Evidence map›Paper›PMID 41724900›Full record

ArticleAnnals of neurology2026

Electrical Impedance Myography Detects Disease Progression over 12 to 24 Months in Facioscapulohumeral Muscular Dystrophy.

Karlien Mul, Michael P McDermott, Russell J Butterfield, Bakri Elsheikh, Kate Eichinger, Nicholas E Johnson, Doris G Leung, Samantha LoRusso, Leann Lewis, William B Martens and 6 more

Abstract readMulticenter Study
In one paragraph

Article in Annals of neurology, 2026. 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

16 authors.

Karlien Mul *Department of Neurology, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID 0000-0001-8487-9478
Michael P McDermott *Department of Biostatistics and Computational Biology, University of Rochester Medical Center, Rochester, NY.
Russell J ButterfieldDepartment of Neurology, University of Utah, Salt Lake City, UT.
Bakri ElsheikhDepartment of Neurology, The Ohio State University, Columbus, OH.
Kate EichingerDepartment of Neurology, University of Rochester Medical Center, Rochester, NY.
Nicholas E JohnsonCenter for Inherited Muscle Research, Department of Neurology, Virginia Commonwealth University, Richmond, VA.
Doris G LeungCenter for Genetic Muscle Disorders, Department of Neurology at the Johns Hopkins University School of Medicine, Kennedy Krieger Institute, Baltimore, MD.ORCID 0000-0002-2558-7798
Samantha LoRussoDepartment of Neurology, The Ohio State University, Columbus, OH.
Leann LewisDepartment of Neurology, University of Rochester Medical Center, Rochester, NY.
William B MartensDepartment of Neurology, University of Rochester Medical Center, Rochester, NY.
Perry B ShiehDepartment of Neurology at the David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA.
Leo H WangDepartment of Neurology, University of Washington, Seattle, WA.ORCID 0000-0002-5079-1416
Michaela WalkerDepartment of Neurology, University of Kansas Medical Center, Kansas City, KS.
Rabi TawilDepartment of Neurology, University of Rochester Medical Center, Rochester, NY.ORCID 0000-0003-1394-1494
Jeffrey M StatlandDepartment of Neurology, University of Kansas Medical Center, Kansas City, KS.
ReSolve Investigators of the FSHD‐CTRN

Funding

Wellstone Muscular Dystrophy Specialized Research Center (Seattle)P50AR065139 · NIAMS · UNIVERSITY OF WASHINGTON · PI MICHAEL REGNIER · 2018 to 2026
$15.9M
AFM-TéléthonFSHD Society, Friends of FSH ResearchMuscular Dystrophy Association (MDA) Clinical Research NetworkNational Institute of Neurological Disorders and Stroke (NINDS) U01NS101944NIAMS NIH HHS P50 AR065139
6 · The paper itself

Abstract

objectiveTargeted therapies for facioscapulohumeral muscular dystrophy (FSHD) are progressing through clinical trials. Electrical impedance myography (EIM) provides a noninvasive biomarker of muscle composition that may be valuable especially in early phase trials. This study evaluated EIM data from a multicenter FSHD cohort over 24 months.

methodsAdult patients with FSHD at 8 sites underwent EIM in 6 muscles bilaterally (deltoid, biceps, triceps, vastus lateralis, tibialis anterior, and medial gastrocnemius). EIM outcomes phase and reactance (50 and 100 kHz [kilohertz] frequencies) and 50 of 211 kHz phase ratio were evaluated for reliability, correlations with clinical measures, and sensitivity to change.

resultsOne hundred fifty-seven patients (53% male patients) were included. Test-retest reliability was excellent for all EIM outcomes (intraclass correlation coefficient [ICC] ≥0.94). Phase outcomes strongly correlated with the FSHD-composite outcome measure (FSHD-COM; r ≤ -0.69) and Motor Function Measure Domain 1 (MFM1; r ≥ 0.75); reactance outcomes exhibited moderate correlations with the FSHD-COM (r ≥ -0.41) and MFM1 (r ≤ 0.44). Mean declines in phase and phase ratio were apparent at 12 months (eg, -0.25, 95% confidence interval [CI] = -0.45 to -0.05 at 50 kHz), and further progressed through 24 months (-0.66, 95% CI = -0.92 to -0.40] at 50 kHz and -0.65 [95% CI = -0.87 to -0.44] at 100 kHz; both p < 0.0001). Reactance changes were smaller and not significant: -0.21 (95% CI = -0.44 to 0.02) at 50 kHz and -0.13 (95% CI = -0.35 to 0.10) at 100 kHz.

interpretationEIM phase outcomes are reliable, valid, and sensitive to change over 12 to 24 months, supporting their potential utility as biomarkers in FSHD clinical trials. ANN NEUROL 2026;99:1545-1554.

Indexed as

Disease ProgressionElectric ImpedanceMuscle, SkeletalMuscular Dystrophy, FacioscapulohumeralMyographyAdultAgedCohort StudiesElectromyographyFemaleHumansMaleMiddle AgedReproducibility of Results

Identifiers

PMID41724900
PMCPMC13206185

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.