Evidence map›Paper›PMID 28626420›Full record

ReviewFrontiers in aging neuroscience2017

Restless Legs Syndrome: From Pathophysiology to Clinical Diagnosis and Management.

Shiyi Guo, Jinsha Huang, Haiyang Jiang, Chao Han, Jie Li, Xiaoyun Xu, Guoxin Zhang, Zhicheng Lin, Nian Xiong, Tao Wang

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Frontiers in aging neuroscience, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06918847 (Comparative Effectiveness of Myofacial Release vs Cupping Therapy on Quality of Life in Restless Leg Syndrome With Knee O.A.A RCT), which is not on this map. Cited by 78 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
78citing papers in PubMed, 8 pooled it
8.6field-weighted citation impact, top 2% 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.

NCT06918847 narecruitingnot on this mapstarted 2025, after this paper: background citation

Comparative Effectiveness of Myofacial Release vs Cupping Therapy on Quality of Life in Restless Leg Syndrome With Knee O.A.A RCT

TypeinterventionalSponsorDow University of Health SciencesRan2025 to 2026Enrolled54ConditionsRestless Leg Syndrome With Knee OA, Sleep DisorderArmsMyofacial release, Dynamic cupping therapy
3 · Its place in the literature

Who cites it

78 citing papers in PubMed, 8 syntheses or guidelines pooled it, 170 citations in OpenAlex.

  1. Pooled it
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  15. Association between lesion location and symptoms of restless leg syndrome (RLS) among patients with multiple sclerosis (MS).Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
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18 more citing papers are in PubMed but not listed here.

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 3 institutions in 2 countries.

Shiyi GuoDepartment of Neurology, Union Hospital, Tongji Medical College, Huazhong University of Science and TechnologyWuhan, China.
Jinsha HuangDepartment of Neurology, Union Hospital, Tongji Medical College, Huazhong University of Science and TechnologyWuhan, China.
Haiyang JiangDepartment of Neurology, Union Hospital, Tongji Medical College, Huazhong University of Science and TechnologyWuhan, China.
Chao HanDepartment of Neurology, Union Hospital, Tongji Medical College, Huazhong University of Science and TechnologyWuhan, China.
Jie LiDepartment of Neurology, Union Hospital, Tongji Medical College, Huazhong University of Science and TechnologyWuhan, China.
Xiaoyun XuDepartment of Neurology, Union Hospital, Tongji Medical College, Huazhong University of Science and TechnologyWuhan, China.
Guoxin ZhangDepartment of Neurology, Union Hospital, Tongji Medical College, Huazhong University of Science and TechnologyWuhan, China.
Zhicheng LinDepartment of Psychiatry, Harvard Medical School, BelmontMA, United States.
Nian XiongDepartment of Neurology, Union Hospital, Tongji Medical College, Huazhong University of Science and TechnologyWuhan, China.
Tao WangDepartment of Neurology, Union Hospital, Tongji Medical College, Huazhong University of Science and TechnologyWuhan, China.
Huazhong University of Science and Technology · CNUnion Hospital · CNMcLean Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Restless legs syndrome (RLS), a common neurological sensorimotor disorder in western countries, has gained more and more attention in Asian countries. The prevalence of RLS is higher in older people and females. RLS is most commonly related to iron deficiency, pregnancy and uremia. The RLS symptoms show a significant circadian rhythm and a close relationship to periodic limb movements (PLMs) in clinical observations, while the pathophysiological pathways are still unknown. The diagnostic criteria have been revised in 2012 to improve the validity of RLS diagnosis. Recent studies have suggested an important role of iron decrease of brain in RLS pathophysiology. Dopaminergic (DA) system dysfunction in A11 cell groups has been recognized long ago from clinical treatment and autopsy. Nowadays, it is believed that iron dysfunction can affect DA system from different pathways and opioids have a protective effect on DA system. Several susceptible single nucleotide polymorphisms such as BTBD9 and MEIS1, which are thought to be involved in embryonic neuronal development, have been reported to be associated with RLS. Several pharmacological and non-pharmacological treatment are discussed in this review. First-line treatments of RLS include DA agents and α2δ agonists. Augmentation is very common in long-term treatment of RLS which makes prevention and management of augmentation very important for RLS patients. A combination of different types of medication is effective in preventing and treating augmentation. The knowledge on RLS is still limited, the pathophysiology and better management of RLS remain to be discovered.

Indexed as

A11 cell groupaugmentationclinical presentationdiagnostic criteriadopamineiron deficiencyloss of efficacytreatment

Identifiers

PMID28626420
PMCPMC5454050
OpenAlexW2621295496

What OpenQuestion holds

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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.