Evidence map›Paper›PMID 32919473›Full record

Trial reportJournal of neuroengineering and rehabilitation2020

Virtual reality-based treatment for regaining upper extremity function induces cortex grey matter changes in persons with acquired brain injury.

Jiří Keller, Ivana Štětkářová, Vince Macri, Simone Kühn, Jakub Pětioký, Stefano Gualeni, С Douglas Simmons, Sajay Arthanat, Paul Zilber

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 NCT05084820 (Effects of Action Observation Treatment on Motor Function in Upper Limb of Patients With Chronic Stroke), which is not on this map. Cited by 15 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 3 pooled it
2.3field-weighted citation impact, top 10% 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.

NCT05084820 nacompletednot on this map

Effects of Action Observation Treatment on Motor Function in Upper Limb of Patients With Chronic Stroke

TypeinterventionalSponsorRiphah International UniversityRan2020 to 2021Enrolled14ConditionsStrokeArmsAction observation treatment, conventional treatment
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 3 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. NintendoInternational journal of environmental research and public health · 2022
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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 6 institutions in 4 countries.

Jiří KellerDepartment of Radiology, Na Homolce Hospital, Prague, Czech Republic. keller.public+jner@gmail.com.ORCID 0000-0002-6799-7840
Ivana ŠtětkářováDepartment of Neurology, Third Faculty of Medicine, Charles University, Prague, Czech Republic.
Vince Macri3D PreMotorSkill Technologies LLC, Tallahassee, FL, USA.
Simone KühnDepartment of Psychiatry and Psychotherapy, University Clinic Hamburg-Eppendorf, Hamburg, Germany.
Jakub PětiokýREGIBASE, Prague, Czech Republic.
Stefano GualeniInstitute of Digital Games, University of Malta, Msida, Malta.
С Douglas SimmonsSchool of Occupational Therapy, MCPHS University, Manchester, NH, USA.
Sajay ArthanatDepartment of Occupational Therapy, University of New Hampshire, Durham, NH, USA.
Paul Zilber3D PreMotorSkill Technologies LLC, Tallahassee, FL, USA.
Charles University · CZMassachusetts College of Pharmacy and Health Sciences · USNational Stud at Kladruby nad Labem · CZUniversität Hamburg · DEUniversity of Malta · MTUniversity of New Hampshire · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIndividuals with acquired brain injuries (ABI) are in need of neurorehabilitation and neurorepair. Virtual anatomical interactivity (VAI) presents a digital game-like format in which ABI survivors with upper limb paresis use an unaffected limb to control a standard input device and a commonplace computer mouse to control virtual limb movements and tasks in a virtual world.

methodsIn a prospective cohort study, 35 ambulatory survivors of ABI (25/71% stroke, 10/29% traumatic brain injury) were enrolled. The subjects were divided into three groups: group A received VAI therapy only, group B received VAI and physical/occupational therapy (P/OT), and group C received P/OT only. Motor skills were evaluated by muscle strength (hand key pinch strength, grasp, and three-jaw chuck pinch) and active range of motion (AROM) of the shoulder, elbow, and wrist. Changes were analyzed by ANOVA, ANCOVA, and one-tailed Pearson correlation analysis. MRI data was acquired for group A, and volumetric changes in grey matter were analyzed using voxel-based morphometry (VBM) and correlated with quantified motor skills.

resultsAROM of the shoulder, elbow, and wrist improved in all three groups. VBM revealed grey matter increases in five brain areas: the tail of the hippocampus, the left caudate, the rostral cingulate zone, the depth of the central sulcus, and the visual cortex. A positive correlation between the grey matter volumes in three cortical regions (motor and premotor and supplementary motor areas) and motor test results (power and AROM) was detected.

conclusionsOur findings suggest that the VAI rehabilitation program significantly improved motor function and skills in the affected upper extremities of subjects with acquired brain injuries. Significant increases in grey matter volume in the motor and premotor regions of affected hemisphere and correlations of motor skills and volume in nonaffected brain regions were present, suggesting marked changes in structural brain plasticity.

trial registrationThe trial "Limitations of motor brain activity - use of virtual reality for simulation of therapeutic interventions" has been registered under reference number ISRCTN11757651 .

Indexed as

Recovery of FunctionVirtual RealityAdultAgedBrainBrain InjuriesFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedOccupational TherapyProspective StudiesStroke RehabilitationVideo GamesAcquired brain injury (ABI)Brain plasticityMagnetic resonance imaging (MRI)RehabilitationStrokeTherapeutic gamesTraumatic brain injury (TBI)Video-observation-feedback therapyVirtual anatomical interactivity (VAI)Virtual world

Identifiers

PMID32919473
PMCPMC7488738
OpenAlexW3084482417

What OpenQuestion holds

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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.