Evidence map›Paper›PMID 31537137›Full record

ArticleThe Journal of international medical research2020

Update on intensive motor training in spinocerebellar ataxia: time to move a step forward?

Giuseppe Lanza, Jacopo Antonino Casabona, Maria Bellomo, Mariagiovanna Cantone, Francesco Fisicaro, Rita Bella, Giovanni Pennisi, Placido Bramanti, Manuela Pennisi, Alessia Bramanti

Abstract read
In one paragraph

Article in The Journal of international medical research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing 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

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

  1. Pooled it
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  13. The Y831C Mutation of theBiomedicines · 2023
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  18. Environmental Enrichment Enhances Cerebellar Compensation and Develops Cerebellar Reserve.International journal of environmental research and public health · 2022
    Review
  19. Rehabilitation in patients with cerebellar ataxias.Arquivos de neuro-psiquiatria · 2022
    Article
  20. Article
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.

Giuseppe LanzaDepartment of Surgery and Medical-Surgical Specialties, University of Catania, Catania, Italy.ORCID https://orcid.org/0000-0002-5659-662X
Jacopo Antonino CasabonaSchool of Human and Social Science, University Kore of Enna, Enna, Italy.
Maria BellomoSchool of Human and Social Science, University Kore of Enna, Enna, Italy.
Mariagiovanna CantoneDepartment of Neurology, Sant'Elia Hospital, ASP Caltanissetta, Caltanissetta, Italy.
Francesco FisicaroDepartment of Medical and Surgical Sciences and Advanced Technologies, University of Catania, Catania, Italy.ORCID https://orcid.org/0000-0002-1579-8807
Rita BellaDepartment of Medical and Surgical Sciences and Advanced Technologies, University of Catania, Catania, Italy.
Giovanni PennisiDepartment of Surgery and Medical-Surgical Specialties, University of Catania, Catania, Italy.
Placido BramantiIRCCS Centro Neurolesi Bonino-Pulejo, Messina, Italy.
Manuela PennisiDepartment of Biomedical and Biotechnological Sciences, University of Catania, Catania, Italy.
Alessia BramantiIRCCS Centro Neurolesi Bonino-Pulejo, Messina, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Some evidence suggests that high-intensity motor training slows down the severity of spinocerebellar ataxia. However, whether all patients might benefit from these activities, and by which activity, and the underlying mechanisms remain unclear. We provide an update on the effect and limitations of different training programmes in patients with spinocerebellar ataxias. Overall, data converge of the finding that intensive training is still based either on conventional rehabilitation protocols or whole-body controlled videogames ("exergames"). Notwithstanding the limitations, short-term improvement is observed, which tends to be lost once the training is stopped. Exergames and virtual reality can ameliorate balance, coordination, and walking abilities, whereas the efficacy of adapted physical activity, gym, and postural exercises depends on the disease duration and severity. In conclusion, although a disease-modifying effect has not been demonstrated, constant, individually tailored, high-intensity motor training might be effective in patients with degenerative ataxia, even in those with severe disease. These approaches may enhance the remaining cerebellar circuitries or plastically induce compensatory networks. Further research is required to identify predictors of training success, such as the type and severity of ataxia and the level of residual functioning.

Indexed as

Spinocerebellar AtaxiasCerebellumExercise TherapyHumansexercise movement techniquesexergamesneural plasticityneurological rehabilitationneuropsychiatric diseasesSpinocerebellar ataxia

Identifiers

PMID31537137
PMCPMC7579332

What OpenQuestion holds

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LicenceCC BY-NC
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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.