Evidence map›Paper›PMID 17996052›Full record

Trial reportBMC neurology2007

Protocol for the Locomotor Experience Applied Post-stroke (LEAPS) trial: a randomized controlled trial.

Pamela W Duncan, Katherine J Sullivan, Andrea L Behrman, Stanley P Azen, Samuel S Wu, Stephen E Nadeau, Bruce H Dobkin, Dorian K Rose, Julie K Tilson, LEAPS Investigative Team

6 registry-linked trialsOpen access · goldAbstract readClinical Trial, Phase IIIComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC neurology, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 6 registered trials, which are not on this map. Cited by 87 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
87citing papers in PubMed, 7 pooled it
7.8field-weighted citation impact, top 3% of its field
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.

NCT00243919 phase3completednot on this map

Locomotor Experience Applied Post Stroke (LEAPS) Trial

TypeinterventionalSponsorDuke UniversityRan2006 to 2012Enrolled408ConditionsStrokeArmsEarly locomotor training program, Late locomotor training program, Home Exercise Program
NCT01396746 unknown statusnot on this mapstarted 2011, after this paper: background citation

Cardiovascular Function in Sub Maximal Exercise and Performance in Three Daily Activity Tests in Persons With Post Stroke Conditions

TypeobservationalSponsorHillel Yaffe Medical CenterRan2011Enrolled30ConditionsStroke, Hemiplegia
NCT01713543 nacompletednot on this mapstarted 2012, after this paper: background citation

Multifactorial, Evidence-based Program of Screening, Risk Modification and Physical Therapy to Prevent Falls Among Vulnerable Elderly Recently Discharged From Hospital to the Community.

TypeinterventionalSponsorNational University of SingaporeRan2012Enrolled354ConditionsAccidental FallsArmsphysical therapy
NCT01905917 nacompletednot on this mapstarted 2013, after this paper: background citation

The Singapore Tele-technology Aided Rehabilitation in Stroke (STARS) Study: A Randomized Controlled Trial

TypeinterventionalSponsorNational University of SingaporeRan2013 to 2017Enrolled124ConditionsStrokeArmsTele-rehabilitation
NCT04824482 narecruitingnot on this mapstarted 2020, after this paper: background citation

GAIT Recovery in Patients aFter Acute Ischemic STroke: A Randomized Comparison of Robot-assisted and Therapist-assisted Gait Training on a Treadmill.

TypeinterventionalSponsorUniversity Hospital OlomoucRan2020 to 2026Enrolled120ConditionsIschemic StrokeArmsRobot-assisted treadmill gait training (RTGT), Therapist-assisted treadmill gait training (TTGT)
NCT06999876 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

The Effect of Combined Transcranial Pulse Current Stimulation (tPCS) and Transcutaneous Electrical Nerve Stimulation (TENS) on Lower Limb Motor Function in Subacute to Chronic Stroke Patients With Hemiplegia: A Double-blind, Sham-controlled, Randomized Controlled Study

TypeinterventionalSponsorNational University Health System, SingaporeRan2025 to 2026Enrolled90ConditionsStroke Patients With Hemiplegia or Hemiparesis in the Subacute StageArmsThe AscenZ-VIII Stimulator (Investigational Medical Device)
3 · Its place in the literature

Who cites it

87 citing papers in PubMed, 7 syntheses or guidelines pooled it, 205 citations in OpenAlex.

  1. Pooled it
  2. Treadmill training and body weight support for walking after stroke.The Cochrane database of systematic reviews · 2017
    Pooled it
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  4. Physical fitness training for stroke patients.The Cochrane database of systematic reviews · 2016
    Pooled it
  5. Treadmill training and body weight support for walking after stroke.The Cochrane database of systematic reviews · 2014
    Pooled it
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27 more citing papers are in PubMed but not listed here.

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 at 5 institutions in 1 country.

Pamela W DuncanDivision of Doctor of Physical Therapy, Department of Community and Family Medicine, Duke University, Durham, North Carolina, USA. Pamela.Duncan@Duke.edu
Katherine J Sullivan
Andrea L Behrman
Stanley P Azen
Samuel S Wu
Stephen E Nadeau
Bruce H Dobkin
Dorian K Rose
Julie K Tilson
LEAPS Investigative Team
University of Florida · USUniversity of Southern California · USDuke University · USMalcom Randall VA Medical Center · USUniversity of California, Los Angeles · US

Funding

Locomotor Experience Applied Post-Stroke (LEAPS)R01NS050506 · NINDS · UNIVERSITY OF FLORIDA · PI DUNCAN, PAMELA W. · 2005 to 2009
$13.3M
NINDS NIH HHS R01 NS050506
6 · The paper itself

Abstract

backgroundLocomotor training using body weight support and a treadmill as a therapeutic modality for rehabilitation of walking post-stroke is being rapidly adopted into clinical practice. There is an urgent need for a well-designed trial to determine the effectiveness of this intervention. The objective of the Locomotor Experience Applied Post-Stroke (LEAPS) trial is to determine if there is a difference in the proportion of participants who recover walking ability at one year post-stroke when randomized to a specialized locomotor training program (LTP), conducted at 2- or 6-months post-stroke, or those randomized to a home based non-specific, low intensity exercise intervention (HEP) provided 2 months post-stroke. We will determine if the timing of LTP delivery affects gait speed at 1 year and whether initial impairment severity interacts with the timing of LTP. The effect of number of treatment sessions will be determined by changes in gait speed taken pre-treatment and post-12, -24, and -36 sessions. METHODS/

designWe will recruit 400 adults with moderate or severe walking limitations within 30 days of stroke onset. At two months post stroke, participants are stratified by locomotor impairment severity as determined by overground walking speed and randomly assigned to one of three groups: (a) LTP-Early; (b) LTP-Late or (c) Home Exercise Program -Early. The LTP program includes body weight support on a treadmill and overground training. The LTP and HEP interventions are delivered for 36 sessions over 12 weeks. Primary outcome measure include successful walking recovery defined as the achievement of a 0.4 m/s gait speed or greater by persons with initial severe gait impairment or the achievement of a 0.8 m/s gait speed or greater by persons with initial moderate gait impairment.LEAPS is powered to detect a 20% difference in the proportion of participants achieving successful locomotor recovery between the LTP groups and the HEP group, and a 0.1 m/s mean difference in gait speed change between the two LTP groups. DISCUSSION: The goal of this single-blinded, phase III randomized clinical trial is to provide evidence to guide post-stroke walking recovery programs.

trial registrationNCT00243919.

Indexed as

Stroke RehabilitationAdultExercise TherapyGait Disorders, NeurologicHome Care ServicesHumansMotor ActivityPhysical Therapy ModalitiesRecovery of FunctionSingle-Blind MethodStrokeWalking

Identifiers

PMID17996052
PMCPMC2222229
OpenAlexW2052094662

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.