Evidence map›Paper›PMID 36575812›Full record

Trial reportNeurorehabilitation and neural repair2023

Cerebral Adaptation Associated with Peripheral Nerve Recovery in Neuralgic Amyotrophy: A Randomized Controlled Trial.

Renee Lustenhouwer, Ian G M Cameron, Nens van Alfen, Ivan Toni, Alexander C H Geurts, Baziel G M van Engelen, Jan T Groothuis, Rick C Helmich

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Neurorehabilitation and neural repair, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03441347 (Neuralgic Amyotrophy), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.7field-weighted citation impact, top 30% 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.

NCT03441347 nacompletednot on this map

Neuralgic Amyotrophy: Central Reorganization and Rehabilitation After Peripheral Dysfunction

TypeinterventionalSponsorRadboud University Medical CenterRan2018 to 2021Enrolled47ConditionsNeuralgic Amyotrophy, Neuralgic Amyotrophy, Hereditary, Parsonage Turner Syndrome, Brachial NeuritisArmsSpecific rehabilitation program, Usual Care
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

8 authors at 1 institution in 1 country.

Renee LustenhouwerDepartment of Rehabilitation, Radboud university medical center, Donders Institute for Brain, Cognition and Behaviour, Nijmegen, the Netherlands.ORCID 0000-0003-3824-0272
Ian G M CameronDonders Centre for Cognitive Neuroimaging, Donders Institute for Brain, Cognition and Behaviour, Radboud University, Nijmegen, the Netherlands.ORCID 0000-0002-1641-377X
Nens van AlfenDepartment of Neurology, Radboud university medical center, Donders Institute for Brain, Cognition and Behaviour, Nijmegen, the Netherlands.
Ivan ToniDonders Centre for Cognitive Neuroimaging, Donders Institute for Brain, Cognition and Behaviour, Radboud University, Nijmegen, the Netherlands.
Alexander C H GeurtsDepartment of Rehabilitation, Radboud university medical center, Donders Institute for Brain, Cognition and Behaviour, Nijmegen, the Netherlands.
Baziel G M van EngelenDepartment of Neurology, Radboud university medical center, Donders Institute for Brain, Cognition and Behaviour, Nijmegen, the Netherlands.
Jan T GroothuisDepartment of Rehabilitation, Radboud university medical center, Donders Institute for Brain, Cognition and Behaviour, Nijmegen, the Netherlands.ORCID 0000-0003-3436-2475
Rick C HelmichDonders Centre for Cognitive Neuroimaging, Donders Institute for Brain, Cognition and Behaviour, Radboud University, Nijmegen, the Netherlands.
Radboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeuralgic amyotrophy (NA) is a common peripheral nerve disorder caused by auto-immune inflammation of nerves in the brachial plexus territory, characterized by acute pain and weakness of the shoulder muscles, followed by motor impairment. Recent work has confirmed that NA patients with residual motor dysfunction have abnormal cerebral sensorimotor representations of their affected upper extremity.

objectiveTo determine whether abnormal cerebral sensorimotor representations associated with NA can be altered by specialized, multidisciplinary outpatient rehabilitation focused on relearning motor control.

methods27 NA patients with residual lateralized symptoms in the right upper extremity participated in a randomized controlled trial, comparing 17 weeks of multidisciplinary rehabilitation (

resultsChange in task performance and related brain activity did not differ significantly between the multidisciplinary rehabilitation and usual care groups, whereas the multidisciplinary rehabilitation group showed significantly greater clinical improvement on the Shoulder Rating Questionnaire. Both groups, however, showed a significant improvement in task performance from baseline to follow-up, and significantly increased activity in visuomotor occipito-parietal brain areas, both specific to their affected upper extremity.

conclusionsAbnormal cerebral sensorimotor representations of the upper extremity after peripheral nerve damage in NA can recover toward normality. As adaptations occurred in visuomotor brain areas, multidisciplinary rehabilitation after peripheral nerve damage may be further optimized by applying visuomotor strategies. This study is registered at ClinicalTrials.gov (NCT03441347).

Indexed as

Brachial Plexus NeuritisPeripheral Nerve InjuriesHumansPeripheral NervesShoulderUpper Extremitymental hand rotationmotor imageryneurorehabilitationperipheral nerve injuriessensorimotor representationsupper extremity

Identifiers

PMID36575812
PMCPMC9896536
OpenAlexW4312214392

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.