Evidence map›Paper›PMID 41332570›Full record

ArticlebioRxiv : the preprint server for biology2025

Neural mechanisms of handedness for precision drawing: hand-dependent engagement of cortical networks for bimanual control and tool use.

N Kapil, T Kim, S Gassass, R Zhou, A R Carter, I G Dobbins, L Liu, M P McAvoy, M D Wheelock, Y Wang and 4 more

Abstract readPreprint
In one paragraph

Article in bioRxiv : the preprint server for biology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

14 authors.

N KapilProgram in Occupational Therapy, Washington University School of Medicine, St. Louis MO.
T KimProgram in Occupational Therapy, Washington University School of Medicine, St. Louis MO.
S GassassProgram in Occupational Therapy, Washington University School of Medicine, St. Louis MO.
R ZhouBiostatistics, Washington University School of Medicine, St. Louis MO.
A R CarterNeurology, Washington University School of Medicine, St. Louis MO.
I G DobbinsPsychological & Brain Sciences, Washington University, St. Louis MO.
L LiuBiostatistics, Washington University School of Medicine, St. Louis MO.
M P McAvoyProgram in Occupational Therapy, Washington University School of Medicine, St. Louis MO.
M D WheelockRadiology, Washington University School of Medicine, St. Louis MO.
Y WangObstetrics & Gynecology, Washington University School of Medicine, St. Louis MO.
D M BroganOrthopedic Surgery, Washington University School of Medicine, St. Louis MO.
C J DyOrthopedic Surgery, Washington University School of Medicine, St. Louis MO.
S E MackinnonPlastic & Reconstructive Surgery, Washington University School of Medicine, St. Louis MO.
B A PhilipProgram in Occupational Therapy, Washington University School of Medicine, St. Louis MO.ORCID 0000-0001-5467-8384

Funding

Interhemispheric Communication and Compensation in Peripheral Nerve InjuryR01NS114046 · NINDS · WASHINGTON UNIVERSITY · PI EGGEBRECHT, ADAM THOMAS · 2021 to 2025
$2.1M
NINDS NIH HHS R01 NS114046
6 · The paper itself

Abstract

The neural mechanisms of handedness remain poorly understood, particularly for lateralized movements such as precision drawing. Using functional magnetic resonance imaging (fMRI), we examined how healthy adults and individuals with peripheral nerve injury (PNI) in their dominant hand performed a visually guided drawing task with each hand. We hypothesized that the left superior parietal lobule (SPL) supports drawing with either hand, and that individuals with PNI would recruit the same mechanisms as healthy adults. Methods: 33 Right-handed adults (23 healthy adults, 10 patients) underwent fMRI while performing a precision drawing task, alternating between the right hand (RH) and left hand (LH). LH>RH effects were examined across 20 regions of interest (12 a priori, 8 post hoc) using two approaches: (1) BOLD magnitude, and (2) functional connectivity (FC) modulation, assessed via generalized psychophysiological interaction. Results: All effects describe LH drawing > RH drawing. Right primary motor cortex (M1) had lower magnitude and greater FC with two networks, both of which exhibited equal-or-greater magnitude: a left hemisphere M1-dorsal premotor circuit, and an intrahemispheric parieto-temporal circuit. Right M1 (also had reduced interhemispheric FC with inferior parietal lobule, which exhibited lower magnitude. Patient group had no effect on magnitude or FC. Conclusions: Three neural mechanisms differentiate LH from RH drawing in right handed adults. First, a left hemisphere system for bimanual control, which engages intrahemispherically (directly) during RH drawing but interhemispherically (indirectly) during LH drawing. Second, LH drawing increases engagement of a contralateral system that may reflect increased task demands. Third, RH drawing increases engagement of an interhemispheric circuit for tool use. The first and third systems may explain performance asymmetries associated with handedness. Patients with PNI use the same mechanisms as healthy adults, highlighting these mechanisms' potential as a neuromodulatory target to enhance LH performance after RH impairment.

Identifiers

PMID41332570
PMCPMC12667916

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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.