Evidence map›Paper›PMID 34027703›Full record

Trial reportClinical rehabilitation2021

Using a bimanual lever-driven wheelchair for arm movement practice early after stroke: A pilot, randomized, controlled, single-blind trial.

Brendan W Smith, Joan Lobo-Prat, Daniel K Zondervan, Christopher Lew, Vicky Chan, Cathy Chou, Spencer Toledo, David J Reinkensmeyer, Susan Shaw, Steven C Cramer

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Clinical rehabilitation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02830893 (Lever Actuated Rehabilitation of the Arm Using Wheelchair Propulsion and Computer Gaming), which is not on this 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 43% 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.

NCT02830893 nacompletednot on this map

Lever Actuated Rehabilitation of the Arm Using Wheelchair Propulsion and Computer Gaming

TypeinterventionalSponsorUniversity of California, IrvineRan2017 to 2019Enrolled23ConditionsCerebrovascular AccidentArmsLARA, Standard
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Review
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

10 authors at 6 institutions in 2 countries.

Brendan W SmithDepartment of Mechanical Engineering, Loyola Marymount University, Los Angeles, CA, USA.ORCID https://orcid.org/0000-0002-5314-9293
Joan Lobo-PratInstitut de Robòtica i Informàtica Industrial, CSIC-UPC, Barcelona, Spain.
Daniel K ZondervanFlint Rehabilitation Devices, LLC, Irvine, CA, USA.
Christopher LewDepartment of Mechanical and Aerospace Engineering, University of California at Irvine, Irvine, CA, USA.
Vicky ChanRehabilitation Services, UC Irvine Medical Center, Irvine, CA, USA.
Cathy ChouRehabilitation Services, UC Irvine Medical Center, Irvine, CA, USA.
Spencer ToledoRehabilitation Services, Rancho Los Amigos National Rehabilitation Center, Downey, CA, USA.
David J ReinkensmeyerDepartment of Mechanical and Aerospace Engineering, University of California at Irvine, Irvine, CA, USA.
Susan ShawRehabilitation Services, Rancho Los Amigos National Rehabilitation Center, Downey, CA, USA.
Steven C CramerDepartment of Neurology, University of California, Los Angeles, CA, USA.
University of California, Irvine · USFlint Rehabilitation Devices (United States) · USLoyola Marymount University · USRancho Los Amigos National Rehabilitation Center · USUniversity of California, Los Angeles · USUniversity of Southern California · US

Funding

University of California Health Participation in the National COVID Cohort Collaborative (N3C)UL1TR001414 · NCATS · UNIVERSITY OF CALIFORNIA-IRVINE · PI COOPER, DAN M, VILAIN, ERIC J. · 2015 to 2023
$35.1M
Lever Actuated Rehabilitation of the Arm using Wheelchair Propulsion and Computer GamingR44HD082882 · NICHD · FLINT REHABILITATION DEVICES · PI ZONDERVAN, DANIEL · 2015 to 2016
$1.5M
NCATS NIH HHS UL1 TR001414NICHD NIH HHS R44 HD082882
6 · The paper itself

Abstract

objectiveMany patients with subacute stroke rely on the nonparetic arm and leg to propel manual wheelchairs. We designed a bimanual, lever-driven wheelchair (LARA) to promote overground mobility and hemiparetic arm exercise. This study measured the feasibility of using LARA to increase arm movement, achieve mobility, and improve arm motor recovery (clinicaltrials.gov/ct2/show/NCT02830893).

designRandomized, assessor-blind, controlled trial.

settingTwo inpatient rehabilitation facilities. SUBJECTS: Nineteen patients with subacute stroke (1 week to 2 months post-stroke) received 30 minutes extra arm movement practice daily, while admitted to inpatient rehabilitation (

interventionsPatients were randomized to train with the LARA wheelchair ( MAIN MEASURES: Number of arm movements per training session; overground speed; Upper Extremity Fugl-Meyer score at three-month follow-up.

resultsParticipants who trained with LARA completed 254 (median) arm movements with the paretic arm each session. For three participants, LARA enabled wheelchair mobility at practical indoor speeds (0.15-0.30 m/s). Fugl-Meyer score increased 19 ± 13 points for patients who trained with LARA compared to 14 ± 7 points with conventional exercises (

conclusionsPractising arm movement with a lever-driven wheelchair is a feasible method for increasing arm movement early after stroke. It enabled wheelchair mobility for a subset of patients and shows potential for improving arm motor recovery.

Indexed as

StrokeStroke RehabilitationWheelchairsArmHumansRecovery of FunctionSingle-Blind MethodTreatment Outcomemobilityrehabilitation interventionsStrokeupper extremitywheelchair

Identifiers

PMID34027703
PMCPMC9009357
OpenAlexW3165396080

What OpenQuestion holds

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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.