Evidence map›Paper›PMID 29627940›Full record

Trial reportJournal of neurology2018

Effects of motor rehabilitation on mobility and brain plasticity in multiple sclerosis: a structural and functional MRI study.

Eleonora Tavazzi, Niels Bergsland, Davide Cattaneo, Elisa Gervasoni, Maria Marcella Laganà, Ottavia Dipasquale, Cristina Grosso, Francesca Lea Saibene, Francesca Baglio, Marco Rovaris

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Journal of neurology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 2 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.

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

35 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  10. To halt disease progression rehabilitation in MS should start early: No.Multiple sclerosis (Houndmills, Basingstoke, England) · 2024
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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

10 authors.

Eleonora TavazziScientific Institute Santa Maria Nascente, Don C. Gnocchi Foundation ONLUS, Via Capecelatro 66, 20148, Milan, Italy.ORCID http://orcid.org/0000-0003-2580-3646
Niels BergslandScientific Institute Santa Maria Nascente, Don C. Gnocchi Foundation ONLUS, Via Capecelatro 66, 20148, Milan, Italy.
Davide CattaneoScientific Institute Santa Maria Nascente, Don C. Gnocchi Foundation ONLUS, Via Capecelatro 66, 20148, Milan, Italy.
Elisa GervasoniScientific Institute Santa Maria Nascente, Don C. Gnocchi Foundation ONLUS, Via Capecelatro 66, 20148, Milan, Italy.
Maria Marcella LaganàScientific Institute Santa Maria Nascente, Don C. Gnocchi Foundation ONLUS, Via Capecelatro 66, 20148, Milan, Italy.
Ottavia DipasqualeScientific Institute Santa Maria Nascente, Don C. Gnocchi Foundation ONLUS, Via Capecelatro 66, 20148, Milan, Italy.
Cristina GrossoScientific Institute Santa Maria Nascente, Don C. Gnocchi Foundation ONLUS, Via Capecelatro 66, 20148, Milan, Italy.
Francesca Lea SaibeneScientific Institute Santa Maria Nascente, Don C. Gnocchi Foundation ONLUS, Via Capecelatro 66, 20148, Milan, Italy.
Francesca BaglioScientific Institute Santa Maria Nascente, Don C. Gnocchi Foundation ONLUS, Via Capecelatro 66, 20148, Milan, Italy.
Marco RovarisScientific Institute Santa Maria Nascente, Don C. Gnocchi Foundation ONLUS, Via Capecelatro 66, 20148, Milan, Italy. mrovaris@dongnocchi.it.

Funding

Fondazione Italiana Sclerosi Multipla 2013/R/26
6 · The paper itself

Abstract

backgroundRehabilitation seems to promote brain plasticity, but objective measures of efficacy are lacking and there is a limited understanding of the mechanisms underlying functional recovery.

objectiveTo study functional and structural brain changes induced by gait rehabilitation.

methodsWe enrolled MS inpatients (EDSS 4.5-6.5) undergoing a 4-week neurorehabilitation. Several clinical measures were obtained, including: 2-min walk test (2MWT), dynamic gait index (DGI), Berg balance scale (BBS). Furthermore, motor-task functional MRI (fMRI) of plantar dorsiflexion, resting state fMRI, and regional diffusion tensor imaging (DTI) metrics were obtained. All the assessments were performed at baseline (T0), after the end of the rehabilitation period (T1) and 3 months later (T2).

resultsTwenty-nine patients were enrolled at T0, 26 at T1, and 16 completed all timepoints. At T1, there was a significant improvement of 2MWT, DGI, and BBS scores, along with a reduced extent of the widespread activation related to the motor task at the fMRI and an increased functional connectivity in the precentral and post-central gyrus, bilaterally. None of these changes were maintained at T2.

conclusionsOur findings show a short-term beneficial effect of motor rehabilitation on gait performances in MS, accompanied by brain functional reorganization in the sensory-motor network.

Indexed as

GaitNeurological RehabilitationBrainDiffusion Tensor ImagingFemaleHospitalizationHumansLongitudinal StudiesMagnetic Resonance ImagingMaleMiddle AgedMobility LimitationMotor ActivityMultiple SclerosisNeural PathwaysNeuronal PlasticityDTIfMRIMultiple sclerosisPlasticityRehabilitation

Identifiers

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.