Evidence map›Paper›PMID 31848443›Full record

Trial reportSpinal cord2020

Quality of life and psychological outcomes of body-weight supported locomotor training in spinal cord injured persons with long-standing incomplete lesions.

Anu Piira, Anne M Lannem, Knut Gjesdal, Raymond Knutsen, Lone Jørgensen, Thomas Glott, Nils Hjeltnes, Synnøve F Knutsen, Marit Sørensen

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Spinal cord, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00854555 (The ATLET Study), which is not on this map. Cited by 8 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 3 pooled it
0.6field-weighted citation impact, top 30% 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.

NCT00854555 nacompletednot on this map

The ATLET Study: Can Subjects With Incomplete Spinal Cord Injury Learn to Walk? A Randomized Clinical Trial

TypeinterventionalSponsorNorth Norway Rehabilitation CenterRan2008 to 2019Enrolled44ConditionsSpinal Cord InjuryArmsLocomotor training with robot, Locomotor training with manual assistance
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 3 syntheses or guidelines pooled it, 13 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

9 authors at 5 institutions in 2 countries.

Anu PiiraDepartment of Health and Care Sciences, Faculty of Health Sciences, University of Tromsø, The Arctic University of Norway, Tromsø, Norway. anu.piira@kurbadet.no.
Anne M LannemSunnaas Rehabilitation Hospital, Nesodden, Norway.
Knut GjesdalDepartment of Cardiology, Oslo university hospital Ullevål and Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
Raymond KnutsenNorth Norway Rehabilitation Center, Tromsø, Norway.
Lone JørgensenDepartment of Health and Care Sciences, Faculty of Health Sciences, University of Tromsø, The Arctic University of Norway, Tromsø, Norway.
Thomas GlottSunnaas Rehabilitation Hospital, Nesodden, Norway.
Nils HjeltnesSunnaas Rehabilitation Hospital, Nesodden, Norway.
Synnøve F KnutsenNorth Norway Rehabilitation Center, Tromsø, Norway.
Marit SørensenDepartment of Coaching and Psychology, Norwegian School of Sport Sciences, Oslo, Norway.
Sunnaas sykehus · NOLoma Linda University · USUiT The Arctic University of Norway · NONorwegian School of Sport Sciences · NOOslo University Hospital · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designHealth-related quality of life (HRQOL) data from two parallel independent single-blinded controlled randomized studies of manual (Study 1) and robotic (Study 2) locomotor training were combined (ClinicalTrials.gov #NCT00854555).

objectiveTo assess effects of body-weight supported locomotor training (BWSLT) programs on HRQOL in persons with long-standing motor incomplete spinal cord injury and poor walking function. SETTINGS: Two inpatient rehabilitation facilities and one outpatient clinic in Norway.

methodsData were merged into intervention (locomotor training 60 days) or control group ("usual care"). Participants completed questionnaires before randomization and 2-4 weeks after the study period, including demographic characteristics, HRQOL (36-Item Short-Form Health Status Survey, SF-36), physical activity (The International Physical Activity Questionnaire Short Form, IPAQ-SF), exercise barrier self-efficacy (EBSE), and motivation for training (Behavioral Regulation in Exercise Questionnaire, BREQ). Physical outcomes i.e., Lower extremity motor score (LEMS) was assessed. The main outcome was change in HRQOL. Secondary outcomes included changes in IPAQ-SF, EBSE, BREQ, and physical outcomes.

resultsWe recruited 37 of 60 predetermined participants. They were autonomously motivated with high baseline physical activity. BWSLT with manual or robot assistance did not improve HRQOL, though LEMS increased in the BWSLT group compared with control group.

conclusionsThe study was underpowered due to recruitment problems. The training programs seem to benefit LEMS, but not other physical outcomes, and had minimal effects on HRQOL, EBSE, and motivation. Autonomous motivation and high physical activity prior to the study possibly limited the attainable outcome benefits, in addition to limitations due to poor baseline physical function.

Indexed as

Exercise TherapyNeurological RehabilitationAdultAgedFemaleHumansLocomotionMaleMiddle AgedNorwayOutcome Assessment, Health CareQuality of LifeSingle-Blind MethodSpinal Cord InjuriesYoung Adult

Identifiers

PMID31848443
OpenAlexW2996628392

What OpenQuestion holds

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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.