Evidence map›Paper›PMID 31881854›Full record

SynthesisBMC neurology2019

Action observation training for rehabilitation in brain injuries: a systematic review and meta-analysis.

Bianca Buchignani, Elena Beani, Valerie Pomeroy, Oriana Iacono, Elisa Sicola, Silvia Perazza, Eleonora Bieber, Hilde Feys, Katrijn Klingels, Giovanni Cioni and 1 more

4 registry-linked trialsOpen access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis 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 4 registered trials, which are not on this map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
4.3field-weighted citation impact, top 5% 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.

NCT04759690 nacompletednot on this mapstarted 2020, after this paper: background citation

Effects of Action Observation Training Combined With Exercises on Balance and Risk of Fall Over 65 Years Old

TypeinterventionalSponsorIstanbul Medipol University HospitalRan2020 to 2021Enrolled43ConditionsFall Prevention, ElderlyArmsAction observation, Exercise group
NCT05163210 nacompletednot on this mapstarted 2021, after this paper: background citation

Effectiveness of Action Observation Therapy Based on Virtual Reality Technology in Motor Rehabilitation of Paretic Stroke Patients: a Randomized Clinical Trial

TypeinterventionalSponsorAzienda Ospedaliero-Universitaria di ParmaRan2021 to 2024Enrolled48ConditionsStroke, Hemiplegia, HemiparesisArmsAO+VR, CO+VR
NCT05223257 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Action Observation Tele-rehabilitation for Upper Limb in Children With Diplegic Cerebral Palsy

TypeinterventionalSponsorIRCCS Fondazione Stella MarisRan2022 to 2025Enrolled54ConditionsDiplegic Cerebral PalsyArmsAOT
NCT07369167 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Neurophysiological, Kinematics and Functional Correlates of Goal-directed Action Observation and Execution in Children With Unilateral Cerebral Palsy

TypeobservationalSponsorIRCCS Fondazione Stella MarisRan2026 to 2027Enrolled80ConditionsCerebral Palsy (CP), Unilateral Cerebral Palsy, EEG, Action Observation
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 68 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Observational
  15. Article
  16. Article
  17. Article
  18. Review
  19. 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

11 authors at 5 institutions in 3 countries.

Bianca BuchignaniDepartment of Developmental Neuroscience, IRCCS Fondazione Stella Maris, Viale del Tirreno 331, 56128 Calambrone, Pisa, Italy.
Elena BeaniDepartment of Developmental Neuroscience, IRCCS Fondazione Stella Maris, Viale del Tirreno 331, 56128 Calambrone, Pisa, Italy.
Valerie PomeroyAcquired Brain Injury Rehabilitation Alliance, School of health Sciences, University of East Anglia, Research Park, Norwich, NR31 9HL, UK.
Oriana IaconoDepartment of Developmental Neuroscience, IRCCS Fondazione Stella Maris, Viale del Tirreno 331, 56128 Calambrone, Pisa, Italy.
Elisa SicolaDepartment of Developmental Neuroscience, IRCCS Fondazione Stella Maris, Viale del Tirreno 331, 56128 Calambrone, Pisa, Italy.
Silvia PerazzaDepartment of Developmental Neuroscience, IRCCS Fondazione Stella Maris, Viale del Tirreno 331, 56128 Calambrone, Pisa, Italy.
Eleonora BieberDepartment of Developmental Neuroscience, IRCCS Fondazione Stella Maris, Viale del Tirreno 331, 56128 Calambrone, Pisa, Italy.
Hilde FeysDepartment of Rehabilitation Sciences, KU Leuven - University of Leuven, Leuven, Belgium.
Katrijn KlingelsDepartment of Rehabilitation Sciences, KU Leuven - University of Leuven, Leuven, Belgium.
Giovanni CioniDepartment of Developmental Neuroscience, IRCCS Fondazione Stella Maris, Viale del Tirreno 331, 56128 Calambrone, Pisa, Italy.
Giuseppina SgandurraDepartment of Developmental Neuroscience, IRCCS Fondazione Stella Maris, Viale del Tirreno 331, 56128 Calambrone, Pisa, Italy. g.sgandurra@fsm.unipi.it.ORCID http://orcid.org/0000-0003-1081-1766
Fondazione Stella Maris · ITUniversity of Pisa · ITHasselt University · BEKU Leuven · BEUniversity of East Anglia · GB

Funding

Ministero della Salute GR-2011-02350053
6 · The paper itself

Abstract

backgroundTo systematically review and analyse the effects of Action Observation Training on adults and children with brain damage.

methodsSeven electronic databases (Cochrane, EBSCO, Embase, Eric, PubMed, Scopus and Web of Science) were searched up to 16 September 2018 to select Randomized Controlled Trials focused on adults and children with brain damage that included AOT training on upper and/or lower limb carried out for at least 1 week. Identification of studies and data extraction was conducted with two reviewers working independently. Oxford Centre for Evidence-based Medicine (March2009) - Levels of Evidence and Physiotherapy Evidence Database scale were used to grade studies. The data collected from the articles were analysed using software R, version 3.4.3. Hedge's g values were calculated and effect size estimates were pooled across studies. Separate meta-analyses were carried out for each ICF domain (i.e. body function and activity) for upper and lower limb.

resultsOut of the 210 records identified after removing duplicates, 22 were selected for systematic review and 19 were included in the meta-analysis. Thirteen studies included in the meta-analysis focused on upper limb rehabilitation (4 in children and 9 in adults) and 6 on lower limb rehabilitation (only studies in adults). A total of 626 patients were included in the meta-analysis. An overall statistically significant effect size was found for upper limb body function (0.44, 95% CI: [0.24, 0.64], p < 0.001) and upper limb activity domain (0.47, 95% CI: [0.30, 0.64], p < 0.001). For lower limb, only the activity domain was analysed, revealing a statistically significant overall effect size (0.56, 95% CI: [0.28, 0.84], p < 0.001).

conclusionsAction Observation Training (AOT) is an innovative rehabilitation tool for individuals with brain damage, which shows promising results in improving the activity domain for upper and lower limbs, and also the body function domain for the upper limb. However, the examined studies lack uniformity and further well-designed, larger controlled trials are necessary to determine the most suitable type of AOT particularly in children. SYSTEMATIC REVIEW REGISTRATION: CRD42019119600.

Indexed as

Physical Therapy ModalitiesAdultBrain InjuriesChildHumansYoung AdultBrain damageLower limbMirror neuronsNeurological rehabilitationUpper limb

Identifiers

PMID31881854
PMCPMC6935205
OpenAlexW2997824266

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.