Evidence map›Paper›PMID 29649992›Full record

Trial reportBMC neurology2018

Protocol for promoting recovery optimization of walking activity in stroke (PROWALKS): a randomized controlled trial.

Henry Wright, Tamara Wright, Ryan T Pohlig, Scott E Kasner, Jonathan Raser-Schramm, Darcy Reisman

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC neurology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02835313 (Promoting Recovery Optimization With WALKing Exercise After Stroke), which is not on this map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
1.7field-weighted citation impact, top 16% 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.

NCT02835313 nacompletednot on this map

Promoting Recovery Optimization With WALKing Exercise After Stroke

TypeinterventionalSponsorUniversity of DelawareRan2016 to 2023Enrolled250ConditionsStrokeArmsFAST alone, FAST+SAM, SAM alone
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Interventions for reducing sedentary behaviour in people with stroke.The Cochrane database of systematic reviews · 2021
    Pooled it
  2. Physical fitness training for stroke patients.The Cochrane database of systematic reviews · 2020
    Pooled it
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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

6 authors at 3 institutions in 1 country.

Henry WrightDepartment of Physical Therapy, University of Delaware, Newark, DE, 19713, USA.
Tamara WrightDepartment of Physical Therapy, University of Delaware, Newark, DE, 19713, USA.
Ryan T PohligBiostatistics Core Facility, University of Delaware, Newark, DE, 19713, USA.
Scott E KasnerDepartment of Neurology, University of Pennsylvania, Philadelphia, PA, 19104, USA.
Jonathan Raser-SchrammChristiana Care Health System, Newark, DE, 19713, USA.
Darcy ReismanDepartment of Physical Therapy, University of Delaware, Newark, DE, 19713, USA. dreisman@udel.edu.
University of Delaware · USChristiana Care Health System · USUniversity of Pennsylvania · US

Funding

Promoting Recovery Optimization with WALKing Exercise after Stroke (PROWALKS)R01HD086362 · NICHD · UNIVERSITY OF DELAWARE · PI REISMAN, DARCY S. · 2016 to 2020
$4.0M
National Institutes of Health NIH R01HD086362NICHD NIH HHS R01 HD086362
6 · The paper itself

Abstract

backgroundStroke survivors are more physically inactive than even the most sedentary older adults, and low activity is associated with increased risk of recurrent stroke, medical complications, and mortality. We hypothesize that the combination of a fast walking intervention that improves walking capacity, with a step activity monitoring program that facilitates translation of gains from the clinic to the "real-world", would generate greater improvements in real world walking activity than with either intervention alone.

methodsUsing a single-blind randomized controlled experimental design, 225 chronic (> 6 months) stroke survivors complete 12 weeks of fast walking training, a step activity monitoring program or a fast walking training + step activity monitoring program. Main eligibility criteria include: chronic ischemic or hemorrhagic stroke (> 6 months post), no evidence of cerebellar stroke, baseline walking speed between 0.3 m/s and 1.0 m/s, and baseline average steps / day < 8000. The primary (steps per day), secondary (self-selected and fastest walking speed, walking endurance, oxygen consumption) and exploratory (vascular events, blood lipids, glucose, blood pressure) outcomes are assessed prior to initiating treatment, after the last treatment and at a 6 and 12-month follow-up. Moderation of the changes in outcomes by baseline characteristics are evaluated to determine for whom the interventions are effective. DISCUSSION: Following completion of this study, we will not only understand the efficacy of the interventions and the individuals for which they are effective, we will have the necessary information to design a study investigating the secondary prevention benefits of improved physical activity post-stroke. This study is, therefore, an important step in the development of both rehabilitative and secondary prevention guidelines for persons with stroke.

trial registrationClinicalTrials.gov Identifier: NCT02835313 . First Posted: July 18, 2016.

Indexed as

Exercise TherapyHumansStroke RehabilitationWalkingPhysical activityRehabilitationStrokeWalking

Identifiers

PMID29649992
PMCPMC5898044
OpenAlexW2806098279

What OpenQuestion holds

Textmetadata
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.