Evidence map›Paper›PMID 33728742›Full record

Trial reportPM & R : the journal of injury, function, and rehabilitation2022

Lesion location may attenuate response to strategy training in acute stroke.

Elizabeth R Skidmore, Minmei Shih, Lauren Terhorst, Erin E O'Connor

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PM & R : the journal of injury, function, and rehabilitation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 44% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. 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 2 institutions in 1 country.

Elizabeth R SkidmoreDepartment of Occupational Therapy, University of Pittsburgh School of Health and Rehabilitation Sciences, Pittsburgh, Pennsylvania, USA.ORCID 0000-0002-8287-7193
Minmei ShihDepartment of Occupational Therapy, University of Pittsburgh School of Health and Rehabilitation Sciences, Pittsburgh, Pennsylvania, USA.
Lauren TerhorstDepartment of Occupational Therapy, University of Pittsburgh School of Health and Rehabilitation Sciences, Pittsburgh, Pennsylvania, USA.
Erin E O'ConnorDepartment of Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, Baltimore, Maryland, USA.
University of Pittsburgh · USUniversity of Maryland, Baltimore · US

Funding

MULTICENTER CAREER DEVELOPMENT PROGRAM FOR PHYSICAL AND OCCUPATIONAL THERAPYK12HD055931 · NICHD · WASHINGTON UNIVERSITY · PI HAYES, MARCIE HARRIS · 2007 to 2021
$12.7M
Closing Gap in Stroke Rehabilitation: Early Intervention for Cognitive DisabilityR01HD074693 · NICHD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SKIDMORE, ELIZABETH RENEE · 2013 to 2018
$2.6M
Mechanism and Predictors of Neurocognitive Impairment in HIV InfectionK23MH118070 · NIMH · UNIVERSITY OF MARYLAND BALTIMORE · PI O'CONNOR, ERIN E · 2020 to 2023
$757k
NICHD NIH HHS K12 HD055931NICHD NIH HHS R01 HD074693NIMH NIH HHS K23 MH118070
6 · The paper itself

Abstract

backgroundStrategy training, a rehabilitation intervention, reduces disability and improves functional skills associated with goal-directed behavior. Stroke lesions impacting selected ventromedial regions of interest associated with initiation of goal-directed behavior may attenuate intervention response. If so, strategy training may not be optimal for people with stroke lesions in these regions.

objectiveTo examine whether ventromedial regions of interest attenuate changes in disability status attributed to strategy training.

designSecondary analysis of data from two randomized controlled clinical trials.

settingInpatient stroke rehabilitation.

participantsPeople with acute stroke diagnosis and available diagnostic studies enrolled in inpatient rehabilitation randomized controlled studies between 2009 and 2017.

interventionParticipants were randomized to strategy training or a control condition in addition to the usual care during inpatient rehabilitation.

main outcome measuresDiagnostic magnetic resonance imaging studies were retrieved from electronic medical records, and stroke lesion location was characterized by a neuroradiologist. Intervention response was defined by Functional Independence Measure change scores of 22 points or greater.

resultsOnly 186 of 275 participants had diagnostic studies available; 13 patients showed no apparent lesion on their diagnostic study. Among 173 cases, 156 had complete data at discharge (strategy training n = 71, control n = 85). Twenty-five cases had a lesion within a region of interest (strategy training n = 14, control n = 11). Intervention response was attenuated in the strategy training group for those with lesions in regions of interest [χ

conclusionsLesions in the ventromedial regions of interest may attenuate response to strategy training.

Indexed as

StrokeStroke RehabilitationActivities of Daily LivingHumansInpatients

Identifiers

PMID33728742
PMCPMC8446102
OpenAlexW3136617630

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.