Evidence map›Paper›PMID 27858723›Full record

Trial reportRestorative neurology and neuroscience2017

Safety and improvement of movement function after stroke with atomoxetine: A pilot randomized trial.

Andrea Ward, Cheryl Carrico, Elizabeth Powell, Philip M Westgate, Laurie Nichols, Anne Fleischer, Lumy Sawaki

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Restorative neurology and neuroscience, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 19% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Review
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 2 institutions in 1 country.

Andrea WardDepartment of Physical Medicine and Rehabilitation, University of Kentucky, Lexington, KY, USA.
Cheryl CarricoDepartment of Physical Medicine and Rehabilitation, University of Kentucky, Lexington, KY, USA.
Elizabeth PowellDepartment of Physical Medicine and Rehabilitation, University of Kentucky, Lexington, KY, USA.
Philip M WestgateDepartment of Biostatistics, College of Public Health, University of Kentucky, Lexington, KY, USA.
Laurie NicholsDepartment of Physical Medicine and Rehabilitation, University of Kentucky, Lexington, KY, USA.
Anne FleischerEastern Kentucky University, Richmond, KY, USA.
Lumy SawakiDepartment of Physical Medicine and Rehabilitation, University of Kentucky, Lexington, KY, USA.
University of Kentucky · USEastern Kentucky University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntensive, task-oriented motor training has been associated with neuroplastic reorganization and improved upper extremity movement function after stroke. However, to optimize such training for people with moderate-to-severe movement impairment, pharmacological modulation of neuroplasticity may be needed as an adjuvant intervention.

objectiveEvaluate safety, as well as improvement in movement function, associated with motor training paired with a drug to upregulate neuroplasticity after stroke.

methodsIn this double-blind, randomized, placebo-controlled study, 12 subjects with chronic stroke received either atomoxetine or placebo paired with motor training. Safety was assessed using vital signs. Upper extremity movement function was assessed using Fugl-Meyer Assessment, Wolf Motor Function Test, and Action Research Arm Test at baseline, post-intervention, and 1-month follow-up.

resultsNo significant between-groups differences were found in mean heart rate (95% CI, -12.4-22.6; p = 0.23), mean systolic blood pressure (95% CI, -1.7-29.6; p = 0.21), or mean diastolic blood pressure (95% CI, -10.4-13.3; p = 0.08). A statistically significant between-groups difference on Fugl-Meyer at post-intervention favored the atomoxetine group (95% CI, 1.6-12.7; p = 0.016).

conclusionAtomoxetine combined with motor training appears safe and may optimize motor training outcomes after stroke.

Indexed as

Adrenergic Uptake InhibitorsAdultAgedAtomoxetine HydrochlorideDouble-Blind MethodFemaleFollow-Up StudiesHumansMaleMiddle AgedMovementMovement DisordersPilot ProjectsStrokeTreatment OutcomeAdrenergic Uptake InhibitorsAtomoxetine Hydrochloridemotor trainingneurorehabilitationoccupational therapysafetyUpper extremityvital signs

Identifiers

PMID27858723
PMCPMC5302031
OpenAlexW2549793901

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.