Evidence map›Paper›PMID 34321042›Full record

Trial reportJournal of neuroengineering and rehabilitation2021

Technology-supported sitting balance therapy versus usual care in the chronic stage after stroke: a pilot randomized controlled trial.

Liselot Thijs, Eline Voets, Evelien Wiskerke, Thomas Nauwelaerts, Yves Arys, Harold Haspeslagh, Jan Kool, Patrick Bischof, Christoph Bauer, Robin Lemmens and 2 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of neuroengineering and 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 NCT04467554 (Monocenter Interventional Study), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.2field-weighted citation impact, top 21% 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.

NCT04467554 nacompletednot on this map

Monocenter Interventional Study: Providing Sitting Balance Training With a Newly Developed Rehabilitation Device in the Chronic Stage After Stroke A Feasibility and Pilot Randomized Controlled Trial

TypeinterventionalSponsorKU LeuvenRan2020 to 2021Enrolled30ConditionsStrokeArmsT-chair
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 11 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Trunk training following stroke.The Cochrane database of systematic reviews · 2023
    Review
  5. Article
  6. Article
  7. 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

12 authors at 5 institutions in 2 countries.

Liselot ThijsDepartment of Rehabilitation Sciences, KU Leuven - University of Leuven, Leuven, Belgium.ORCID 0000-0003-4692-2230
Eline VoetsDepartment of Rehabilitation Sciences, KU Leuven - University of Leuven, Leuven, Belgium.
Evelien WiskerkeDepartment of Rehabilitation Sciences, KU Leuven - University of Leuven, Leuven, Belgium.
Thomas NauwelaertsNiniX Technologies, Bruges, Belgium.
Yves ArysNiniX Technologies, Bruges, Belgium.
Harold HaspeslaghNiniX Technologies, Bruges, Belgium.
Jan KoolDepartment of Physiotherapy, Kliniken Valens, Valens, Switzerland.
Patrick BischofIMES Institute of Mechanical Systems, ZHAW School of Engineering, Winterthur, Switzerland.
Christoph BauerInstitute of Physiotherapy, ZHAW School of Health Professions, Forschungsschwerpunkt Biomechanical Engineering, Technikumstrasse 9, 8400, Winterthur, Switzerland.
Robin LemmensCenter for Brain & Disease Research, Laboratory of Neurobiology, VIB, Leuven, Belgium.
Daniel BaumgartnerIMES Institute of Mechanical Systems, ZHAW School of Engineering, Winterthur, Switzerland. daniel.baumgartner@zhaw.ch.
Geert VerheydenDepartment of Rehabilitation Sciences, KU Leuven - University of Leuven, Leuven, Belgium.
KU Leuven · BEValens Clinics · CHZHAW Zurich University of Applied Sciences · CHVIB-KU Leuven Center for Brain & Disease Research · BEZHAW Zurich University of Applied Sciences · CH

Funding

Eurostars E! 11323Stiftelsen Promobilia Ref. 20062
6 · The paper itself

Abstract

backgroundTechnology development for sitting balance therapy and trunk rehabilitation is scarce. Hence, intensive one-to-one therapist-patient training is still required. We have developed a novel rehabilitation prototype, specifically aimed at providing sitting balance therapy. We investigated whether technology-supported sitting balance training was feasible and safe in chronic stroke patients and we determined whether clinical outcomes improved after a four-week programme, compared with usual care.

methodsIn this parallel-group, assessor-blinded, randomized controlled pilot trial, we divided first-event chronic stroke participants into two groups. The experimental group received usual care plus additional therapy supported by rehabilitation technology, consisting of 12 sessions of 50 min of therapy over four weeks. The control group received usual care only. We assessed all participants twice pre-intervention and once post-intervention. Feasibility and safety were descriptively analysed. Between-group analysis evaluated the pre-to-post differences in changes in motor and functional outcomes.

resultsIn total, 30 participants were recruited and 29 completed the trial (experimental group: n = 14; control group: n = 15). There were no between-group differences at baseline. Therapy was evaluated as feasible by participants and therapist. There were no serious adverse events during sitting balance therapy. Changes in clinical outcomes from pre- to post-intervention demonstrated increases in the experimental than in the control group for: sitting balance and trunk function, evaluated by the Trunk Impairment Scale (mean points score (SD) 7.07 (1.69) versus 0.33 (2.35); p < 0.000); maximum gait speed, assessed with the 10 Metre Walk Test (mean gait speed 0.16 (0.16) m/s versus 0.06 (0.06) m/s; p = 0.003); and functional balance, measured using the Berg balance scale (median points score (IQR) 4.5 (5) versus 0 (4); p = 0.014).

conclusionsTechnology-supported sitting balance training in persons with chronic stroke is feasible and safe. A four-week, 12-session programme on top of usual care suggests beneficial effects for trunk function, maximum gait speed and functional balance.

trial registrationClinicalTrials.gov identifier: NCT04467554, https://clinicaltrials.gov/ct2/show/NCT04467554 , date of Registration: 13 July 2020.

Indexed as

StrokeStroke RehabilitationExercise TherapyHumansPilot ProjectsPostural BalanceSitting PositionTechnologyTreatment OutcomeFeasibilityRandomized Controlled TrialSitting BalanceStrokeTechnology-supportedTrunk Rehabilitation

Identifiers

PMID34321042
PMCPMC8316712
OpenAlexW3156762488

What OpenQuestion holds

Textmetadata
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.