Evidence map›Paper›PMID 42523190›Full record

ArticleAnnals of the Child Neurology Society2025

In children with attention-deficit/hyperactivity disorder, less task-related up-modulation of motor cortex during response inhibition.

Donald L Gilbert, Deana Crocetti, Paul S Horn, Steve W Wu, David A Huddleston, Jacqueline M Ehrman, Karlee Y Migneault, Stewart H Mostofsky

Abstract read
In one paragraph

Article in Annals of the Child Neurology Society, 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. Reliability of short interval cortical inhibition in children with attention deficit hyperactivity disorder.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2025
    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

8 authors.

Donald L GilbertDivision of Neurology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.ORCID 0000-0002-9245-6878
Deana CrocettiCenter for Neurodevelopmental and Imaging Research, Kennedy Krieger Institute, Baltimore, Maryland, USA.
Paul S HornDivision of Neurology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Steve W WuDivision of Neurology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.ORCID 0000-0001-5102-174X
David A HuddlestonDivision of Neurology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Jacqueline M EhrmanDivision of Neurology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Karlee Y MigneaultDivision of Neurology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.ORCID 0009-0004-3163-2024
Stewart H MostofskyCenter for Neurodevelopmental and Imaging Research, Kennedy Krieger Institute, Baltimore, Maryland, USA.

Funding

Neurology of Deficient Response Control in ADHDR01MH085328 · NIMH · HUGO W. MOSER RES INST KENNEDY KRIEGER · PI MOSTOFSKY, STEWART H · 2009 to 2019
$7.3M
2/2-Anomalous Motor Physiology in ADHDR01MH095014 · NIMH · CINCINNATI CHILDRENS HOSP MED CTR · PI GILBERT, DONALD L · 2012 to 2024
$3.3M
NIMH NIH HHS R01 MH085328NIMH NIH HHS R01 MH095014
6 · The paper itself

Abstract

Objective: The aim of this study was to identify a quantitative, brain-based measure reflecting impaired response inhibition in children with attention-deficit/hyperactivity disorder (ADHD). Methods: In this cross-sectional study, we used transcranial magnetic stimulation (TMS) to evoke potentials in hand muscle during both a simple reaction time and a response inhibition task in 8-to-12-year-old children, 41 with ADHD (42% girls, 76% white, mean age 10.3 years) and 38 typically developing controls (53% girls, 74% white, mean age 9.8 years). We used mixed-model linear regressions of evoked potential amplitudes to compare motor cortex excitability at (1) task-onset ("START": 550 ms prior to action); (2) preparing-to-go ("GO": 150 ms prior to action); and (3) selecting-to-stop ("STOP": 150 ms after stop cue). We hypothesized that task-related up-modulation of motor cortex excitability (motor evoked potential amplitudes) would depend both on task (STOP > GO > START) and on diagnosis (controls > patients). Results: Motor cortex up-modulation was significantly greater for STOP trials than during GO or START. Children with ADHD had both worse response inhibition performance (longer stop-signal reaction times) and significantly less task effect on motor cortex up-modulation. The largest diagnostic difference in motor cortex activation occurred during STOP trials. Reduced up-modulation during stopping was also associated with higher parent-rated symptom severity. Interpretation: Our findings suggest that motor cortex up-modulation of excitability, assessed indirectly by TMS motor evoked potentials, reflects the cognitive load during response inhibition tasks and may be a quantitative, brain-based indicator of impaired response inhibition in children with ADHD.

Indexed as

attention-deficit/hyperactivity disorderchildrenmotor cortexresponse inhibitiontask-related up-modulation (TRUM)transcranial magnetic stimulation

Identifiers

PMID42523190
PMCPMC13359149

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.