Evidence map›Paper›PMID 39395062›Full record

ArticleExperimental brain research2024

Cortical drive may facilitate enhanced use of the paretic leg induced by random constraint force to the non-paretic leg during walking in chronic stroke.

Hyosok Lim, Shijun Yan, Weena Dee, Renee Keefer, Iram Hameeduddin, Elliot J Roth, William Z Rymer, Ming Wu

Abstract read
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In one paragraph

Article in Experimental brain research, 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
–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

1 citing paper in PubMed.

  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

8 authors.

Hyosok LimLegs and Walking Lab, Shirley Ryan AbilityLab, Chicago, IL, USA.
Shijun YanLegs and Walking Lab, Shirley Ryan AbilityLab, Chicago, IL, USA.
Weena DeeLegs and Walking Lab, Shirley Ryan AbilityLab, Chicago, IL, USA.
Renee KeeferLegs and Walking Lab, Shirley Ryan AbilityLab, Chicago, IL, USA.
Iram HameeduddinLegs and Walking Lab, Shirley Ryan AbilityLab, Chicago, IL, USA.
Elliot J RothLegs and Walking Lab, Shirley Ryan AbilityLab, Chicago, IL, USA.
William Z RymerLegs and Walking Lab, Shirley Ryan AbilityLab, Chicago, IL, USA.
Ming WuLegs and Walking Lab, Shirley Ryan AbilityLab, Chicago, IL, USA. w-ming@northwestern.edu.ORCID http://orcid.org/0000-0002-9542-6332

Funding

Constraint induced movement therapy for walking in individuals post strokeR01HD082216 · NICHD · REHABILITATION INSTITUTE OF CHICAGO D/B/A SHIRLEY RYAN ABILITYLAB · PI WU, MING · 2015 to 2019
$1.5M
Brinson Foundation Brinson FoundationNational Institute of Child Health and Human Development R01HD082216NICHD NIH HHS R01 HD082216
6 · The paper itself

Abstract

The goal of this study was to determine the effects of applying random vs. constant constraint force to the non-paretic leg during walking on enhanced use of the paretic leg in individuals post-stroke, and examine the underlying brain mechanisms. Twelve individuals with chronic stroke were tested under two conditions while walking on a treadmill: random vs. constant magnitude of constraint force applied to the non-paretic leg during swing phase of gait using a custom designed robotic system. Leg kinematics, muscle activity of the paretic leg, and electroencephalography (EEG) were recorded during treadmill walking. Paretic step length and muscle activity of the paretic ankle plantarflexors significantly increased after walking with random and constant constraint forces. Cortico-cortical connectivity between motor cortices and cortico-muscular connectivity from the lesioned motor cortex to the paretic ankle plantarflexors significantly increased for the random force condition but not for the constant force condition. In addition, individuals post-stroke with greater baseline gait variability showed greater improvements in the paretic step length after walking with random force condition but not with the constant force condition. In conclusion, application of random constraint force to the non-paretic leg may enhance the use of the paretic leg during walking by facilitating cortical drive from the lesioned motor cortex to the paretic ankle plantarflexors. Results from this study may be used for the development of constraint induced locomotor intervention approaches aimed at improving locomotor function in individuals after stroke.

Indexed as

Motor CortexParesisStrokeWalkingAdultAgedBiomechanical PhenomenaChronic DiseaseElectroencephalographyElectromyographyFemaleGaitHumansLegMaleMiddle AgedElectroencephalographyGaitMotor learningMotor variabilityStroke

Identifiers

What OpenQuestion holds

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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.