Evidence map›Paper›PMID 26050073›Full record

Trial reportJournal of neurologic physical therapy : JNPT2015

Efficacy of Feedback-Controlled Robotics-Assisted Treadmill Exercise to Improve Cardiovascular Fitness Early After Stroke: A Randomized Controlled Pilot Trial.

Oliver Stoller, Eling D de Bruin, Matthias Schindelholz, Corina Schuster-Amft, Rob A de Bie, Kenneth J Hunt

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of neurologic physical therapy : JNPT, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01679600 (Cardiovascular Rehabilitation Early After Stroke Using Feedback-controlled Robotics-assisted Treadmill Exercise), which is not on this map. Cited by 18 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 7 pooled it
2.7field-weighted citation impact, top 10% 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.

NCT01679600 nacompletednot on this map

Cardiovascular Rehabilitation Early After Stroke Using Feedback-controlled Robotics-assisted Treadmill Exercise: A Randomised Controlled Pilot Trial

TypeinterventionalSponsorBern University of Applied SciencesRan2012 to 2014Enrolled20ConditionsStroke, Cardiovascular DiseasesArmsFeedback-controlled robotics-assisted treadmill exercise, Robotics-assisted treadmill exercise
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 7 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Pooled it
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  6. Electromechanical-assisted training for walking after stroke.The Cochrane database of systematic reviews · 2017
    Pooled it
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  18. Lower Limb Rehabilitation Using Patient Data.Applied bionics and biomechanics · 2016
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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

6 authors at 3 institutions in 2 countries.

Oliver StollerDepartment of Engineering and Information Technology (O.S., M.S., C.S.A., K.J.H.), Institute for Rehabilitation and Performance Technology, Bern University of Applied Sciences, Burgdorf, Switzerland; Department of Epidemiology (O.S., E.D.B., R.A.B.), Maastricht University and Caphri Research School, Maastricht, the Netherlands; Research Department (O.S., M.S., C.S.A., K.J.H.), Reha Rheinfelden, Rheinfelden, Switzerland; Department of Health Sciences and Technology (E.D.B.), Institute of Human Movement Sciences and Sport, ETH Zurich, Zurich, Switzerland; and Centre for Evidence Based Physiotherapy (E.D.B., R.A.B.), Maastricht University, Maastricht, the Netherlands.
Eling D de Bruin
Matthias Schindelholz
Corina Schuster-Amft
Rob A de Bie
Kenneth J Hunt
ETH Zurich · CHMaastricht University · NLReha Rheinfelden · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeCardiovascular fitness is greatly reduced after stroke. Although individuals with mild to moderate impairments benefit from conventional cardiovascular exercise interventions, there is a lack of effective approaches for persons with severely impaired physical function. This randomized controlled pilot trial investigated efficacy and feasibility of feedback-controlled robotics-assisted treadmill exercise (FC-RATE) for cardiovascular rehabilitation in persons with severe impairments early after stroke.

methodsTwenty individuals (age 61 ± 11 years; 52 ± 31 days poststroke) with severe motor limitations (Functional Ambulation Classification 0-2) were recruited for FC-RATE or conventional robotics-assisted treadmill exercise (RATE) (4 weeks, 3 × 30-minute sessions/wk). Outcome measures focused on peak cardiopulmonary performance parameters, training intensity, and feasibility, with examiners blinded to allocation.

resultsAll 14 allocated participants (70% of recruited) completed the intervention (7/group, withdrawals unrelated to intervention), without serious adverse events occurring. Cardiovascular fitness increased significantly in both groups, with peak oxygen uptake increasing from 14.6 to 17.7 mL · kg · min (+17.8%) after 4 weeks (45.8%-55.7% of predicted maximal aerobic capacity; time effect P = 0.01; no group-time interaction). Training intensity (% heart rate reserve) was significantly higher for FC-RATE (40% ± 3%) than for conventional RATE (14% ± 2%) (P = 0.001). DISCUSSION AND

conclusionsSubstantive overall increases in the main cardiopulmonary performance parameters were observed, but there were no significant between-group differences when comparing FC-RATE and conventional RATE. Feedback-controlled robotics-assisted treadmill exercise significantly increased exercise intensity, but recommended intensity levels for cardiovascular training were not consistently achieved. Future research should focus on appropriate algorithms within advanced robotic systems to promote optimal cardiovascular stress.Video abstract available for more insights from the authors (Supplemental Digital Content 1, http://links.lww.com/JNPT/A107).

Indexed as

Exercise TherapyRoboticsStroke RehabilitationAgedCardiovascular SystemFemaleGaitHeart RateHumansMaleMiddle AgedPhysical FitnessPilot ProjectsStrokeTreatment Outcome

Identifiers

PMID26050073
PMCPMC4484666
OpenAlexW2418043044

What OpenQuestion holds

Textmetadata
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.