Evidence map›Paper›PMID 31179920›Full record

ArticleBMC neurology2019

Rehabilitation to improve gaze and postural stability in people with multiple sclerosis: study protocol for a prospective randomized clinical trial.

Brian J Loyd, Annie Fangman, Daniel S Peterson, Eduard Gappmaier, Michael C Schubert, Anne Thackery, Lee Dibble

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMC neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03521557 (Gaze and Postural Stability in People With MS), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.8field-weighted citation impact, top 15% 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.

NCT03521557 nacompletednot on this map

Gaze and Postural Stability in People With MS: Characterizing Deficits and Response to Treatment

TypeinterventionalSponsorUniversity of UtahRan2018 to 2020Enrolled42ConditionsMultiple Sclerosis, Vertigo, Dizziness, Falls InjuryArmsGaze and Postural Stability, Standard Care Control
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 22 citations in OpenAlex.

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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

7 authors at 3 institutions in 1 country.

Brian J LoydDepartment of Physical Therapy and Athletic Training, University of Utah College of Health, 520 Wakara Way, Salt Lake City, UT, 84108, USA. brian.loyd@health.utah.edu.ORCID http://orcid.org/0000-0002-4670-3225
Annie FangmanDepartment of Physical Therapy and Athletic Training, University of Utah College of Health, 520 Wakara Way, Salt Lake City, UT, 84108, USA.
Daniel S PetersonArizona State University, College of Health Solutions, 550 N. 3rd Street, Phoenix, AZ, 85004-0698, USA.
Eduard GappmaierDepartment of Physical Therapy and Athletic Training, University of Utah College of Health, 520 Wakara Way, Salt Lake City, UT, 84108, USA.
Michael C SchubertDepartment of Otolaryngology Head and Neck Surgery, John Hopkins University School of Medicine, 601 N. Caroline Street, Baltimore, MD, 21287, USA.
Anne ThackeryDepartment of Physical Therapy and Athletic Training, University of Utah College of Health, 520 Wakara Way, Salt Lake City, UT, 84108, USA.
Lee DibbleDepartment of Physical Therapy and Athletic Training, University of Utah College of Health, 520 Wakara Way, Salt Lake City, UT, 84108, USA.
University of Utah · USJohns Hopkins University · USPhoenix VA Health Care System · US

Funding

National Multiple Sclerosis Society RG-1701-26763
6 · The paper itself

Abstract

backgroundThe use of vestibular rehabilitation principles in the management of gaze and postural stability impairments in people with multiple sclerosis (PwMS) has shown promise in pilot work completed in our lab and in a recently published randomized clinical trial (RCT). However, further work is needed to fully quantify the gaze and postural impairments present in people with multiple sclerosis and how they respond to rehabilitation. METHODS/

designThe study is a single blind RCT designed to examine the benefit of a gaze and postural stability (GPS) intervention program compared to a standard of care (SOC) rehabilitation program in dizzy and balance impaired PwMS. Outcomes will be collected across the domains of body structure and function, activity, and participation as classified by the World Health Organization International Classification of Functioning, Disability, and Health (ICF). Our primary outcomes are the Dizziness Handicap Inventory (DHI) and the Functional Gait Assessment (FGA). Secondary outcomes include other measures of gaze and postural stability, fatigue, and functional mobility. Participants who are interested and eligible for enrollment will be consented prior to completing a baseline assessment. Following the baseline assessment each participant will be randomized to either the GPS or SOC intervention group and will complete a 6 week treatment period. During the treatment period, both groups will participate in guided exercise 3x/week. Following the treatment period participants will be asked to return for a post-treatment evaluation and again for a follow-up assessment 1 month later. We anticipate enrolling 50 participants. DISCUSSION: This study will be an innovative RCT that will utilize gaze and postural stability metrics to assess the efficacy of vestibular rehabilitation in PwMS. It will build on previous work by examining measures across the ICF and improve the current evidence base for treating PwMS.

trial registrationClinicalTrials.gov, May 29th 2018, NCT03521557 .

Indexed as

Randomized Controlled Trials as TopicResearch DesignAdultFemaleFixation, OcularHumansMaleMiddle AgedMultiple SclerosisNeurological RehabilitationPostural BalanceGaze stabilityMultiple sclerosisPostural stabilityRandomized clinical trialVestibular rehabilitation

Identifiers

PMID31179920
PMCPMC6556952
OpenAlexW2951639247

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.