Evidence map›Paper›PMID 26445137›Full record

Trial reportPloS one2015

Feasibility and Preliminary Efficacy of Visual Cue Training to Improve Adaptability of Walking after Stroke: Multi-Centre, Single-Blind Randomised Control Pilot Trial.

Kristen L Hollands, Trudy A Pelton, Andrew Wimperis, Diane Whitham, Wei Tan, Sue Jowett, Catherine M Sackley, Alan M Wing, Sarah F Tyson, Jonathan Mathias and 2 more

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01600391 (Visual Cue Training to Improve Walking and Turning After Stroke), which is not on this map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT01600391 nacompletednot on this map

Visual Cue Training to Improve Walking and Turning After Stroke: a Pilot Study

TypeinterventionalSponsorUniversity of SalfordRan2012 to 2014Enrolled60ConditionsStrokeArmsUsual care, Overground visual cue training, Treadmill visual cue training
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  12. Irregular Metronomes as Assistive Devices to Promote Healthy Gait Patterns.IEEE Consumer Communications and Networking Conference. IEEE Consumer Communications and Networking Conference · 2021
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  15. Immediate effects of a novel walking assist device with auxiliary illuminator on patients after acute strokes.Hong Kong physiotherapy journal : official publication of the Hong Kong Physiotherapy Association Limited = Wu li chih liao · 2019
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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

12 authors.

Kristen L HollandsSchool of Health Sciences, University of Salford, Allerton Building, Salford, M6 6PU, United Kingdom.
Trudy A PeltonColleges of Life and Environmental Sciences, University of Birmingham, Edgbaston, Birmingham, B15 2TT, United Kingdom.
Andrew WimperisBirmingham Community Health Care NHS Trust, (BCHCT), Moseley Hall Hospital, Birmingham, B13 8JL, United Kingdom.
Diane WhithamUniversity of Nottingham, Nottingham Clinical Trials Unit, Nottingham Health Science Partners, C-floor, South Block, Queen's Medical Centre, Nottingham, NG7 2UH, United Kingdom.
Wei TanUniversity of Nottingham, Nottingham Clinical Trials Unit, Nottingham Health Science Partners, C-floor, South Block, Queen's Medical Centre, Nottingham, NG7 2UH, United Kingdom.
Sue JowettCollege of Medical and Dental Sciences, University of Birmingham, Edgbaston, Birmingham, B15 2TT, United Kingdom.
Catherine M SackleyKing's College London, Capital House, Guy's Campus, London, SE1 3QD, United Kingdom.
Alan M WingColleges of Life and Environmental Sciences, University of Birmingham, Edgbaston, Birmingham, B15 2TT, United Kingdom.
Sarah F TysonSchool of Nursing, Midwifery & Social Work, University of Manchester,Oxford Rd, Manchester, M13 9PL, United Kingdom.
Jonathan MathiasColleges of Life and Environmental Sciences, University of Birmingham, Edgbaston, Birmingham, B15 2TT, United Kingdom.
Marianne HensmanColleges of Life and Environmental Sciences, University of Birmingham, Edgbaston, Birmingham, B15 2TT, United Kingdom.
Paulette M van VlietSchool of Health Sciences, Hunter Building, University Drive, University of Newcastle, Callaghn, New South Wales, 2308, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesGiven the importance of vision in the control of walking and evidence indicating varied practice of walking improves mobility outcomes, this study sought to examine the feasibility and preliminary efficacy of varied walking practice in response to visual cues, for the rehabilitation of walking following stroke.

designThis 3 arm parallel, multi-centre, assessor blind, randomised control trial was conducted within outpatient neurorehabilitation services.

participantsCommunity dwelling stroke survivors with walking speed <0.8m/s, lower limb paresis and no severe visual impairments.

interventionOver-ground visual cue training (O-VCT), Treadmill based visual cue training (T-VCT), and Usual care (UC) delivered by physiotherapists twice weekly for 8 weeks.

main outcome measuresParticipants were randomised using computer generated random permutated balanced blocks of randomly varying size. Recruitment, retention, adherence, adverse events and mobility and balance were measured before randomisation, post-intervention and at four weeks follow-up.

resultsFifty-six participants participated (18 T-VCT, 19 O-VCT, 19 UC). Thirty-four completed treatment and follow-up assessments. Of the participants that completed, adherence was good with 16 treatments provided over (median of) 8.4, 7.5 and 9 weeks for T-VCT, O-VCT and UC respectively. No adverse events were reported. Post-treatment improvements in walking speed, symmetry, balance and functional mobility were seen in all treatment arms.

conclusionsOutpatient based treadmill and over-ground walking adaptability practice using visual cues are feasible and may improve mobility and balance. Future studies should continue a carefully phased approach using identified methods to improve retention.

trial registrationClinicaltrials.gov NCT01600391.

Indexed as

Activities of Daily LivingAdolescentAdultAgedAged, 80 and overClinical ProtocolsCuesDisability EvaluationExercise TestExercise TherapyFemaleGaitHumansMaleMiddle AgedParesis

Identifiers

PMID26445137
PMCPMC4596478

What OpenQuestion holds

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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.