Evidence map›Paper›PMID 39673738›Full record

ArticleExperimental physiology2025

Preserved force control by the digits via minimal sparing of cortico-spinal connectivity after stroke.

Michael A Urbin, Fang Liu, Chan Hong Moon

Abstract readCase Reports
In one paragraph

Article in Experimental physiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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.

Michael A UrbinHuman Engineering Research Laboratories, VA RR&D Center of Excellence, VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania, USA.ORCID 0000-0002-4820-5174
Fang LiuDepartment of Physical Medicine & Rehabilitation, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Chan Hong MoonDepartment of Radiology, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The ability to regulate finger forces is critical for manipulating objects during everyday tasks but is impaired after damage to white matter tracts that transmit motor commands into the spinal cord. This study examines cortico-spinal connectivity required for force control by the digits after neurological injury. We report on a unique case of a stroke survivor who retained the ability to control finger forces at a level comparable to neurologically intact adults despite extensive loss of white matter volume and severely compromised transmission from cortical motor areas onto the final common pathway. Using a combination of imaging methods and noninvasive stimulation techniques, we illustrate the structure and function of a slow-conducting, cortico-spinal pathway minimally spared by stroke that underlies this stroke survivor's ability to transition and stabilize finger forces of the paretic hand during precision grip. We interpret findings in the context of physiological mechanisms underlying distal limb control and current thinking on neural adaptation after brain injury due to stroke.

Indexed as

FingersHand StrengthMotor CortexPyramidal TractsSpinal CordStrokeHumansWhite Mattercerebrovascular accidentdiffusion MRIelectrophysiologymotor controlnoninvasive stimulationstroke

Identifiers

PMID39673738
PMCPMC11868025

What OpenQuestion holds

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LicenceCC BY
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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.