Evidence map›Paper›PMID 32663137›Full record

ArticleJMIR research protocols2020

Effect of Ankle Plantar Flexor Spasticity Level on Balance in Patients With Stroke: Protocol for a Cross-Sectional Study.

Ashraf Mahmoudzadeh, Noureddin Nakhostin Ansari, Soofia Naghdi, Ebrahim Sadeghi-Demneh, Omid Motamedzadeh, Brandon S Shaw, Ardalan Shariat, Ina Shaw

Registry-linked trialAbstract read
In one paragraph

Article in JMIR research protocols, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07091045 (Effectiveness of Robot-Assisted Structured Foot-Ankle Sensorimotor Training in Stroke Patients), 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
–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.

NCT07091045 narecruitingnot on this mapstarted 2026, after this paper: background citation

Effectiveness of Robot-Assisted Structured Foot-Ankle Sensorimotor Training in Stroke Patients

TypeinterventionalSponsorMedipol UniversityRan2026 to 2027Enrolled30ConditionsStrokeArmsRobot-Assisted Foot-Ankle Training, Conventional Foot-Ankle Training
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
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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

8 authors.

Ashraf MahmoudzadehDepartment of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran.ORCID https://orcid.org/0000-0002-1416-2102
Noureddin Nakhostin AnsariDepartment of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran.ORCID https://orcid.org/0000-0003-2742-2273
Soofia NaghdiDepartment of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran.ORCID https://orcid.org/0000-0002-5062-7747
Ebrahim Sadeghi-DemnehProsthetics and Orthotics Department, Musculoskeletal Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.ORCID https://orcid.org/0000-0003-0590-8512
Omid MotamedzadehDepartment of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran.ORCID https://orcid.org/0000-0002-5149-5651
Brandon S ShawDepartment of Human Movement Science, University of Zululand, Kwazulu-Natal, South Africa.ORCID https://orcid.org/0000-0002-2285-8361
Ardalan ShariatNeuroscience Institute, Sports Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran.ORCID https://orcid.org/0000-0002-1877-4747
Ina ShawDepartment of Human Movement Science, University of Zululand, Kwazulu-Natal, South Africa.ORCID https://orcid.org/0000-0001-8400-8234

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe lower limb spasticity after stroke can affect the balance and gait of patients with stroke.

objectiveThe aim of this study is to assess the effects of ankle plantar flexor spasticity level on balance in patients with stroke.

methodsPatients with stroke were recruited from neurology and physiotherapy clinics in Tehran, Iran. Based on the level of ankle plantar flexor spasticity according to the Modified Modified Ashworth Scale (MMAS), the eligible patients with stroke were divided into 2 groups: high spasticity (MMAS score≥2) and low spasticity (MMAS score<2). The primary outcome measures were the MMAS scores, Activities-Specific Balance Confidence questionnaire scores, eyes-open and eyes-closed posturography measures, and Timed Up and Go test results. The secondary outcome measures were the ankle passive range of motion and ankle joint proprioception. The t test, mixed model univariate analysis of variance, and Spearman rank correlation were used for statistical analysis.

resultsData collection and statistical analysis are complete. The interpretation of results is underway. We expect the results to be published in winter 2020.

conclusionsWe believe that patients with high ankle plantar flexor spasticity after stroke will demonstrate greater balance dysfunction, which will worsen with impaired proprioception, passive range of motion, and eyes closed. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR1-10.2196/16045.

Indexed as

balancelower extremitymuscle spasticityposturographyrehabilitationstroke

Identifiers

PMID32663137
PMCPMC7474409

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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.