Evidence map›Paper›PMID 40130687›Full record

Trial reportNeurorehabilitation and neural repair2025

MEP Status is Not Predictive of Response to Upper Limb Training in People With Chronic, Moderate-Severe Hemiparesis Post-Stroke.

Erin C King, Michael Trevarrow, Sebastian Urday, Jacob M Schauer, Daniel M Corcos, Mary Ellen Stoykov

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Neurorehabilitation and neural repair, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. Recovery of Dexterous Motor Control via Non-Monosynaptic Corticospinal Pathways.medRxiv : the preprint server for health sciences · 2026
    Article
  5. Review
  6. Article
  7. 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

6 authors.

Erin C KingPhysical Therapy and Human Movement Sciences, Northwestern University, Chicago IL, USA.ORCID 0000-0002-3724-3845
Michael TrevarrowPhysical Therapy and Human Movement Sciences, Northwestern University, Chicago IL, USA.
Sebastian UrdayDepartment of Neurology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Jacob M SchauerDepartment of Preventative Medicine, Division of Biostatistics, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Daniel M CorcosPhysical Therapy and Human Movement Sciences, Northwestern University, Chicago IL, USA.
Mary Ellen StoykovDepartment of Physical Medicine and Rehabilitation, Northwestern University, Feinberg School of Medicine, Chicago, IL, USA.ORCID 0000-0002-9045-9231

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
NICHD NIH HHS F31 HD111318NICHD NIH HHS R01 HD091492
6 · The paper itself

Abstract

BackgroundThe presence or absence of a motor evoked potential (MEP) in the post-stroke hemiparetic limb has been recommended by rehabilitation experts as a predictive biomarker which is ready for use in clinical trials. However, evidence remains limited for its prognostic value in the chronic stage.Objective:Determine if MEP status (MEP+ or MEP-) obtained within 1 week of starting treatment (baseline) predicts the magnitude of response to intervention in individuals with chronic, moderate-severe hemiparesis.MethodsThis is a retrospective analysis using data from a single-blind randomized controlled trial. Seventy-six individuals ≥6 months post-stroke with a baseline Fugl-Meyer Assessment of the Upper Extremity (FMUE) score of 23 to 40 underwent 30 hours of upper limb (UL) training over 6 weeks. Participants were stratified by baseline MEP status. The primary endpoint was change in FMUE score from baseline to post-test.ResultsSeventy-three participants provided FMUE scores and MEP status at baseline. Individuals who were MEP+ (n = 49) demonstrated a mean FMUE change score of 5.09 (standard deviation [SD] = 3.8) while MEP- (n = 24) individuals demonstrated a mean change score of 5.04 (SD = 4.0). There were no significant differences between the groups (mean difference = 0.05,

Indexed as

Evoked Potentials, MotorExercise TherapyOutcome Assessment, Health CareParesisStrokeStroke RehabilitationUpper ExtremityAdultAgedChronic DiseaseFemaleHumansMaleMiddle AgedRetrospective StudiesSeverity of Illness Indexbiomarkerhemiplegiamotor evoked potentialstrokeTMS

Identifiers

PMID40130687
PMCPMC12173793

What OpenQuestion holds

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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.