Evidence map›Paper›PMID 21458828›Full record

Trial reportJournal of the neurological sciences2011

Quantitative measures detect sensory and motor impairments in multiple sclerosis.

Scott D Newsome, Joseph I Wang, Jonathan Y Kang, Peter A Calabresi, Kathleen M Zackowski

Abstract readClinical Trial
In one paragraph

Trial report in Journal of the neurological sciences, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed
2.4field-weighted citation impact, top 12% 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.

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

39 citing papers in PubMed, 64 citations in OpenAlex.

  1. Trial
  2. Trial
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  5. Observational
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  9. Article
  10. Cerebellar Contributions to Motor and Cognitive Control in Multiple SclerosisArchives of physical medicine and rehabilitation · 2022
    Article
  11. Article
  12. Article
  13. Five-year longitudinal changes in quantitative spinal cord MRI in multiple sclerosis.Multiple sclerosis (Houndmills, Basingstoke, England) · 2021
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review
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

5 authors at 2 institutions in 1 country.

Scott D NewsomeDepartment of Neurology, Johns Hopkins University, Baltimore, MD, USA.
Joseph I Wang
Jonathan Y Kang
Peter A Calabresi
Kathleen M Zackowski
Johns Hopkins University · USKennedy Krieger Institute · US

Funding

MECHANISMS OF LOCOMOTOR RECOVERY IN MULTIPLE SCLEROSISK01HD049476 · NICHD · HUGO W. MOSER RES INST KENNEDY KRIEGER · PI ZACKOWSKI, KATHLEEN M. · 2006 to 2010
$499k
NICHD NIH HHS K01 HD049476
6 · The paper itself

Abstract

backgroundSensory and motor dysfunction in multiple sclerosis (MS) is often assessed with rating scales which rely heavily on clinical judgment. Quantitative devices may be more precise than rating scales.

objectiveTo quantify lower extremity sensorimotor measures in individuals with MS, evaluate the extent to which they can detect functional systems impairments, and determine their relationship to global disability measures.

methodsWe tested 145 MS subjects and 58 controls. Vibration thresholds were quantified using a Vibratron-II device. Strength was quantified by a hand-held dynamometer. We also recorded Expanded Disability Status Scale (EDSS) and Timed 25-Foot Walk (T25FW). t-tests and Wilcoxon-rank sum were used to compare group data. Spearman correlations were used to assess relationships between each measure. We also used a step-wise linear regression model to determine how much the quantitative measures explain the variance in the respective functional systems scores (FSS).

resultsEDSS scores ranged from 0-7.5, mean disease duration was 10.4 ± 9.6 years, and 66% were female. In relapsing-remitting MS, but not progressive MS, poorer vibration sensation correlated with a worse EDSS score, whereas progressive groups' ankle/hip strength changed significantly with EDSS progression. Interestingly, not only did sensorimotor measures significantly correlate with global disability measures (i.e., EDSS), but they had improved sensitivity, as they detected impairments in up to 32% of MS subjects with normal sensory and pyramidal FSS.

conclusionsSensory and motor deficits in MS can be quantified using clinically accessible tools and distinguish differences among MS subtypes. We show that quantitative sensorimotor measures are more sensitive than FSS from the EDSS. These tools have the potential to be used as clinical outcome measures in practice and for future MS clinical trials of neurorehabilitative and neuroreparative interventions.

Indexed as

AdultAgedCohort StudiesDisease ProgressionFemaleHumansMaleMiddle AgedMovement DisordersMultiple Sclerosis, Chronic ProgressiveMultiple Sclerosis, Relapsing-RemittingNeurologic ExaminationPhysical ExaminationPsychomotor PerformanceRetrospective StudiesSensation Disorders

Identifiers

PMID21458828
PMCPMC3090542
OpenAlexW2115075863

What OpenQuestion holds

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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.