Evidence map›Paper›PMID 22018267›Full record

Trial reportBMC neurology2011

Varied overground walking-task practice versus body-weight-supported treadmill training in ambulatory adults within one year of stroke: a randomized controlled trial protocol.

Vincent G DePaul, Laurie R Wishart, Julie Richardson, Timothy D Lee, Lehana Thabane

2 registry-linked trialsOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC neurology, 2011. 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 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 8% 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.

NCT00561405 phase2completednot on this map

A Motor Learning Based Walking Program Versus Body Weight Supported Treadmill Training in Community Dwelling Adults Within One Year of Stroke Onset: A Randomized Controlled Trial

TypeinterventionalSponsorMcMaster UniversityRan2006 to 2011Enrolled71ConditionsStrokeArmsMotor Learning Walking Program, Body Weight Supported Treadmill Training
NCT05444387 naunknown statusnot on this mapstarted 2022, after this paper: background citation

The Effect of Upper Limb Loading With External Weights During Partial Body Weight Support Treadmill Training on Gait and Trunk Control in Ambulatory Children With Cerebral Palsy: A Randomized Controlled Trial

TypeinterventionalSponsorAlya Abdelghafour AlkhajehRan2022 to 2022Enrolled30ConditionsCerebral PalsyArmsUpper limb loading
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Treadmill training and body weight support for walking after stroke.The Cochrane database of systematic reviews · 2014
    Pooled it
  2. Trial
  3. Review
  4. Article
  5. Interventions to Improve Walking in Older Adults.Current translational geriatrics and experimental gerontology reports · 2013
    Article
  6. Rehabilitation of walking after stroke.Current treatment options in neurology · 2012
    Article
  7. 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

5 authors at 2 institutions in 1 country.

Vincent G DePaulSchool of Rehabilitation Sciences, McMaster University, Hamilton, Ontario, Canada. depauv@mcmaster.ca
Laurie R Wishart
Julie Richardson
Timothy D Lee
Lehana Thabane
McMaster University · CASt. Joseph’s Healthcare Hamilton · CA

Funding

Canadian Institutes of Health Research
6 · The paper itself

Abstract

backgroundAlthough task-oriented training has been shown to improve walking outcomes after stroke, it is not yet clear whether one task-oriented approach is superior to another. The purpose of this study is to compare the effectiveness of the Motor Learning Walking Program (MLWP), a varied overground walking task program consistent with key motor learning principles, to body-weight-supported treadmill training (BWSTT) in community-dwelling, ambulatory, adults within 1 year of stroke. METHODS/

designA parallel, randomized controlled trial with stratification by baseline gait speed will be conducted. Allocation will be controlled by a central randomization service and participants will be allocated to the two active intervention groups (1:1) using a permuted block randomization process. Seventy participants will be assigned to one of two 15-session training programs. In MLWP, one physiotherapist will supervise practice of various overground walking tasks. Instructions, feedback, and guidance will be provided in a manner that facilitates self-evaluation and problem solving. In BWSTT, training will emphasize repetition of the normal gait cycle while supported over a treadmill, assisted by up to three physiotherapists. Outcomes will be assessed by a blinded assessor at baseline, post-intervention and at 2-month follow-up. The primary outcome will be post-intervention comfortable gait speed. Secondary outcomes include fast gait speed, walking endurance, balance self-efficacy, participation in community mobility, health-related quality of life, and goal attainment. Groups will be compared using analysis of covariance with baseline gait speed strata as the single covariate. Intention-to-treat analysis will be used. DISCUSSION: In order to direct clinicians, patients, and other health decision-makers, there is a need for a head-to-head comparison of different approaches to active, task-related walking training after stroke. We hypothesize that outcomes will be optimized through the application of a task-related training program that is consistent with key motor learning principles related to practice, guidance and feedback.

trial registrationClinicalTrials.gov # NCT00561405.

Indexed as

Stroke RehabilitationBody WeightExercise TherapyHumansRecovery of FunctionResearch DesignSingle-Blind MethodTreatment OutcomeWalking

Identifiers

PMID22018267
PMCPMC3229453
OpenAlexW2135327948

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.