Evidence map›Paper›PMID 35559809›Full record

ArticleNeurorehabilitation and neural repair2022

Reorganization of Ventral Premotor Cortex After Ischemic Brain Injury: Effects of Forced Use.

Shawn B Frost, Daofen Chen, Scott Barbay, Kathleen M Friel, Erik J Plautz, Randolph J Nudo

Open access · greenAbstract read
In one paragraph

Article in Neurorehabilitation and neural repair, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.5field-weighted citation impact, top 35% 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

6 citing papers in PubMed, 7 citations in OpenAlex.

  1. Self-Organizing Recruitment of Compensatory Cortical Areas Post-Stroke Can Maximize Residual Motor Performance.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2026
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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

6 authors at 1 institution in 1 country.

Shawn B FrostDept. Rehabilitation Medicine.ORCID 0000-0003-1009-0970
Daofen ChenLandon Center on Aging.
Scott BarbayDept. Rehabilitation Medicine.
Kathleen M FrielLandon Center on Aging.
Erik J PlautzLandon Center on Aging.
Randolph J NudoDept. Rehabilitation Medicine.ORCID 0000-0002-4674-0907
University of Kansas Medical Center · US

Funding

Research Design and Analysis Core (RDAC)P30HD002528 · NICHD · UNIVERSITY OF KANSAS LAWRENCE · PI FOWLER, STEPHEN CLETIUS · 1985 to 2015
$22.1M
REORGANIZATION OF MOTOR CORTEX FOLLOWING BRAIN INJURYR01NS030853 · NINDS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI NUDO, RANDOLPH J. · 1993 to 2020
$6.5M
Using PCORnet to Expand the DS-CONNECT Cohort Through Healthcare System Recruitment, Incorporating Electronic Health Records, and Assessing Self-DeterminationU54HD090216 · NICHD · UNIVERSITY OF KANSAS LAWRENCE · PI COLOMBO, JOHN A. · 2016 to 2020
$6.2M
Reorganization of motor cortex following brain injuryR37NS030853 · NINDS · UNIVERSITY OF KANSAS MEDICAL CENTER · PI NUDO, RANDOLPH J. · 2008 to 2014
$4.6M
NICHD NIH HHS P30 HD002528NICHD NIH HHS U54 HD090216NINDS NIH HHS R01 NS030853NINDS NIH HHS R37 NS030853
6 · The paper itself

Abstract

backgroundPhysical use of the affected upper extremity can have a beneficial effect on motor recovery in people after stroke. Few studies have examined neurological mechanisms underlying the effects of forced use in non-human primates. In particular, the ventral premotor cortex (PMV) has been previously implicated in recovery after injury.

objectiveTo examine changes in motor maps in PMV after a period of forced use following ischemic infarct in primary motor cortex (M1).

methodsIntracortical microstimulation (ICMS) techniques were used to derive motor maps in PMV of four adult squirrel monkeys before and after an experimentally induced ischemic infarct in the M1 distal forelimb area (DFL) in the dominant hemisphere. Monkeys wore a sleeved jacket (generally 24 hrs/day) that forced limb use contralateral to the infarct in tasks requiring skilled digit use. No specific rehabilitative training was provided.

resultsAt 3 mos post-infarct, ICMS maps revealed a significant expansion of the DFL representation in PMV relative to pre-infarct baseline (mean = +77.3%; n = 3). Regression analysis revealed that the magnitude of PMV changes was largely driven by M1 lesion size, with a modest effect of forced use. One additional monkey examined after ∼18 months of forced use demonstrated a 201.7% increase, unprecedented in non-human primate studies.

conclusionsFunctional reorganization in PMV following an ischemic infarct in the M1 DFL is primarily driven by M1 lesion size. Additional expansion occurs in PMV with extremely long periods of forced use but such extended constraint is not considered clinically feasible.

Indexed as

Brain InjuriesMotor CortexAnimalsBrain MappingForelimbHumansInfarctionmotor cortexpremotor cortexprimarystroke rehabilitation

Identifiers

PMID35559809
PMCPMC9378490
OpenAlexW4280523596

What OpenQuestion holds

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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.