Evidence map›Paper›PMID 36965468›Full record

ArticleClinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology2023

State-dependent interhemispheric inhibition reveals individual differences in motor behavior in chronic stroke.

Jasmine L Mirdamadi, Jing Xu, Karla M Arevalo-Alas, Liana K Kam, Michael R Borich

Open access · greenAbstract read
In one paragraph

Article in Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
1.6field-weighted citation impact, top 17% 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Right hemisphere language network plasticity in aphasia.Brain : a journal of neurology · 2026
    Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Right Hemisphere Language Network Plasticity in Aphasia.medRxiv : the preprint server for health sciences · 2025
    Article
  13. Review
  14. Article
  15. Rethinking Remapping: Circuit Mechanisms of Recovery after Stroke.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2023
    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

5 authors at 2 institutions in 1 country.

Jasmine L MirdamadiDepartment of Rehabilitation Medicine, Emory University School of Medicine, Atlanta, GA, USA.
Jing XuDepartment of Kinesiology, University of Georgia, Athens, GA, USA.
Karla M Arevalo-AlasDepartment of Rehabilitation Medicine, Emory University School of Medicine, Atlanta, GA, USA.
Liana K KamDepartment of Rehabilitation Medicine, Emory University School of Medicine, Atlanta, GA, USA.
Michael R BorichDepartment of Rehabilitation Medicine, Emory University School of Medicine, Atlanta, GA, USA. Electronic address: michael.borich@emory.edu.
Emory University · USUniversity of Georgia · US

Funding

Techniques DevelopmentP2CHD086844 · NICHD · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI KAUTZ, STEVEN A. · 2015 to 2024
$12.7M
TRAINING IN TRANSLATIONAL RESEARCH IN NEUROLOGYT32NS007480 · NINDS · EMORY UNIVERSITY · PI LEVEY, ALLAN I · 2000 to 2020
$4.5M
Neural correlates of whole-body motion perception during balance perturbations in stroke survivors and their relationship to balance functionF32HD105458 · NICHD · EMORY UNIVERSITY · PI MIRDAMADI, JASMINE · 2021 to 2022
$134k
NICHD NIH HHS F32 HD105458NICHD NIH HHS P2C HD086844NINDS NIH HHS L30 NS089431NINDS NIH HHS T32 NS007480
6 · The paper itself

Abstract

objectiveTo investigate state-dependent interhemispheric inhibition (IHI) in chronic stroke survivors compared to neurotypical older adult controls, and test whether abnormal IHI modulation was associated with upper extremity motor behavior.

methodsDual-coil transcranial magnetic stimulation (TMS) measured IHI bi-directionally, between non-lesioned and lesioned motor cortex (M1) in two activity states: (1) at rest and (2) during contralateral isometric hand muscle contraction. IHI was tested by delivering a conditioning stimulus 8-msec or 50-msec prior to a test stimulus over contralateral M1. Paretic motor behavior was assessed by clinical measures of impairment, strength, and dexterity, and mirroring activity in the non-paretic hand.

resultsStroke survivors demonstrated reduced IHI at rest, and less IHI modulation (active - rest) compared to controls. Individual differences in IHI modulation were related to motor behavior differences where greater IHI modulation was associated with greater motor impairment and more mirroring. In contrast, there were no relationships between IHI at rest and motor behavior.

conclusionsAbnormal state-dependent interhemispheric circuit activity may be more sensitive to post-stroke motor deficits than when assessed in a single motor state. SIGNIFICANCE: Characterizing state-dependent changes in neural circuitry may enhance models of stroke recovery and inform rehabilitation interventions.

Indexed as

IndividualityStrokeAgedEvoked Potentials, MotorFunctional LateralityHandHumansNeural InhibitionTranscranial Magnetic StimulationInterhemispheric inhibitionMotor behaviorState-dependentStrokeTranscranial magnetic stimulation

Identifiers

PMID36965468
PMCPMC10101934
OpenAlexW4323664820

What OpenQuestion holds

Textmetadata
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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.