Evidence map›Paper›PMID 25610786›Full record

Trial reportNeuroImage. Clinical2015

Training-induced improvements in postural control are accompanied by alterations in cerebellar white matter in brain injured patients.

David Drijkoningen, Karen Caeyenberghs, Inge Leunissen, Catharine Vander Linden, Alexander Leemans, Stefan Sunaert, Jacques Duysens, Stephan P Swinnen

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in NeuroImage. Clinical, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
5.9field-weighted citation impact, top 4% 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

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 59 citations in OpenAlex.

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  7. Consensus Paper: Ataxic Gait.Cerebellum (London, England) · 2023
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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

8 authors at 4 institutions in 2 countries.

David DrijkoningenKU Leuven, Movement Control and Neuroplasticity Research Group, Group Biomedical Sciences, B-3001 Leuven, Belgium.
Karen CaeyenberghsDepartment of Physical Therapy and Motor Rehabilitation, Faculty of Medicine and Health Sciences, University of Ghent, Ghent B-9000, Belgium.
Inge LeunissenKU Leuven, Movement Control and Neuroplasticity Research Group, Group Biomedical Sciences, B-3001 Leuven, Belgium.
Catharine Vander LindenChild Rehabilitation Centre, Department of Physical Medicine and Rehabilitation, Ghent University Hospital, B-9000 Ghent, Belgium.
Alexander Leemans
Stefan SunaertKU Leuven, Department of Radiology, University Hospital, B-3000 Leuven, Belgium.
Jacques DuysensKU Leuven, Movement Control and Neuroplasticity Research Group, Group Biomedical Sciences, B-3001 Leuven, Belgium.
Stephan P SwinnenKU Leuven, Movement Control and Neuroplasticity Research Group, Group Biomedical Sciences, B-3001 Leuven, Belgium ; KU Leuven, Leuven Research Institute for Neuroscience & Disease (LIND), Belgium.
KU Leuven · BEGhent University · BEGhent University Hospital · BEUniversity Medical Center Utrecht · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We investigated whether balance control in young TBI patients can be promoted by an 8-week balance training program and whether this is associated with neuroplastic alterations in brain structure. The cerebellum and cerebellar peduncles were selected as regions of interest because of their importance in postural control as well as their vulnerability to brain injury. Young patients with moderate to severe TBI and typically developing (TD) subjects participated in balance training using PC-based portable balancers with storage of training data and real-time visual feedback. An additional control group of TD subjects did not attend balance training. Mean diffusivity and fractional anisotropy were determined with diffusion MRI scans and were acquired before, during (4 weeks) and at completion of training (8 weeks) together with balance assessments on the EquiTest® System (NeuroCom) which included the Sensory Organization Test, Rhythmic Weight Shift and Limits of Stability protocols. Following training, TBI patients showed significant improvements on all EquiTest protocols, as well as a significant increase in mean diffusivity in the inferior cerebellar peduncle. Moreover, in both training groups, diffusion metrics in the cerebellum and/or cerebellar peduncles at baseline were predictive of the amount of performance increase after training. Finally, amount of training-induced improvement on the Rhythmic Weight Shift test in TBI patients was positively correlated with amount of change in fractional anisotropy in the inferior cerebellar peduncle. This suggests that training-induced plastic changes in balance control are associated with alterations in the cerebellar white matter microstructure in TBI patients.

Indexed as

AdolescentBrain InjuriesCerebellumChildDiffusion Magnetic Resonance ImagingFemaleHumansImage Processing, Computer-AssistedMalePhysical Therapy ModalitiesPostural BalanceWhite MatterYoung AdultBalance control trainingBrain injuryCerebellumDiffusion tensor imagingICP, inferior cerebellar peduncleLOS, Limits of StabilityMCP, middle cerebellar pedunclePlasticityRWS, Rhythmic Weight ShiftSCP, superior cerebellar peduncleSOT, Sensory Organization TestTBI, traumatic brain injuryTBI-t, TBI group with trainingTD-c, TD group without trainingTD-t, TD group with trainingTD, typically developingUF, uncinate fasciculus

Identifiers

PMID25610786
PMCPMC4300016
OpenAlexW2054891318

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.