Evidence map›Paper›PMID 39353911›Full record

ArticleNature communications2024

Potentiation of cortico-spinal output via targeted electrical stimulation of the motor thalamus.

Jonathan C Ho, Erinn M Grigsby, Arianna Damiani, Lucy Liang, Josep-Maria Balaguer, Sridula Kallakuri, Lilly W Tang, Jessica Barrios-Martinez, Vahagn Karapetyan, Daryl Fields and 8 more

Registry-linked trialAbstract read
In one paragraph

Article in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07056348 (Chronic Stimulation of the Motor Ventral Thalamus), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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.

NCT07056348 narecruitingnot on this map

Chronic Stimulation of the Motor Ventral Thalamus (VOP/VIM) for Motor Control in Humans

TypeinterventionalSponsorJorge Gonzalez-MartinezRan2022 to 2030Enrolled60ConditionsTraumatic Brain Injury, Stroke, Brain Disease, Movement Disorders (Incl Parkinsonism)ArmsDeep Brain Stimulation (DBS) of the Motor Thalamus
3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. The evolution of neuromodulation for chronic stroke: From neuroplasticity mechanisms to brain-computer interfaces.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2024
    Review
  9. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors.

Jonathan C Ho *School of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.ORCID 0009-0007-9463-6884
Erinn M Grigsby *Rehab Neural Engineering Labs, University of Pittsburgh, Pittsburgh, PA, USA.ORCID 0000-0002-8378-6488
Arianna DamianiRehab Neural Engineering Labs, University of Pittsburgh, Pittsburgh, PA, USA.
Lucy LiangRehab Neural Engineering Labs, University of Pittsburgh, Pittsburgh, PA, USA.
Josep-Maria BalaguerRehab Neural Engineering Labs, University of Pittsburgh, Pittsburgh, PA, USA.ORCID 0000-0002-7792-6376
Sridula KallakuriRehab Neural Engineering Labs, University of Pittsburgh, Pittsburgh, PA, USA.
Lilly W TangSchool of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Jessica Barrios-MartinezDepartment of Neurological Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
Vahagn KarapetyanRehab Neural Engineering Labs, University of Pittsburgh, Pittsburgh, PA, USA.
Daryl FieldsRehab Neural Engineering Labs, University of Pittsburgh, Pittsburgh, PA, USA.
Peter C GersztenDepartment of Neurological Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
T Kevin HitchensDepartment of Neurobiology, University of Pittsburgh, Pittsburgh, PA, USA.
Theodora ConstantineDepartment of Neurological Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
Gregory M AdamsDepartment of Neurological Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
Donald J CrammondDepartment of Neurological Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
Marco CapogrossoRehab Neural Engineering Labs, University of Pittsburgh, Pittsburgh, PA, USA.ORCID 0000-0002-0975-316X
Jorge A Gonzalez-MartinezDepartment of Neurological Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
Elvira PirondiniRehab Neural Engineering Labs, University of Pittsburgh, Pittsburgh, PA, USA. elvirap@pitt.edu.ORCID 0000-0002-8078-3951

Funding

TRAINING IN TRAUMA AND SEPSIS RESEARCHT32GM008516 · NIGMS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI TIMOTHY R BILLIAR · 1994 to 2026
$9.4M
Deep brain stimulation of the motor thalamus to improve cortico-spinal control of muscles after strokeR01NS131428 · NINDS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Jorge Alvaro Gonzalez-Martinez, Elvira Pirondini · 2024 to 2026
$1.8M
Establishing novel properties of dynamic systems models to identify epileptogenic networks in patients with drug resistant epilepsyR01NS122927 · NINDS · JOHNS HOPKINS UNIVERSITY · PI Jorge Alvaro Gonzalez-Martinez, Sridevi V. Sarma · 2022 to 2026
$1.3M
NIGMS NIH HHS T32 GM008516NINDS NIH HHS R01 NS122927NINDS NIH HHS R01 NS131428U.S. Department of Health & Human Services | NIH | National Institute of Neurological Disorders and Stroke (NINDS) R01NS122927U.S. Department of Health & Human Services | NIH | National Institute of Neurological Disorders and Stroke (NINDS) R01NS131428
6 · The paper itself

Abstract

Cerebral white matter lesions prevent cortico-spinal descending inputs from effectively activating spinal motoneurons, leading to loss of motor control. However, in most cases, the damage to cortico-spinal axons is incomplete offering a potential target for therapies aimed at improving volitional muscle activation. Here we hypothesize that, by engaging direct excitatory connections to cortico-spinal motoneurons, stimulation of the motor thalamus could facilitate activation of surviving cortico-spinal fibers thereby immediately potentiating motor output. To test this hypothesis, we identify optimal thalamic targets and stimulation parameters that enhance upper-limb motor-evoked potentials and grip forces in anesthetized monkeys. This potentiation persists after white matter lesions. We replicate these results in humans during intra-operative testing. We then design a stimulation protocol that immediately improves strength and force control in a patient with a chronic white matter lesion. Our results show that electrical stimulation targeting surviving neural pathways can improve motor control after white matter lesions.

Indexed as

Electric StimulationEvoked Potentials, MotorMotor CortexMotor NeuronsThalamusAnimalsFemaleHand StrengthHumansMacaca mulattaMaleSpinal CordWhite Matter

Identifiers

PMID39353911
PMCPMC11445460

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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.