Evidence map›Paper›PMID 39688835›Full record

Trial reportAnnals of clinical and translational neurology2025

Priming and task-specific training for arm weakness post stroke: A randomized controlled trial.

Erin C King, Jacob M Schauer, Shyam Prabhakaran, Alexandra Wax, Sebastian Urday, Sangeetha Madhavan, Daniel M Corcos, Mary Ellen Stoykov

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Annals of clinical and translational neurology, 2025. 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. Trial
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.

Erin C KingDepartment of Physical Therapy and Human Movement Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.ORCID 0000-0002-3724-3845
Jacob M SchauerDivision of Biostatistics, Department of Preventative Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Shyam PrabhakaranDepartment of Neurology, University of Chicago, Chicago, Illinois, USA.
Alexandra WaxShirley Ryan Ability Lab, Chicago, Illinois, USA.
Sebastian UrdayDivision of Neurology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Sangeetha MadhavanDepartment of Physical Therapy, University of Illinois Chicago, Chicago, Illinois, USA.
Daniel M CorcosDepartment of Physical Therapy and Human Movement Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Mary Ellen StoykovShirley Ryan Ability Lab, Chicago, Illinois, USA.

Funding

Bilateral Priming Plus Task Specific Training for Severe Upper Limb HemiparesisR01HD091492 · NICHD · NORTHWESTERN UNIVERSITY AT CHICAGO · PI CORCOS, DANIEL M. · 2017 to 2021
$1.5M
Effects of Bilateral Motor Priming and Task Specific Training on Corticomotor Excitability and Transcallosal Inhibition in People with Upper Limb Hemiparesis Secondary to StrokeF31HD111318 · NICHD · NORTHWESTERN UNIVERSITY AT CHICAGO · PI KING, ERIN · 2023 to 2024
$88k
National Institute of Child Health and Human Development 5R01HD091492-05NICHD NIH HHS F31 HD111318NICHD NIH HHS R01 HD091492NIH HHS 1F31HD111318-01NIH HHS 1RO1HD091492
6 · The paper itself

Abstract

objectiveThe objective of this work was to evaluate if task-specific training (TST) preceded by bilateral upper limb motor priming (BUMP) reduces upper limb impairment more than TST preceded by control priming ([CP], sham electrical stimulation) in people with chronic stroke.

methodsIn this single-blind, randomized controlled trial, 76 adults with moderate to severe upper limb hemiparesis ≥6 months post-stroke were stratified by baseline impairment and randomized to receive either BUMP or CP prior to receiving the same TST protocol. Participants completed 30 h of treatment in 15 days over 6 weeks. The primary outcome was change in Fugl-Meyer upper extremity (FMUE) from baseline to 8-week follow-up. We also report clinically meaningful response rates defined as a change in FMUE score of 6 points or greater.

resultsIn response to treatment, both groups improved to a significant extent at follow-up, exceeding the FMUE minimum clinically important difference. Those in BUMP and CP saw a mean change of 5.68 (SE 0.76, p < 0.001) and 5.87 (SE 0.76, p < 0.001) respectively. There was no significant difference between treatment arms (mean difference of -0.20 (95% CI = [-2.37, 1.97], SE = 1.08, p = 0.86)). A response of ≥6 points was observed in 46% in BUMP and 50% in CP.

interpretationThere was no beneficial effect of BUMP. The magnitude of change seen in both groups reflects the largest improvement achieved with just 22.5 h of TST in this population, matching or out-performing more invasive, time-intensive, and costly interventions proposed in recent years.

Indexed as

Electric Stimulation TherapyExercise TherapyMuscle WeaknessParesisStrokeStroke RehabilitationUpper ExtremityAdultAgedArmFemaleHumansMaleMiddle AgedSingle-Blind Method

Identifiers

PMID39688835
PMCPMC11752083

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.