Evidence map›Paper›PMID 36716370›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2023

Adaptive control is reversed between hands after left hemisphere stroke and lost following right hemisphere stroke.

Rini Varghese, James Gordon, Robert L Sainburg, Carolee J Winstein, Nicolas Schweighofer

Abstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. The Detrimental Effect of Stroke on Motor Adaptation.Neurorehabilitation and neural repair · 2025
    Pooled it
  2. Network-oriented neurorehabilitation after stroke: a paradigmatic approach.Journal of neuroengineering and rehabilitation · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Adaptive control is reversed between hands after left hemisphere stroke and lost following right hemisphere stroke.Proceedings of the National Academy of Sciences of the United States of America · 2023
    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

5 authors.

Rini VargheseDepartment of Neuroscience, Johns Hopkins University School of Medicine, Baltimore, MD 21205.ORCID 0000-0003-2087-3995
James GordonDivision of Biokinesiology & Physical Therapy, University of Southern California, Los Angeles, CA 90089.ORCID 0000-0001-9494-0586
Robert L SainburgDepartment of Kinesiology, Pennsylvania State University, University Park, PA 16802.
Carolee J WinsteinDivision of Biokinesiology & Physical Therapy, University of Southern California, Los Angeles, CA 90089.ORCID 0000-0001-9789-4626
Nicolas SchweighoferDivision of Biokinesiology & Physical Therapy, University of Southern California, Los Angeles, CA 90089.

Funding

Predicting Ipsilesional Motor Deficits in Stroke with Dynamic Dominance ModelR01HD059783 · NICHD · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI SAINBURG, ROBERT L, WINSTEIN, CAROLEE J · 2010 to 2023
$5.3M
Optimizing sensori-motor training post-strokeR56NS100528 · NINDS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI SCHWEIGHOFER, NICOLAS · 2017 to 2017
$483k
Fast training promotes recovery of arm movements post-stroke via cerebellar-mediated anticipatory feedforward controlR21NS120274 · NINDS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI SCHWEIGHOFER, NICOLAS · 2020 to 2020
$422k
MiGo: wearable sensors that combine actionable data with a behavioral intervention to improve function after strokeR41HD104296 · NICHD · FLINT REHABILITATION DEVICES · PI ROWE, JUSTIN, WINSTEIN, CAROLEE J · 2021 to 2021
$257k
Characterizing Hemisphere-Specific Deficits in Bimanual Motor Control After StrokeF31HD098796 · NICHD · UNIVERSITY OF SOUTHERN CALIFORNIA · PI VARGHESE, RINI · 2019 to 2020
$75k
NICHD NIH HHS F31 HD098796NICHD NIH HHS R01 HD059783NICHD NIH HHS R41 HD104296NINDS NIH HHS R21 NS120274NINDS NIH HHS R56 NS100528
6 · The paper itself

Abstract

Human motor adaptability is of utmost utility after neurologic injury such as unilateral stroke. For successful adaptive control of movements, the nervous system must learn to correctly identify the source of a movement error and predictively compensate for this error. The current understanding is that in bimanual tasks, this process is flexible such that errors are assigned to, and compensated for, by the limb that is more likely to produce those errors. Here, we tested the flexibility of the error assignment process in right-handed chronic stroke survivors using a bimanual reaching task in which the hands jointly controlled a single cursor. We predicted that the nondominant left hand in neurotypical adults and the paretic hand in chronic stroke survivors will be more responsible for cursor errors and will compensate more within a trial and learn more from trial to trial. We found that in neurotypical adults, the nondominant left hand does compensate more than the right hand within a trial but learns less trial-to-trial. After a left hemisphere stroke, the paretic right hand compensates more than the nonparetic left hand within-trial but learns less trial-to-trial. After a right hemisphere stroke, the paretic left hand neither corrects more within-trial nor learns more trial-to-trial. Thus, adaptive control of visually guided bimanual reaching movements is reversed between hands after the left hemisphere stroke and lost following the right hemisphere stroke. These results indicate that responsibility assignment is not fully flexible but depends on a central mechanism that is lateralized to the right hemisphere.

Indexed as

Psychomotor PerformanceStrokeAdultFunctional LateralityHandHumansMovementadaptive controllateralizationredundant bimanualstroke

Identifiers

PMID36716370
PMCPMC9963612

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.