Evidence map›Paper›PMID 32316977›Full record

Trial reportJournal of neuroengineering and rehabilitation2020

Key components of mechanical work predict outcomes in robotic stroke therapy.

Zachary A Wright, Yazan A Majeed, James L Patton, Felix C Huang

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

Trial report in Journal of neuroengineering and rehabilitation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02570256 (Error-enhanced Learning & Recovery in 2 & 3 Dimensions), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.1field-weighted citation impact, top 49% 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.

NCT02570256 nacompletednot on this map

Error-enhanced Learning & Recovery in 2 & 3 Dimensions

TypeinterventionalSponsorShirley Ryan AbilityLabRan2013 to 2019Enrolled45ConditionsStrokeArmsDeficit-fields to reduce error, Deficit-fields to expand range of motion, Deficit-fields to improve function
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. 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

4 authors at 3 institutions in 1 country.

Zachary A WrightDepartment of Bioengineering, University of Illinois at Chicago, Chicago, IL, USA.
Yazan A MajeedDepartment of Bioengineering, University of Illinois at Chicago, Chicago, IL, USA.
James L PattonDepartment of Bioengineering, University of Illinois at Chicago, Chicago, IL, USA.
Felix C HuangDepartment of Mechanical Engineering, Tufts University, Medford, MA, USA. Felix.huang@tufts.edu.
Shirley Ryan AbilityLab · USTufts University · USUniversity of Illinois Chicago · US

Funding

Error-enhanced Learning & Recovery in 2 & 3 DimensionsR01NS053606 · NINDS · REHABILITATION INSTITUTE OF CHICAGO D/B/A SHIRLEY RYAN ABILITYLAB · PI PATTON, JAMES LANPHIER · 2007 to 2024
$5.9M
Foundation for the National Institutes of Health R01NS053606-05A1NINDS NIH HHS R01 NS053606
6 · The paper itself

Abstract

backgroundClinical practice typically emphasizes active involvement during therapy. However, traditional approaches can offer only general guidance on the form of involvement that would be most helpful to recovery. Beyond assisting movement, robots allow comprehensive methods for measuring practice behaviors, including the energetic input of the learner. Using data from our previous study of robot-assisted therapy, we examined how separate components of mechanical work contribute to predicting training outcomes.

methodsStroke survivors (n = 11) completed six sessions in two-weeks of upper extremity motor exploration (self-directed movement practice) training with customized forces, while a control group (n = 11) trained without assistance. We employed multiple regression analysis to predict patient outcomes with computed mechanical work as independent variables, including separate features for elbow versus shoulder joints, positive (concentric) and negative (eccentric), flexion and extension.

resultsOur analysis showed that increases in total mechanical work during therapy were positively correlated with our final outcome metric, velocity range. Further analysis revealed that greater amounts of negative work at the shoulder and positive work at the elbow as the most important predictors of recovery (using cross-validated regression, R

conclusionsThese results support robotic training for stroke survivors that increases energetic activity in eccentric shoulder and concentric elbow actions.

trial registrationClinicalTrials.gov, Identifier: NCT02570256. Registered 7 October 2015 - Retrospectively registered.

Indexed as

AgedEnergy MetabolismFemaleHumansMaleMiddle AgedModels, BiologicalMovementPrognosisRegression AnalysisRoboticsStroke RehabilitationTreatment OutcomeUpper ExtremityEnergeticsNeurorehabilitationOutcomesRobotic therapyStrokeUpper limb

Identifiers

PMID32316977
PMCPMC7175566
OpenAlexW3016553981

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.