurofeedback Training of Mental Finger Individuation Induces Neuroplastic Changes in the Sensorimotor System.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2025
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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

12 authors at 4 institutions in 4 countries.

Imran Khan NiaziHealth and Rehabilitation Research Institute and BioDesign Lab, Auckland University of Technology, Auckland, New Zealand.ORCID 0000-0001-8752-7224
Muhammad Samran Navid *Centre for Chiropractic Research, New Zealand College of Chiropractic, Auckland, New Zealand.ORCID 0000-0002-2849-874X
Usman Rashid *Health and Rehabilitation Research Institute and BioDesign Lab, Auckland University of Technology, Auckland, New Zealand.ORCID 0000-0002-1109-5493
Imran AmjadCentre for Chiropractic Research, New Zealand College of Chiropractic, Auckland, New Zealand.ORCID 0000-0002-2824-0079
Sharon OlsenHealth and Rehabilitation Research Institute and BioDesign Lab, Auckland University of Technology, Auckland, New Zealand.ORCID 0000-0002-7453-9127
Heidi HaavikCentre for Chiropractic Research, New Zealand College of Chiropractic, Auckland, New Zealand.ORCID 0000-0001-7182-2085
Gemma AlderHealth and Rehabilitation Research Institute and BioDesign Lab, Auckland University of Technology, Auckland, New Zealand.
Nitika KumariHealth and Rehabilitation Research Institute and BioDesign Lab, Auckland University of Technology, Auckland, New Zealand.
Nada SignalHealth and Rehabilitation Research Institute and BioDesign Lab, Auckland University of Technology, Auckland, New Zealand.ORCID 0000-0001-9595-0532
Denise TaylorHealth and Rehabilitation Research Institute and BioDesign Lab, Auckland University of Technology, Auckland, New Zealand.ORCID 0000-0002-8833-0375
Dario FarinaDepartment of Bioengineering, Imperial College London, London, UK.ORCID 0000-0002-7883-2697
Mads JochumsenSMI, Department of Health Science and Technology, Aalborg University, Aalborg, Denmark.ORCID 0000-0001-7729-4359
Auckland University of Technology · NZNew Zealand College of Chiropractic · NZAalborg University · DKImperial College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe propose a novel cue-based asynchronous brain-computer interface(BCI) for neuromodulation via the pairing of endogenous motor cortical activity with the activation of somatosensory pathways.

methodsThe proposed BCI detects the intention to move from single-trial EEG signals in real time, but, contrary to classic asynchronous-BCI systems, the detection occurs only during time intervals when the patient is cued to move. This cue-based asynchronous-BCI was compared with two traditional BCI modes (asynchronous-BCI and offline synchronous-BCI) and a control intervention in chronic stroke patients. The patients performed ankle dorsiflexion movements of the paretic limb in each intervention while their brain signals were recorded. BCI interventions decoded the movement attempt and activated afferent pathways via electrical stimulation. Corticomotor excitability was assessed using motor-evoked potentials in the tibialis-anterior muscle induced by transcranial magnetic stimulation before, immediately after, and 30 min after the intervention.

resultsThe proposed cue-based asynchronous-BCI had significantly fewer false positives/min and false positives/true positives (%) as compared to the previously developed asynchronous-BCI. Linear-mixed-models showed that motor-evoked potential amplitudes increased following all BCI modes immediately after the intervention compared to the control condition (p <0.05). The proposed cue-based asynchronous-BCI resulted in the largest relative increase in peak-to-peak motor-evoked potential amplitudes(141% ± 33%) among all interventions and sustained it for 30 min(111% ± 33%).

interpretationThese findings prove the high performance of a newly proposed cue-based asynchronous-BCI intervention. In this paradigm, individuals receive precise instructions (cue) to promote engagement, while the timing of brain activity is accurately detected to establish a precise association with the delivery of sensory input for plasticity induction.

Indexed as

Brain-Computer InterfacesStrokeCuesEvoked Potentials, MotorHumansTranscranial Magnetic Stimulation

Identifiers

PMID35488791
PMCPMC9082379
OpenAlexW4225151909

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.