Evidence map›Paper›PMID 25642394›Full record

ArticleBrain and behavior2015

The effect of multidisciplinary rehabilitation on brain structure and cognition in Huntington's disease: an exploratory study.

Travis M Cruickshank, Jennifer A Thompson, Juan F Domínguez D, Alvaro P Reyes, Mike Bynevelt, Nellie Georgiou-Karistianis, Roger A Barker, Mel R Ziman

Open access · goldAbstract readEvaluation Study
In one paragraph

Article in Brain and behavior, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 3 pooled it
5.6field-weighted citation impact, top 3% 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

35 citing papers in PubMed, 3 syntheses or guidelines pooled it, 92 citations in OpenAlex.

  1. Pooled it
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  7. Article
  8. Review
  9. Silent destruction: hidden muscle wasting and body decline in early Huntington's disease.Journal of neural transmission (Vienna, Austria : 1996) · 2026
    Article
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  11. Article
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  15. Article
  16. Article
  17. Effects of Exercise on Skeletal Muscle Pathophysiology in Huntington's Disease.Journal of functional morphology and kinesiology · 2022
    Review
  18. Rehabilitation outcomes in Huntington disease patients with low body mass index.Journal of musculoskeletal & neuronal interactions · 2022
    Article
  19. Article
  20. 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

8 authors at 3 institutions in 1 country.

Travis M CruickshankSchool of Medical Sciences, Edith Cowan University Perth, Western Australia, Australia.
Jennifer A ThompsonSchool of Medical Sciences, Edith Cowan University Perth, Western Australia, Australia.
Juan F Domínguez DSchool of Psychological Sciences, Monash University Melbourne, Victoria, Australia.
Alvaro P ReyesSchool of Medical Sciences, Edith Cowan University Perth, Western Australia, Australia.
Mike ByneveltDepartment of Surgery, UWA and Neurological Intervention and Imaging Service of Western Australia Perth, Western Australia, Australia.
Nellie Georgiou-KaristianisSchool of Psychological Sciences, Monash University Melbourne, Victoria, Australia.
Roger A BarkerJohn van Geest Centre for Brain Repair Cambridge, U.K.
Mel R ZimanSchool of Medical Sciences, Edith Cowan University Perth, Western Australia, Australia ; School of Pathology and Laboratory Medicine, University of Western Australia Perth, Western Australia, Australia.
Edith Cowan University · AUMonash University · AUPerron Institute for Neurological and Translational Science · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is a wealth of evidence detailing gray matter degeneration and loss of cognitive function over time in individuals with Huntington's disease (HD). Efforts to attenuate disease-related brain and cognitive changes have been unsuccessful to date. Multidisciplinary rehabilitation, comprising motor and cognitive intervention, has been shown to positively impact on functional capacity, depression, quality of life and some aspects of cognition in individuals with HD. This exploratory study aimed to evaluate, for the first time, whether multidisciplinary rehabilitation can slow further deterioration of disease-related brain changes and related cognitive deficits in individuals with manifest HD.

methodsFifteen participants who manifest HD undertook a multidisciplinary rehabilitation intervention spanning 9 months. The intervention consisted of once-weekly supervised clinical exercise, thrice-weekly self-directed home based exercise and fortnightly occupational therapy. Participants were assessed using MR imaging and validated cognitive measures at baseline and after 9 months.

resultsParticipants displayed significantly increased gray matter volume in the right caudate and bilaterally in the dorsolateral prefrontal cortex after 9 months of multidisciplinary rehabilitation. Volumetric increases in gray matter were accompanied by significant improvements in verbal learning and memory (Hopkins Verbal Learning-Test). A significant association was found between gray matter volume increases in the dorsolateral prefrontal cortex and performance on verbal learning and memory.

conclusionsThis study provides preliminary evidence that multidisciplinary rehabilitation positively impacts on gray matter changes and cognitive functions relating to verbal learning and memory in individuals with manifest HD. Larger controlled trials are required to confirm these preliminary findings.

Indexed as

AgedBrainBrain MappingCognitionDisease ProgressionFemaleFollow-Up StudiesHumansHuntington DiseaseLife StyleMagnetic Resonance ImagingMaleMiddle AgedPilot ProjectsCognitionexecutive functionHuntington's diseaseneuropathologyrehabilitation

Identifiers

PMID25642394
PMCPMC4309878
OpenAlexW2056749704

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.