Evidence map›Paper›PMID 32192470›Full record

Trial reportBMC neurology2020

Methylphenidate improves executive functions in patients with traumatic brain injuries: a feasibility trial via the idiographic approach.

Samir Al-Adawi, Aziz Al-Naamani, Sanjay Jaju, Yahya M Al-Farsi, Atsu S S Dorvlo, Ali Al-Maashani, Sara S H Al-Adawi, Ahmed A Moustafa, Nasser Al-Sibani, Musthafa M Essa and 2 more

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in BMC neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.3field-weighted citation impact, top 19% 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.

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

11 citing papers in PubMed, 18 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

12 authors at 6 institutions in 4 countries.

Samir Al-AdawiDepartment of Behavioural Medicine, College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman. samir-adawi@fulbrightmail.org.
Aziz Al-NaamaniDepartment of Behavioural Medicine, College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman.
Sanjay JajuDepartment of Family Medicine and Public Health, College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman.
Yahya M Al-FarsiDepartment of Family Medicine and Public Health, College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman.
Atsu S S DorvloDepartment of Mathematics and Statistics, College of Science, Sultan Qaboos University, Muscat, Oman.
Ali Al-MaashaniDepartment of Neurosurgery, Khoula Hospital, Ministry of Health, Muscat, Oman.
Sara S H Al-AdawiOman Medical Specialty Board, Muscat, Oman.
Ahmed A MoustafaSchool of Social Sciences and Psychology, Marcs Institute of Brain and Behaviour, Western Sydney University, Penrith, NSW, Australia.
Nasser Al-SibaniDepartment of Behavioural Medicine, College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman.
Musthafa M EssaDepartment of Food Science and Nutrition, College of Agricultural and Marine Sciences, Sultan Qaboos University, Muscat, Oman. drmdessa@gmail.com.
David T BurkeDepartment of Rehabilitation Medicine, Emory University School of Medicine, Atlanta, GA, USA.
M Walid QoronflehResearch & Policy Department, World Innovation Summit for Health (WISH), Qatar Foundation, P.O. Box 5825, Doha, Qatar. wqoronfleh@qf.org.qa.
Sultan Qaboos University · OMEmory University · USKhoula Hospital · OMOman Medical College · OMQatar Foundation · QAWestern Sydney University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRoad traffic accidents are known to be the main cause of traumatic brain injury (TBI). TBI is also a leading cause of death and disability. This study, by means of the idiographic approach (single-case experimental designs using multiple-baseline designs), has examined whether methylphenidate (MPH - trade name Ritalin) had a differential effect on cognitive measures among patients with TBI with the sequel of acute and chronic post-concussion syndromes. The effect on gender was also explored.

methodsIn comparison with healthy controls, patients with TBI (acute and chronic) and accompanying mild cognitive impairment (MCI) were screened for their integrity of executive functioning. Twenty-four patients exhibiting executive dysfunction (ED) were then instituted with the pharmacological intervention methylphenidate (MPH). The methylphenidate was administered using an uncontrolled, open label design.

resultsThe administration of methylphenidate impacted ED in the TBI group but had no effect on mood. Attenuation of ED was more apparent in the chronic phases of TBI. The effect on gender was not statistically significant with regard to the observed changes.

conclusionsTo our knowledge, this is the first feasibility trial from the Arabian Gulf to report the performance of a TBI population with mild cognitive impairment according to the IQCODE Arabic version. This investigation confirms anecdotal observations of methylphenidate having the potential to attenuate cognitive impairment; particularly those functions that are critically involved in the integrity of executive functioning. The present feasibility trial should be followed by nomothetic studies such as those that adhere to the protocol of the randomized controlled trial. This evidence-based research is the foundation for intervention and future resource allocation by policy- or public health decision-makers.

Indexed as

AdolescentAdultBrain Injuries, TraumaticCentral Nervous System StimulantsExecutive FunctionFeasibility StudiesFemaleHumansMaleMethylphenidateOmanYoung AdultCentral Nervous System StimulantsMethylphenidateAnxietyCognitionDepressionExecutive functioningIQCODEMethylphenidatePsychopharmacologyRitalinTBITraumatic brain injury

Identifiers

PMID32192470
PMCPMC7081568
OpenAlexW3012731020

What OpenQuestion holds

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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.