Evidence map›Paper›PMID 39164440›Full record

Trial reportScientific reports2024

Concurrent tDCS-fMRI after stroke reveals link between attention network organization and motor improvement.

Claudia A Salazar, James M Welsh, Daniel Lench, Irene E Harmsen, Jens H Jensen, Parneet Grewal, Milad Yazdani, Sami Al Kasab, Alex Spiotta, Leonardo Bonilha and 3 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. 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

13 authors.

Claudia A SalazarDepartment of Neurosurgery, College of Medicine, Medical University of South Carolina, 96 Jonathan Lucas St., CSB301 MSC606, Charleston, SC, 29425, USA.
James M WelshDepartment of Neurosurgery, College of Medicine, Medical University of South Carolina, 96 Jonathan Lucas St., CSB301 MSC606, Charleston, SC, 29425, USA.
Daniel LenchDepartment of Neurology, College of Medicine, Medical University of South Carolina, Charleston, SC, USA.
Irene E HarmsenDivision of Neurosurgery, Department of Surgery, Toronto Western Hospital, University of Toronto, Toronto, ON, Canada.
Jens H JensenDepartment of Neuroscience, College of Graduate Studies, Medical University of South Carolina, Charleston, SC, USA.
Parneet GrewalDepartment of Neurology, College of Medicine, Medical University of South Carolina, Charleston, SC, USA.
Milad YazdaniDepartment of Radiology and Radiological Science, College of Medicine, Medical University of South Carolina, Charleston, SC, USA.
Sami Al KasabDepartment of Neurosurgery, College of Medicine, Medical University of South Carolina, 96 Jonathan Lucas St., CSB301 MSC606, Charleston, SC, 29425, USA.
Alex SpiottaDepartment of Neurosurgery, College of Medicine, Medical University of South Carolina, 96 Jonathan Lucas St., CSB301 MSC606, Charleston, SC, 29425, USA.
Leonardo BonilhaDepartment of Neurology, College of Medicine, University of South Carolina, Columbia, SC, USA.
Mark S GeorgeDepartment of Neuroscience, College of Graduate Studies, Medical University of South Carolina, Charleston, SC, USA.
Steven A KautzDepartment of Health Sciences and Research, College of Health Professions, Medical University of South Carolina, Charleston, SC, USA.
Nathan C RowlandDepartment of Neurosurgery, College of Medicine, Medical University of South Carolina, 96 Jonathan Lucas St., CSB301 MSC606, Charleston, SC, 29425, USA. rowlandn@musc.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Restoring motor function after stroke necessitates involvement of numerous cognitive systems. However, the impact of damage to motor and cognitive network organization on recovery is not well understood. To discover correlates of successful recovery, we explored imaging characteristics in chronic stroke subjects by combining noninvasive brain stimulation and fMRI. Twenty stroke survivors (6 months or more after stroke) were randomly assigned to a single session of transcranial direct current stimulation (tDCS) or sham during image acquisition. Twenty healthy subjects were included as controls. tDCS was limited to 10 min at 2 mA to serve as a mode of network modulation rather than therapeutic delivery. Fugl-Meyer Assessments (FMA) revealed significant motor improvement in the chronic stroke group receiving active stimulation (p = 0.0005). Motor changes in this group were correlated in a data-driven fashion with imaging features, including functional connectivity (FC), surface-based morphometry, electric field modeling and network topology, focusing on relevant regions of interest. We observed stimulation-related changes in FC in supplementary motor (p = 0.0029), inferior frontal gyrus (p = 0.0058), and temporo-occipital (p = 0.0095) areas, though these were not directly related to motor improvement. The feature most strongly associated with FMA improvement in the chronic stroke cohort was graph topology of the dorsal attention network (DAN), one of the regions surveyed and one with direct connections to each of the areas with FC changes. Chronic stroke subjects with a greater degree of motor improvement had lower signal transmission cost through the DAN (p = 0.029). While the study was limited by a small stroke cohort with moderate severity and variable lesion location, these results nevertheless suggest a top-down role for higher order areas such as attention in helping to orchestrate the stroke recovery process.

Indexed as

AttentionMagnetic Resonance ImagingMotor ActivityStrokeStroke RehabilitationTranscranial Direct Current StimulationAdultAgedBrainBrain MappingFemaleHumansMaleMiddle AgedMotor CortexRecovery of Function

Identifiers

PMID39164440
PMCPMC11336178

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.