Evidence map›Paper›PMID 42402806›Full record

ArticleExperimental physiology2026

Very low-amplitude muscle activity increases probability of motor evoked potentials in healthy individuals and in amyotrophic lateral sclerosis.

Séamus O'Sullivan, Yasmine Tadjine, Gabriel R Palma, Narin Suleyman, Eva Woods, Antonio Fasano, Cathal Walsh, Friedemann Awiszus, Orla Hardiman, Richard G Carson and 1 more

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.

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

3 citing papers in PubMed.

  1. Article
  2. Article
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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

11 authors.

Séamus O'SullivanDiscipline of Physiology, School of Medicine, Trinity College Dublin, The University of Dublin, Dublin, Ireland.
Yasmine TadjineDiscipline of Physiology, School of Medicine, Trinity College Dublin, The University of Dublin, Dublin, Ireland.
Gabriel R PalmaDiscipline of Physiology, School of Medicine, Trinity College Dublin, The University of Dublin, Dublin, Ireland.
Narin SuleymanDiscipline of Physiology, School of Medicine, Trinity College Dublin, The University of Dublin, Dublin, Ireland.ORCID https://orcid.org/0000-0002-4386-6408
Eva WoodsDiscipline of Physiology, School of Medicine, Trinity College Dublin, The University of Dublin, Dublin, Ireland.
Antonio FasanoAcademic Unit of Neurology, School of Medicine, Trinity College Dublin, The University of Dublin, Dublin, Ireland.
Cathal WalshTCD Biostatistics Unit, Public Health and Primary Care, School of Medicine, Trinity College Dublin, The University of Dublin, Dublin, Ireland.
Friedemann AwiszusDepartment of Orthopaedic Surgery, Otto-von-Guericke University, Magdeburg, Germany.ORCID https://orcid.org/0000-0002-3419-4953
Orla HardimanAcademic Unit of Neurology, School of Medicine, Trinity College Dublin, The University of Dublin, Dublin, Ireland.
Richard G CarsonTrinity College Institute of Neuroscience, Trinity College Dublin, The University of Dublin, Dublin, Ireland.ORCID https://orcid.org/0000-0002-1190-2814
Roisin McMackinDiscipline of Physiology, School of Medicine, Trinity College Dublin, The University of Dublin, Dublin, Ireland.

Funding

ALS Association (ALSA) 20-IIA-546ALS Association (ALSA) 23-PPG-674-1ALS Finding A Cure 23-PPG-674-1Health Research Board (HRB) MRCG-2018-02Health Research Board (HRB) SS-2023-039Irish Research Council (IrishResearch) GOIPG/2017/1014Motor Neurone Disease Association (MNDA) McMackin/Oct20/972-799Research Motor Neurone MRCG-2018-02Wellcome Trust
6 · The paper itself

Abstract

Muscle contraction increases motor evoked potential (MEP) amplitude, decreasing motor threshold (MT). Correspondingly, trials where baseline EMG amplitude exceeds a specified threshold are often rejected. We aimed to investigate the influence of motor activity below such a threshold of MEP amplitude. We retrospectively analysed TMS-EMG data collected during resting MT (RMT) measurement in 45 healthy control subjects (1794 data points) and 35 people with amyotrophic lateral sclerosis (ALS; 1229 data points). Trials with de-meaned root mean squared (RMS) EMG amplitude of >10 µV throughout the 200 ms prior to stimulation were rejected. Generalised linear mixed-effects models assessed effects of muscle activity below this rejection threshold on the probability of evoking an MEP with peak-to-peak amplitude of ≥50 µV. Greater sub-rejection-threshold activity significantly increases MEP probability in control subjects and people with ALS. Models predicted a 38%-43% increase in MEP probability when baseline RMS-EMG amplitude increased from

Indexed as

Amyotrophic Lateral SclerosisEvoked Potentials, MotorMuscle ContractionMuscle, SkeletalAdultAgedElectromyographyFemaleHumansMaleMiddle AgedMotor CortexRetrospective StudiesTranscranial Magnetic Stimulationamyotrophic lateral sclerosisresting motor thresholdtranscranial magnetic stimulation

Identifiers

PMID42402806
PMCPMC13395010

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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.