Trial reportNeurorehabilitation and neural repair2009
Progressive shoulder abduction loading is a crucial element of arm rehabilitation in chronic stroke.
Trial report in Neurorehabilitation and neural repair, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 76 papers, 3 of them syntheses that pooled 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.
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.
The Effect of Resistance to Participant-Supported Reaching on Workspace of the Hand in Severe Chronic Stroke
Progressive Abduction Loading Therapy: A Phase IIb Stroke Rehabilitation Trial With Longitudinal Tracking
Who cites it
76 citing papers in PubMed, 3 syntheses or guidelines pooled it, 157 citations in OpenAlex.
- Motor rehabilitation after stroke: European Stroke Organisation (ESO) consensus-based definition and guiding framework.European stroke journal · 2023Guideline
- Training modalities in robot-mediated upper limb rehabilitation in stroke: a framework for classification based on a systematic review.Journal of neuroengineering and rehabilitation · 2014Pooled it
- What is the evidence for physical therapy poststroke? A systematic review and meta-analysis.PloS one · 2014Pooled it
- Adding Contralaterally Controlled Electrical Stimulation of the Triceps to Contralaterally Controlled Functional Electrical Stimulation of the Finger Extensors Reduces Upper Limb Impairment and Improves Reachable Workspace but not Dexterity: A Randomized Controlled Trial.American journal of physical medicine & rehabilitation · 2020Trial
- Development of a 3D, networked multi-user virtual reality environment for home therapy after stroke.Journal of neuroengineering and rehabilitation · 2018Trial
- Sequencing bilateral robot-assisted arm therapy and constraint-induced therapy improves reach to press and trunk kinematics in patients with stroke.Journal of neuroengineering and rehabilitation · 2016Trial
- Influence of gravity compensation training on synergistic movement patterns of the upper extremity after stroke, a pilot study.Journal of neuroengineering and rehabilitation · 2012Trial
- Variations in neuromuscular electrical stimulation's ability to increase reach and hand opening during voluntary effort after stroke.Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference · 2012Trial
- Stroke increases motor output variability during maximal voluntary isometric contractions of knee extensor muscles in adults.Physiological reports · 2026Article
- Paired vagus nerve stimulation for post-stroke shoulder motor recovery: corticospinal-C5 motor network plasticity and rehabilitation applications.Frontiers in neurology · 2026Review
- Quantitative assessment of dynamic movement reveals deficits due to hemiparetic stroke.Journal of neuroengineering and rehabilitation · 2025Article
- Pathophysiology of voluntary motor commands at the level of the spinal motoneuron in patients with multiple sclerosis.medRxiv : the preprint server for health sciences · 2025Article
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- Impact of a shoulder exosuit on range of motion, endurance, and task execution in users with neurological impairments.Wearable technologies · 2025Article
- Human-in-the-Loop Myoelectric Pattern Recognition Control of an Arm-Support Robot to Improve Reaching in Stroke Survivors.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2025Article
- Beta-Band Cortico-Muscular Phase Coherence in Hemiparetic Stroke.Biomedical signal processing and control · 2024Article
- Evidence of the existence of multiple modules for the stroke-caused flexion synergy from Fugl-Meyer assessment scores.Journal of neurophysiology · 2024Article
- Effects of Limbs' Spasticity on Spinopelvic Alignment in Post-Stroke Patients: A Cross-Sectional Study.Journal of clinical medicine · 2024Article
- Peripheral nerve blocks of wrist and finger flexors can increase hand opening in chronic hemiparetic stroke.Frontiers in neurology · 2024Article
16 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 1 country.
Funding
Abstract
backgroundTotal reaching range of motion (work area) diminishes as a function of shoulder abduction loading in the paretic arm in individuals with chronic hemiparetic stroke. This occurs when reaching outward against gravity or during transport of an object.
objectivesThis study implements 2 closely related impairment-based interventions to identify the effect of a subcomponent of reaching exercise thought to be a crucial element in arm rehabilitation.
methodsA total of 14 individuals with chronic moderate to severe hemiparesis participated in the participant-blinded, randomized controlled study. The experimental group progressively trained for 8 weeks to actively support the weight of the arm, up to and beyond, while reaching to various outward targets. The control group practiced the same reaching tasks with matched frequency and duration with the weight of the arm supported. Work area and isometric strength were measured before and after the intervention.
resultsChange scores for work area at 9 loads were calculated for each group. Change scores were significantly larger for the experimental group indicating a larger increase in work area, especially shoulder abduction loads equivalent to those experienced during object transport. Changes in strength were not found within or between groups.
conclusionsProgressive shoulder abduction loading can be utilized to ameliorate reaching range of motion against gravity. Future work should investigate the dosage response of this intervention, as well as test whether shoulder abduction loading can augment other therapeutic techniques such as goal-directed functional task practice and behavioral shaping to enhance real-world arm function.
Indexed as
Identifiers
What OpenQuestion holds
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.