Evidence map›Paper›PMID 37070729›Full record

ArticleNeurorehabilitation and neural repair2023

Differential Associations of Mobility With Fronto-Striatal Integrity and Lesion Load in Older Adults With and Without Multiple Sclerosis.

Mark E Wagshul, Frederick W Foley, Kapil Chaudhary, Michael L Lipton, Robert W Motl, Meltem Izzetoglu, Manuel E Hernandez, Mary Ann Picone, Roee Holtzer

Open access · greenAbstract read
In one paragraph

Article in Neurorehabilitation and neural repair, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.5field-weighted citation impact, top 18% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

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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 5 institutions in 1 country.

Mark E WagshulDepartment of Radiology, Albert Einstein College of Medicine, Gruss Magnetic Resonance Research Center, Bronx, NY, USA.ORCID 0000-0002-0656-4048
Frederick W FoleyFerkauf Graduate School of Psychology, Yeshiva University, Bronx, NY, USA.
Kapil ChaudharyDepartment of Neurology, Albert Einstein College of Medicine, Bronx, NY, USA.
Michael L LiptonDepartment of Radiology, Albert Einstein College of Medicine, Gruss Magnetic Resonance Research Center, Bronx, NY, USA.
Robert W MotlDepartment of Kinesiology and Nutrition, University of Illinois at Chicago, Chicago, IL, USA.
Meltem IzzetogluDepartment of Electrical and Computer Engineering, Villanova University, Villanova, PA, USA.
Manuel E HernandezDepartment of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, Urbana, IL, USA.
Mary Ann PiconeDepartment of Neurology, Holy Name Hospital, Teaneck, NJ, USA.
Roee HoltzerFerkauf Graduate School of Psychology, Yeshiva University, Bronx, NY, USA.ORCID 0000-0001-6639-0724
Albert Einstein College of Medicine · USHoly Name Medical Center · USUniversity of Illinois Chicago · USUniversity of Illinois Urbana-Champaign · USVillanova University · US

Funding

Brain Predictors of Mobility and Falls in Older Adults with Multiple SclerosisR01NS109023 · NINDS · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI HOLTZER, ROEE · 2019 to 2023
$3.4M
NINDS NIH HHS R01 NS109023
6 · The paper itself

Abstract

backgroundMobility impairment is common in older persons with multiple sclerosis (MS), and further compounded by general age-related mobility decline but its underlying brain substrates are poorly understood.

objectiveExamine fronto-striatal white matter (WM) integrity and lesion load as imaging correlates of mobility outcomes in older persons with and without MS.

methodsFifty-one older MS patients (age 64.9 ± 3.7 years, 29 women) and 50 healthy, matched controls (66.2 ± 3.2 years, 24 women), participated in the study, which included physical and cognitive test batteries and 3T MRI imaging session. Primary imaging measures were fractional anisotropy (FA) and WM lesion load. The relationship between mobility impairment, defined using a validated short physical performance battery cutoff score, and neuroimaging measures was assessed with stratified logistic regression models. FA was extracted from six fronto-striatal circuits (left/right): dorsal striatum (dStr)-to-anterior dorsolateral prefrontal cortex (aDLPFC), dStr-to-posterior DLPFC, and ventral striatum (vStr)-to-ventromedial prefrontal cortex (VMPFC).

resultsMobility impairment was significantly associated with lower FA in two circuits, left dStr-aDLPFC (

conclusionsComparing older persons with and without MS, we provide compelling evidence of a double dissociation between the presence of mobility impairment and two neuroimaging markers of white matter integrity, fronto-striatal fractional anisotropy, and whole brain lesion load.

Indexed as

Multiple SclerosisWhite MatterAgedAged, 80 and overAnisotropyBrainFemaleGray MatterHumansMagnetic Resonance ImagingMiddle Ageddiffusion tensor imagingfronto-striatalgaitmobility impairmentmotor contrololder persons with multiple sclerosis

Identifiers

PMID37070729
PMCPMC10251307
OpenAlexW4366242764

What OpenQuestion holds

Textmetadata
LicenceTDM
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.