Evidence map›Paper›PMID 26202325›Full record

Trial reportJournal of neuroengineering and rehabilitation2015

Robot-supported upper limb training in a virtual learning environment : a pilot randomized controlled trial in persons with MS.

Peter Feys, Karin Coninx, Lore Kerkhofs, Tom De Weyer, Veronik Truyens, Anneleen Maris, Ilse Lamers

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

Trial report in Journal of neuroengineering and rehabilitation, 2015. 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 26 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 4 pooled it
6.3field-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.

NCT02257606 nacompletednot on this map

Robot-assisted Training on the Upper Limb in Persons With MS: an RCT

TypeinterventionalSponsorHasselt UniversityRan2011 to 2011Enrolled17ConditionsMultiple SclerosisArmsI-TRAVLE training
NCT02688231 nacompletednot on this mapstarted 2016, after this paper: background citation

Intensity Dependent Clinical Effects of a Task-oriented Upper Limb Training in Multiple Sclerosis

TypeinterventionalSponsorHasselt UniversityRan2016 to 2018Enrolled21ConditionsMultiple SclerosisArmsTask-oriented upper limb training, Control intervention
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 4 syntheses or guidelines pooled it, 71 citations in OpenAlex.

  1. Virtual reality for multiple sclerosis rehabilitation.The Cochrane database of systematic reviews · 2025
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  7. A Robotic Assistance With Specialized Timing Improves Motor Performance: Implications for Movement Training.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2026
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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

7 authors at 3 institutions in 1 country.

Peter FeysREVAL Rehabilitation Research Center, BIOMED Biomedical Research Institute, Faculty of Medicine and Life Sciences, Hasselt University, Martelarenlaan 42, 3590, Diepenbeek, Belgium. peter.feys@uhasselt.be.
Karin ConinxExpertise Centre for Digital Media - tUL - iMinds, Hasselt University, Wetenschapspark 2, 3590, Diepenbeek, Belgium. karin.coninx@uhasselt.be.
Lore KerkhofsRehabilitation and MS Center Overpelt, 3900, Overpelt, Belgium. lore.kerkhofs@msreva.be.
Tom De WeyerExpertise Centre for Digital Media - tUL - iMinds, Hasselt University, Wetenschapspark 2, 3590, Diepenbeek, Belgium. tom.deweyer@uhasselt.be.
Veronik TruyensRehabilitation and MS Center Overpelt, 3900, Overpelt, Belgium. veronik.truyens@msreva.be.
Anneleen MarisREVAL Rehabilitation Research Center, BIOMED Biomedical Research Institute, Faculty of Medicine and Life Sciences, Hasselt University, Martelarenlaan 42, 3590, Diepenbeek, Belgium. anneleen.maris@uhasselt.be.
Ilse LamersREVAL Rehabilitation Research Center, BIOMED Biomedical Research Institute, Faculty of Medicine and Life Sciences, Hasselt University, Martelarenlaan 42, 3590, Diepenbeek, Belgium. ilse.lamers@uhasselt.be.
Hasselt University · BENational MS Center MelsbroekiMinds · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite the functional impact of upper limb dysfunction in multiple sclerosis (MS), effects of intensive exercise programs and specifically robot-supported training have been rarely investigated in persons with advanced MS.

aimTo investigate the effects of additional robot-supported upper limb training in persons with MS compared to conventional treatment only.

methodsSeventeen persons with MS (pwMS) (median Expanded Disability Status Scale of 8, range 3.5-8.5) were included in a pilot RCT comparing the effects of additional robot-supported training to conventional treatment only. Additional training consisted of 3 weekly sessions of 30 min interacting with the HapticMaster robot within an individualised virtual learning environment (I-TRAVLE). Clinical measures at body function (Hand grip strength, Motricity Index, Fugl-Meyer) and activity (Action Research Arm test, Motor Activity Log) level were administered before and after an intervention period of 8 weeks. The intervention group were also evaluated on robot-mediated movement tasks in three dimensions, providing active range of motion, movement duration and speed and hand-path ratio as indication of movement efficiency in the spatial domain. Non-parametric statistics were applied.

resultsPwMS commented favourably on the robot-supported virtual learning environment and reported functional training effects in daily life. Movement tasks in three dimensions, measured with the robot, were performed in less time and for the transporting and reaching movement tasks more efficiently. There were however no significant changes for any clinical measure in neither intervention nor control group although observational analyses of the included cases indicated large improvements on the Fugl-Meyer in persons with more marked upper limb dysfunction.

conclusionRobot-supported training lead to more efficient movement execution which was however, on group level, not reflected by significant changes on standard clinical tests. Persons with more marked upper limb dysfunction may benefit most from additional robot-supported training, but larger studies are needed.

trial registrationThis trial is registered within the registry Clinical Trials GOV ( NCT02257606 ).

Indexed as

LearningRoboticsUser-Computer InterfaceAgedArmDisability EvaluationFemaleHandHand StrengthHumansLiftingMaleMiddle AgedMultiple SclerosisPhysical Therapy ModalitiesPilot Projects

Identifiers

PMID26202325
PMCPMC4511982
OpenAlexW1556965042

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.