Evidence map›Paper›PMID 40186512›Full record

ArticleHuman brain mapping2025

Cortical Oscillatory Activity and Motor Control in Pediatric Stroke Patients With Hemidystonia.

Prisca Hsu, Cecilia Jobst, Silvia L Isabella, Trish Domi, Robyn Westmacott, Nomazulu Dlamini, Douglas Cheyne

Abstract read
In one paragraph

Article in Human brain mapping, 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. 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

7 authors.

Prisca HsuInstitute of Medical Science, University of Toronto, Toronto, Ontario, Canada.
Cecilia JobstProgram in Neurosciences and Mental Health, The Hospital for Sick Children, Toronto, Ontario, Canada.
Silvia L IsabellaProgram in Neurosciences and Mental Health, The Hospital for Sick Children, Toronto, Ontario, Canada.
Trish DomiProgram in Neurosciences and Mental Health, The Hospital for Sick Children, Toronto, Ontario, Canada.
Robyn WestmacottProgram in Neurosciences and Mental Health, The Hospital for Sick Children, Toronto, Ontario, Canada.
Nomazulu DlaminiInstitute of Medical Science, University of Toronto, Toronto, Ontario, Canada.
Douglas CheyneInstitute of Medical Science, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0002-2663-498X

Funding

CIHR PJT173532
6 · The paper itself

Abstract

Dystonia is a movement disorder characterized by repetitive muscle contractions, twisting movements, and abnormal posture, affecting 20% of pediatric arterial ischemic stroke (AIS) survivors. Recent studies have reported that children with dystonia are at higher risk of cognitive deficits. The connection between impaired motor outcomes and cognitive impairment in dystonia is not fully understood; dystonia might affect motor control alone, or it could also contribute to cognitive impairment through disruptions in higher-order motor processes. To assess the functional correlates underlying motor control in children with dystonia, we used magnetoencephalography (MEG) to measure frontal theta (4-8 Hz), motor beta (15-30 Hz), and sensorimotor gamma (60-90 Hz) activity during a "go"/"no-go" task. Beamformer-based source analysis was carried out on 19 post-stroke patients: nine with dystonia (mean age = 13.78, SD = 2.82, 8 females), 10 without dystonia (mean age = 12.90, SD = 3.54, 4 females), and 17 healthy controls (mean age = 12.82, SD = 2.72, 8 females). To evaluate inhibitory control, frontal theta activity was analyzed during correct "no-go" (successful withhold) trials. To assess motor execution and sensorimotor integration, movement time-locked beta and sensorimotor gamma activity were analyzed during correct "go" trials. Additionally, the Delis-Kaplan Executive Function System (DKEFS) color-word interference task was used as a non-motor, inhibitory control task to evaluate general cognitive inhibition abilities. During affected hand use, dystonia patients had higher "no-go" error rates (failed withhold) compared to all other groups. Dystonia patients also exhibited higher frontal theta power during correct withhold responses for both affected and unaffected hands compared to healthy controls. Furthermore, dystonia patients exhibited decreased movement-evoked gamma power and gamma peak frequency compared to non-dystonia patients and healthy controls. Movement-related beta desynchronization (ERD) activity was increased in non-dystonia patients for both hands compared to healthy participants. These results confirm that post-stroke dystonia is associated with impaired frontally mediated inhibitory control, as reflected by increased frontal theta power. Post-stroke dystonia patients also exhibited reduced motor gamma activity during movement, reflecting altered sensorimotor integration. The increased beta ERD activity in non-dystonia patients may suggest compensatory sensorimotor plasticity not observed in dystonia patients. These findings suggest that differences in motor outcomes in childhood stroke result from a combination of cognitive and motor deficits.

Indexed as

Brain WavesDystonic DisordersExecutive FunctionInhibition, PsychologicalIschemic StrokeMotor ActivityPsychomotor PerformanceSensorimotor CortexStrokeAdolescentChildFemaleGamma RhythmHumansMagnetoencephalographyMaledystoniaexecutive function“go”/“no‐go”inhibitory controlMEGMRIpediatric stroke

Identifiers

PMID40186512
PMCPMC11971656

What OpenQuestion holds

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LicenceCC BY-NC
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.