Evidence map›Paper›PMID 40990179›Full record

ArticleExperimental physiology2026

Stroke and motor outcomes are associated with regional and age-specific changes in periodic and aperiodic cortical activity.

Asher J Albertson, Eric C Landsness, Margaret Eisfelder, Brittany M Young, Bradley Judge, Matthew R Brier, Matthew J Euler, Steven C Cramer, Jin-Moo Lee, Keith R Lohse

Abstract read
In one paragraph

Article in Experimental physiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

  1. Pooled it
  2. Article
  3. 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

10 authors.

Asher J AlbertsonDepartment of Neurology, Washington University School of Medicine, St Louis, Missouri, USA.ORCID https://orcid.org/0000-0002-4194-9584
Eric C LandsnessDepartment of Neurology, Washington University School of Medicine, St Louis, Missouri, USA.
Margaret EisfelderDepartment of Neurology, Washington University School of Medicine, St Louis, Missouri, USA.
Brittany M YoungDepartment of Neurology, University of California Los Angeles, and California Rehabilitation Institute, Los Angeles, California, USA.
Bradley JudgeDepartment of Neurology, Washington University School of Medicine, St Louis, Missouri, USA.
Matthew R BrierDepartment of Neurology, Washington University School of Medicine, St Louis, Missouri, USA.
Matthew J EulerDepartment of Psychology, University of Utah, Salt Lake City, Utah, USA.
Steven C CramerDepartment of Neurology, University of California Los Angeles, and California Rehabilitation Institute, Los Angeles, California, USA.
Jin-Moo LeeDepartment of Neurology, Washington University School of Medicine, St Louis, Missouri, USA.
Keith R LohseDepartment of Neurology, Washington University School of Medicine, St Louis, Missouri, USA.

Funding

Plasticizing the Cortex to Enhance Stroke RecoveryR37NS110699 · NINDS · WASHINGTON UNIVERSITY · PI LEE, JIN-MOO · 2019 to 2025
$3.5M
Integrating TPM and PAM to examine the metabolic underpinning of neurovascular repair after strokeR01NS120481 · NINDS · WASHINGTON UNIVERSITY · PI HU, SONG, LEE, JIN-MOO · 2021 to 2025
$3.1M
Torpor for cerebroprotectionR01NS133365 · NINDS · WASHINGTON UNIVERSITY · PI Eric C Landsness · 2023 to 2026
$1.9M
Role of Axonal Sprouting Mediated Network Reorganization in Stroke RecoveryK08NS117888 · NINDS · WASHINGTON UNIVERSITY · PI Asher Jefferson Albertson · 2022 to 2026
$993k
Local slow wave sleep in repair and recovery after strokeK08NS109292 · NINDS · WASHINGTON UNIVERSITY · PI LANDSNESS, ERIC C · 2020 to 2024
$943k
PET and MRI Evaluation of Cerebral Inflammation and Metabolic Stress in Relapsing Multiple SclerosisK23NS128325 · NINDS · WASHINGTON UNIVERSITY · PI Matthew Ryan Brier · 2023 to 2026
$931k
NIH HHS K08NS117888NIH HHS K23NS128325NIH HHS R01NS120481NIH HHS R37NS110699NIH HHS RO1NS133365NINDS NIH HHS K08 NS109292NINDS NIH HHS K08 NS117888NINDS NIH HHS K23 NS128325NINDS NIH HHS R01 NS133365NINDS NIH HHS R37 NS110699
6 · The paper itself

Abstract

Historically, stroke and ageing have been associated with changes in narrow-band periodic neuronal activity, but recent work has highlighted the importance of broad-band aperiodic activity. Aperiodic activity is represented by the 1/f slope of power spectral density generated by cortical activity. Here we explored changes in both periodic and aperiodic cortical activity in neurologically intact individuals and individuals with stroke, across the lifespan. We compared 'resting state' electroencephalograms from all participants after applying the specparam algorithm, which decomposes the power spectrum into aperiodic and periodic components. We also correlated motor outcomes to average whole cortex spectral slopes within the stroke group. We found a significant flattening (decrease in exponent) of power spectral slope with normal ageing. We found that both ageing and stroke were associated with fewer periodic peaks. Interestingly, we found that stroke was associated with a significant increase in spectral slope, but age moderated this effect. Younger stroke patients showed minimal difference in slope while older stroke patients had significantly steeper slopes (opposite to the direction in normal ageing). We next investigated the lesion locations most associated with changes in slope. Deep lesions were observed to have the greatest influence on cortical spectral slope. Finally, the slope in the stroke group was associated with performance on a test of manual dexterity, but this association was stronger in older individuals, and varied by scalp region. Our data suggest that stroke in the aged brain has unique effects on aperiodic activity possibly reflecting unique influence of injury on cerebral excitation/inhibition balance in aged individuals.

Indexed as

AgingCerebral CortexStrokeAdultAgedAged, 80 and overAge FactorsElectroencephalographyFemaleHumansMaleMiddle AgedYoung Adultagingcerebral cortexelectroencephalogramexcitabilitymagnetic resonance imagingstroke

Identifiers

PMID40990179
PMCPMC12949189

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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.