Evidence map›Paper›PMID 23088350›Full record

Trial reportInternational journal of stroke : official journal of the International Stroke Society2014

A prospective test of the late effects of potentially antineuroplastic drugs in a stroke rehabilitation study.

Stephen E Nadeau, Xiaomin Lu, Bruce Dobkin, Samuel S Wu, Yunfeng E Dai, Pamela W Duncan, LEAPS Investigative Team

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in International journal of stroke : official journal of the International Stroke Society, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 25% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. 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

7 authors at 4 institutions in 1 country.

Stephen E NadeauNeurology Service and the Brain Rehabilitation Research Center, Malcom Randall VA Medical Center, Gainesville, FL, USA; Department of Neurology, University of Florida College of Medicine, Gainesville, FL, USA.
Xiaomin Lu
Bruce Dobkin
Samuel S Wu
Yunfeng E Dai
Pamela W Duncan
LEAPS Investigative Team
Florida College · USUniversity of Florida · USUrologic Research Institute · USWake Forest University · US

Funding

University of Florida Older Americans Independence Center (OAIC)P30AG028740 · NIA · UNIVERSITY OF FLORIDA · PI CHRISTIAAN LEEUWENBURGH · 2007 to 2026
$22.8M
Locomotor Experience Applied Post-Stroke (LEAPS)R01NS050506 · NINDS · UNIVERSITY OF FLORIDA · PI DUNCAN, PAMELA W. · 2005 to 2009
$13.3M
NIA NIH HHS P30 AG028740NINDS NIH HHS R01 NS050506
6 · The paper itself

Abstract

backgroundExtensive data, primarily from animal studies, suggest that several classes of drugs may have antineuroplastic effects that could impede recovery from brain injury or reduce the efficacy of rehabilitation.

aimsThe Locomotor Experience Applied Post-Stroke trial, a randomized controlled study of 408 subjects that tested the relative efficacy of two rehabilitation techniques on functional walking level at one-year poststroke, provided us the opportunity to prospectively assess the potential antineuroplastic effects of several classes of drug.

methodsSubjects were randomized to receive one of the two rehabilitation therapies at two-months poststroke. Drugs taken were recorded at time of randomization. Outcome was assessed at one-year poststroke. Regression models were used to determine the amount of variance in success in improving functional walking level, gains in walking speed, and declines in lower extremity, upper extremity, and cognitive impairment accounted for by α1 noradrenergic blockers + α2 noradrenergic agonists, benzodiazepines, voltage-sensitive sodium channel anticonvulsants, and α2δ voltage-sensitive calcium channel blockers.

resultsThe maximum variance accounted for by any drug class was 1.66%. Drug effects were not statistically significant when using even our most lenient standard for correction for multiple comparisons.

conclusionsDrugs in the classes we were able to assess do not appear to exert a clinically important effect on outcome over the period between two- and 12 months poststroke. However, the potential antineuroplastic effects of certain drugs remain an incompletely settled scientific question.

Indexed as

Stroke RehabilitationFemaleHumansLocomotionLogistic ModelsMaleNeurotransmitter AgentsPhysical Therapy ModalitiesProspective StudiesRehabilitation CentersSingle-Blind MethodStrokeTreatment OutcomeNeurotransmitter Agentsalpha-1 noradrenergic blockersalpha-2 noradrenergic agonistsanticonvulsantsneurorehabilitationvoltage-sensitive calcium channel blockers

Identifiers

PMID23088350
PMCPMC3556370
OpenAlexW2008468977

What OpenQuestion holds

Textmetadata
LicenceTDM
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.