Evidence map›Paper›PMID 26829074›Full record

ReviewAmerican journal of physical medicine & rehabilitation2016

Combining Dopaminergic Facilitation with Robot-Assisted Upper Limb Therapy in Stroke Survivors: A Focused Review.

Duc A Tran, Marta Pajaro-Blazquez, Jean-Francois Daneault, Jaime G Gallegos, Jose Pons, Felipe Fregni, Paolo Bonato, Ross Zafonte

Open access · hybridAbstract readReview
In one paragraph

Review in American journal of physical medicine & rehabilitation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.7field-weighted citation impact, top 8% 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

15 citing papers in PubMed, 32 citations in OpenAlex.

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  4. Overview of the role of robots in upper limb disabilities rehabilitation: a scoping review.Archives of public health = Archives belges de sante publique · 2023
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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

8 authors at 2 institutions in 2 countries.

Duc A TranFrom the Department of Physical Medicine and Rehabilitation, Harvard Medical School, Charlestown, Massachusetts (DAT, J-FD, FF, PB, RZ); University Hospital Virgen del Rocío, Seville, Spain (MP-B); Washington Hospital Center, Washington, DC (JGG); and Cajal Institute, Spanish National Research Council, Madrid, Spain (JP).
Marta Pajaro-Blazquez
Jean-Francois Daneault
Jaime G Gallegos
Jose Pons
Felipe Fregni
Paolo Bonato
Ross Zafonte
Hospital Universitario Virgen del Rocío · ESMedStar Washington Hospital Center · US

Funding

ENGINEERING FOR NEUROLOGIC REHABILITATIONR24HD050821 · NICHD · REHABILITATION INSTITUTE OF CHICAGO D/B/A SHIRLEY RYAN ABILITYLAB · PI RYMER, WILLIAM ZEV · 2005 to 2014
$7.9M
Improving Outcome Measurement for Medical Rehabilitaiton Clinical TrialsR24HD065688 · NICHD · BOSTON UNIVERSITY MEDICAL CAMPUS · PI JETTE, ALAN MAURICE, ZAFONTE, ROSS DENNIS · 2010 to 2014
$3.9M
NICHD NIH HHS R24 HD050821NICHD NIH HHS R24 HD065688
6 · The paper itself

Abstract

Despite aggressive conventional therapy, lasting hemiplegia persists in a large percentage of stroke survivors. The aim of this article is to critically review the rationale behind targeting multiple sites along the motor learning network by combining robotic therapy with pharmacotherapy and virtual reality-based reward learning to alleviate upper extremity impairment in stroke survivors. Methods for personalizing pharmacologic facilitation to each individual's unique biology are also reviewed. At the molecular level, treatment with levodopa was shown to induce long-term potentiation-like and practice-dependent plasticity. Clinically, trials combining conventional therapy with levodopa in stroke survivors yielded statistically significant but clinically unconvincing outcomes because of limited personalization, standardization, and reproducibility. Robotic therapy can induce neuroplasticity by delivering intensive, reproducible, and functionally meaningful interventions that are objective enough for the rigors of research. Robotic therapy also provides an apt platform for virtual reality, which boosts learning by engaging reward circuits. The future of stroke rehabilitation should target distinct molecular, synaptic, and cortical sites through personalized multimodal treatments to maximize motor recovery.

Indexed as

Combined Modality TherapyDopamine AgentsExercise TherapyHemiplegiaHumansLevodopaNeuronal PlasticityRoboticsStrokeStroke RehabilitationSurvivorsUpper ExtremityDopamine AgentsLevodopa

Identifiers

PMID26829074
PMCPMC4866584
OpenAlexW2326594051

What OpenQuestion holds

Textmetadata
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.