Evidence map›Paper›PMID 26669955›Full record

Trial reportGait & posture2016

Novel application of a Wii remote to measure spasticity with the pendulum test: Proof of concept.

Chien-Hung Yeh, Chi-Yao Hung, Yung-Hung Wang, Wei-Tai Hsu, Yi-Chung Chang, Jia-Rong Yeh, Po-Lei Lee, Kun Hu, Jiunn-Horng Kang, Men-Tzung Lo

Open access · greenAbstract readClinical TrialComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Gait & posture, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 23% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Predictive value of the pendulum test for assessing knee extensor spasticity.Journal of neuroengineering and rehabilitation · 2018
    Article
  6. 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

10 authors at 4 institutions in 2 countries.

Chien-Hung YehDepartment of Electrical Engineering, National Central University, Taoyuan City 32001, Taiwan; Research Center for Adaptive Data Analysis, National Central University, Taoyuan City 32001, Taiwan; Center for Dynamical Biomarkers and Translational Medicine, National Central University, Taoyuan City 32001, Taiwan; Medical Biodynamics Program, Division of Sleep and Circadian Disorders, Brigham and Women's Hospital, 221 Longwood Avenue, Boston, MA 02115, USA.
Chi-Yao HungDepartment of Physical Medicine and Rehabilitation, Taipei Medical University Hospital, Taipei Medical University, Taipei 110, Taiwan; Department of Physical Medicine and Rehabilitation, School of Medicine, College of Medicine, Taipei Medical University, Taipei 110, Taiwan.
Yung-Hung WangResearch Center for Adaptive Data Analysis, National Central University, Taoyuan City 32001, Taiwan; Center for Dynamical Biomarkers and Translational Medicine, National Central University, Taoyuan City 32001, Taiwan.
Wei-Tai HsuResearch Center for Adaptive Data Analysis, National Central University, Taoyuan City 32001, Taiwan; Center for Dynamical Biomarkers and Translational Medicine, National Central University, Taoyuan City 32001, Taiwan.
Yi-Chung ChangResearch Center for Adaptive Data Analysis, National Central University, Taoyuan City 32001, Taiwan; Center for Dynamical Biomarkers and Translational Medicine, National Central University, Taoyuan City 32001, Taiwan; Graduate Institute of Communication Engineering, National Taiwan University, Taipei 10617, Taiwan.
Jia-Rong YehResearch Center for Adaptive Data Analysis, National Central University, Taoyuan City 32001, Taiwan; Center for Dynamical Biomarkers and Translational Medicine, National Central University, Taoyuan City 32001, Taiwan.
Po-Lei LeeDepartment of Electrical Engineering, National Central University, Taoyuan City 32001, Taiwan; Research Center for Adaptive Data Analysis, National Central University, Taoyuan City 32001, Taiwan; Center for Dynamical Biomarkers and Translational Medicine, National Central University, Taoyuan City 32001, Taiwan.
Kun HuMedical Biodynamics Program, Division of Sleep and Circadian Disorders, Brigham and Women's Hospital, 221 Longwood Avenue, Boston, MA 02115, USA; Division of Sleep Medicine, Harvard Medical School, Boston, MA 02115, USA.
Jiunn-Horng KangDepartment of Physical Medicine and Rehabilitation, Taipei Medical University Hospital, Taipei Medical University, Taipei 110, Taiwan; Department of Physical Medicine and Rehabilitation, School of Medicine, College of Medicine, Taipei Medical University, Taipei 110, Taiwan. Electronic address: kang.jiunnhorng@gmail.com.
Men-Tzung LoResearch Center for Adaptive Data Analysis, National Central University, Taoyuan City 32001, Taiwan; Center for Dynamical Biomarkers and Translational Medicine, National Central University, Taoyuan City 32001, Taiwan; Institute of Translational and Interdisciplinary Medicine and Department of Biomedical Sciences and Engineering, National Central University, Taoyuan City 32001, Taiwan. Electronic address: mzlo@ncu.edu.tw.
National Central University · TWTaipei Medical University Hospital · TWBrigham and Women's Hospital · USCircadian (United States) · US

Funding

TRANSPLANTATION ANALYSIS OF CIRCADIAN RHYTHMS AND AGINGP01AG009975 · NIA · BRIGHAM AND WOMEN'S HOSPITAL · PI SAPER, CLIFFORD B · 1991 to 2018
$23.1M
Neuropathology for disrupted multiscale activity control in Alzheimer's diseaseR01AG048108 · NIA · BRIGHAM AND WOMEN'S HOSPITAL · PI HU, KUN · 2015 to 2018
$1.6M
Fractal Regulatory Function of the Circadian SystemR00HL102241 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI HU, KUN · 2012 to 2014
$720k
NHLBI NIH HHS R00 HL102241NHLBI NIH HHS R00HL102241NIA NIH HHS P01 AG009975NIA NIH HHS P01AG009975NIA NIH HHS R01 AG048108NIA NIH HHS R01AG048108
6 · The paper itself

Abstract

backgroundThe pendulum test is a standard clinical test for quantifying the severity of spasticity. In the test, an electrogoniometer is typically used to measure the knee angular motion. The device is costly and difficult to set up such that the pendulum test is normally time consuming.

objectiveThe goal of this study is to determine whether a Nintendo Wii remote can replace the electrogroniometer for reliable assessment of the angular motion of the knee in the pendulum test.

methodsThe pendulum test was performed in three control participants and 13 hemiplegic stroke patients using both a Wii remote and an electrogoniometer. The correlation coefficient and the Bland-Altman difference plot were used to compare the results obtained from the two devices. The Wilcoxon signed-rank test was used to compare the difference between hemiplegia-affected and nonaffected sides in the hemiplegic stroke patients.

resultsThere was a fair to strong correlation between measurements from the Wii remote and the electrogoniometer (0.513<R(2)<0.800). Small but consistent differences between the Wii remote and electrogoniometer were identified from the Bland-Altman difference plot. Within the hemiplegic stroke patients, both devices successfully distinguished the hemiplegia-affected (spastic) side from the nonaffected (nonspastic) side (both with p<.0001*). In addition, the intraclass correlation coefficient, standard error of measurement, and minimum detectable differences were highly consistent for both devices.

conclusionOur findings suggest that the Wii remote may serve as a convenient and cost-efficient tool for the assessment of spasticity.

Indexed as

Video GamesAdultAgedArthrometry, ArticularCase-Control StudiesFemaleHemiplegiaHumansKnee JointMaleMiddle AgedMuscle SpasticityReproducibility of ResultsSeverity of Illness IndexStrokePendulum testSpasticityStrokeWii remote

Identifiers

PMID26669955
PMCPMC5158180
OpenAlexW2161900331

What OpenQuestion holds

Textmetadata
LicenceTDM
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.