Evidence map›Paper›PMID 38500483›Full record

ArticleFrontiers in neuroscience2024

Responsiveness to exoskeleton loading during bimanual reaching is associated with corticospinal tract integrity in stroke.

Alexander T Brunfeldt, Barbara S Bregman, Peter S Lum

Open access · goldAbstract read
In one paragraph

Article in Frontiers in neuroscience, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 44% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

3 authors at 2 institutions in 1 country.

Alexander T BrunfeldtDepartment of Rehabilitation Medicine, Georgetown University Medical Center, Washington, DC, United States.
Barbara S BregmanDepartment of Rehabilitation Medicine, Georgetown University Medical Center, Washington, DC, United States.
Peter S LumDepartment of Biomedical Engineering, The Catholic University of America, Washington, DC, United States.
MedStar National Rehabilitation Hospital · USUniversity of America · US

Funding

Translational Biomedical Science Training GrantTL1TR001431 · NCATS · GEORGETOWN UNIVERSITY · PI LEE, DEXTER L, SANDBERG, KATHRYN L · 2015 to 2024
$4.8M
Promoting paretic limb use in stroke survivors using exoskeleton and virtual reality technologiesF32HD108983 · NICHD · GEORGETOWN UNIVERSITY · PI BRUNFELDT, ALEXANDER · 2023 to 2024
$119k
NCATS NIH HHS TL1 TR001431NICHD NIH HHS F32 HD108983
6 · The paper itself

Abstract

Background: Device-based rehabilitation of upper extremity impairment following stroke often employs one-sized-fits-all approaches that do not account for individual differences in patient characteristics. Objective: Determine if corticospinal tract lesion load could explain individual differences in the responsiveness to exoskeleton loading of the arms in chronic stroke participants. Methods: Fourteen stroke participants performed a bimanual shared cursor reaching task in virtual reality while exoskeletons decreased the effective weight of the more-impaired arm and increased the effective weight of the less-impaired arm. We calculated the change in relative displacement between the arms (RC) and the change in relative muscle activity (MC) between the arms from the biceps and deltoids. We calculated corticospinal tract lesion load (wCSTLL) in a subset of 10 participants. Results: Exoskeleton loading did not change RC ( Conclusion: Here we provide evidence that corticospinal tract integrity is a critical feature that determines one's ability to respond to upper extremity exoskeleton loading. Our work contributes to the development of personalized device-based interventions that would allow clinicians and researchers to titrate constraint levels during bimanual activities.

Indexed as

electromyographymagnetic resonance imagingneurorehabilitationstrokeupper extremity

Identifiers

PMID38500483
PMCPMC10944900
OpenAlexW4392362493

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.