Evidence map›Paper›PMID 36639665›Full record

ArticleJournal of neuroengineering and rehabilitation2023

Exploring high-density corticomuscular networks after stroke to enable a hybrid Brain-Computer Interface for hand motor rehabilitation.

Floriana Pichiorri, Jlenia Toppi, Valeria de Seta, Emma Colamarino, Marcella Masciullo, Federica Tamburella, Matteo Lorusso, Febo Cincotti, Donatella Mattia

Open access · goldAbstract read
In one paragraph

Article in Journal of neuroengineering and rehabilitation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
4.8field-weighted citation impact, top 4% 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, 27 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Corticomuscular coupling study for post-stroke rehabilitation: a scoping review.Journal of neuroengineering and rehabilitation · 2025
    Article
  5. Article
  6. Review
  7. Review
  8. Review
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  10. Beta-Band Cortico-Muscular Phase Coherence in Hemiparetic Stroke.Biomedical signal processing and control · 2024
    Article
  11. Article
  12. Article
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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

9 authors at 2 institutions in 1 country.

Floriana Pichiorri *Neuroelectrical Imaging and Brain Computer Interface Lab, IRCCS Fondazione Santa Lucia, Via Ardeatina, 306, 00179, Rome, Italy. f.pichiorri@hsantalucia.it.
Jlenia Toppi *Neuroelectrical Imaging and Brain Computer Interface Lab, IRCCS Fondazione Santa Lucia, Via Ardeatina, 306, 00179, Rome, Italy.
Valeria de SetaNeuroelectrical Imaging and Brain Computer Interface Lab, IRCCS Fondazione Santa Lucia, Via Ardeatina, 306, 00179, Rome, Italy.
Emma ColamarinoNeuroelectrical Imaging and Brain Computer Interface Lab, IRCCS Fondazione Santa Lucia, Via Ardeatina, 306, 00179, Rome, Italy.
Marcella MasciulloNeurology and Neurovascular Treatment Unit, Belcolle Hospital, Viterbo, Italy.
Federica TamburellaLaboratory of Robotic Neurorehabilitation (NeuroRobot Lab), Neurorehabilitation 1 Department, IRCCS Fondazione Santa Lucia, Rome, Italy.
Matteo LorussoLaboratory of Robotic Neurorehabilitation (NeuroRobot Lab), Neurorehabilitation 1 Department, IRCCS Fondazione Santa Lucia, Rome, Italy.
Febo CincottiNeuroelectrical Imaging and Brain Computer Interface Lab, IRCCS Fondazione Santa Lucia, Via Ardeatina, 306, 00179, Rome, Italy.
Donatella MattiaNeuroelectrical Imaging and Brain Computer Interface Lab, IRCCS Fondazione Santa Lucia, Via Ardeatina, 306, 00179, Rome, Italy.
Fondazione Santa Lucia · ITOspedale di Belcolle · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBrain-Computer Interfaces (BCI) promote upper limb recovery in stroke patients reinforcing motor related brain activity (from electroencephalogaphy, EEG). Hybrid BCIs which include peripheral signals (electromyography, EMG) as control features could be employed to monitor post-stroke motor abnormalities. To ground the use of corticomuscular coherence (CMC) as a hybrid feature for a rehabilitative BCI, we analyzed high-density CMC networks (derived from multiple EEG and EMG channels) and their relation with upper limb motor deficit by comparing data from stroke patients with healthy participants during simple hand tasks.

methodsEEG (61 sensors) and EMG (8 muscles per arm) were simultaneously recorded from 12 stroke (EXP) and 12 healthy participants (CTRL) during simple hand movements performed with right/left (CTRL) and unaffected/affected hand (EXP, UH/AH). CMC networks were estimated for each movement and their properties were analyzed by means of indices derived ad-hoc from graph theory and compared among groups.

resultsBetween-group analysis showed that CMC weight of the whole brain network was significantly reduced in patients during AH movements. The network density was increased especially for those connections entailing bilateral non-target muscles. Such reduced muscle-specificity observed in patients was confirmed by muscle degree index (connections per muscle) which indicated a connections' distribution among non-target and contralateral muscles and revealed a higher involvement of proximal muscles in patients. CMC network properties correlated with upper-limb motor impairment as assessed by Fugl-Meyer Assessment and Manual Muscle Test in patients.

conclusionsHigh-density CMC networks can capture motor abnormalities in stroke patients during simple hand movements. Correlations with upper limb motor impairment support their use in a BCI-based rehabilitative approach.

Indexed as

Brain-Computer InterfacesStrokeStroke RehabilitationElectroencephalographyElectromyographyHumansUpper ExtremityBrain computer interfaceCorticomuscolar coherenceEEGEMGGraph theoryHand motor taskNeurorehabilitationStrokeUpper limb

Identifiers

PMID36639665
PMCPMC9840279
OpenAlexW4316019988

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.