Evidence map›Paper›PMID 35300709›Full record

Trial reportJournal of neuroengineering and rehabilitation2022

Bimanual motor skill learning with robotics in chronic stroke: comparison between minimally impaired and moderately impaired patients, and healthy individuals.

Eloïse Gerardin, Damien Bontemps, Nicolas-Thomas Babuin, Benoît Herman, Adrien Denis, Benoît Bihin, Maxime Regnier, Maria Leeuwerck, Thierry Deltombe, Audrey Riga and 1 more

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

Trial report in Journal of neuroengineering and rehabilitation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03974750 (Bimanual Motor Skill Learning Through Robotics in Stroke Survivors and Healthy Individuals), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 15% 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.

NCT03974750 narecruitingnot on this map

Bimanual Motor Skill Learning Through Robotics in Stroke Survivors and Healthy Individuals

TypeinterventionalSponsorUniversity Hospital of Mont-GodinneRan2017 to 2030Enrolled100ConditionsStrokeArmsBimanual motor skill learning with the REAplan(R) rehabilitation robot
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Rest the brain to learn new gait patterns after stroke.Journal of neuroengineering and rehabilitation · 2024
    Article
  8. Article
  9. Rest the Brain to Learn New Gait Patterns after Stroke.medRxiv : the preprint server for health sciences · 2024
    Article
  10. 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

11 authors at 2 institutions in 1 country.

Eloïse GerardinNeurology Department, Stroke Unit, UCLouvain, CHU UCL Namur (Godinne), Yvoir, Belgium. eloise.gerardin@uclouvain.be.ORCID 0000-0003-2058-6750
Damien BontempsDepartment of Physical Medicine and Rehabilitation, UCLouvain, CHU UCL Namur (Godinne), Yvoir, Belgium.
Nicolas-Thomas BabuinDepartment of Physical Medicine and Rehabilitation, UCLouvain, CHU UCL Namur (Godinne), Yvoir, Belgium.
Benoît HermanLouvain Bionics, UCLouvain, Louvain-la-Neuve, Belgium.
Adrien DenisLouvain Bionics, UCLouvain, Louvain-la-Neuve, Belgium.
Benoît BihinScientific Support Unit (USS), UCLouvain, CHU UCL Namur (Godinne), Yvoir, Belgium.
Maxime RegnierScientific Support Unit (USS), UCLouvain, CHU UCL Namur (Godinne), Yvoir, Belgium.
Maria LeeuwerckDepartment of Physical Medicine and Rehabilitation, UCLouvain, CHU UCL Namur (Godinne), Yvoir, Belgium.
Thierry DeltombeDepartment of Physical Medicine and Rehabilitation, UCLouvain, CHU UCL Namur (Godinne), Yvoir, Belgium.
Audrey RigaNeurology Department, Stroke Unit, UCLouvain, CHU UCL Namur (Godinne), Yvoir, Belgium.
Yves VandermeerenNeurology Department, Stroke Unit, UCLouvain, CHU UCL Namur (Godinne), Yvoir, Belgium.
CHU Dinant Godinne UCL Namur · BEUCLouvain · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMost activities of daily life (ADL) require cooperative bimanual movements. A unilateral stroke may severely impair bimanual ADL. How patients with stroke (re)learn to coordinate their upper limbs (ULs) is largely unknown. The objectives are to determine whether patients with chronic supratentorial stroke could achieve bimanual motor skill learning (bim-MSkL) and to compare bim-MSkL between patients and healthy individuals (HIs).

methodsTwenty-four patients and ten HIs trained over 3 consecutive days on an asymmetrical bimanual coordination task (CIRCUIT) implemented as a serious game in the REAplan® robot. With a common cursor controlled by coordinated movements of the ULs through robotic handles, they performed as many laps as possible (speed constraint) on the CIRCUIT while keeping the cursor within the track (accuracy constraint). The primary outcome was a bimanual speed/accuracy trade-off (biSAT), we used a bimanual coordination factor (biCO) and bimanual forces (biFOP) for the secondary outcomes. Several clinical scales were used to evaluate motor and cognitive functions.

resultsOverall, the patients showed improvements on biSAT and biCO. Based on biSAT progression, the HI achieved a larger bim-MSkL than the patients with mild to moderate impairment (Fugl-Meyer Assessment Upper Extremity (FMA-UE): 28-55, n = 15) but not significantly different from those with minimal motor impairment (FMA-UE: 66, n = 9). There was a significant positive correlation between biSAT evolution and the FMA-UE and Stroke Impact Scale.

conclusionsBoth HI and patients with chronic stroke training on a robotic device achieved bim-MSkL, although the more impaired patients were less efficient. Bim-MSkL with REAplan® may be interesting for neurorehabilitation after stroke.

trial registrationClinicalTrial.gov identifier: NCT03974750. Registered 05 June 2019. https://clinicaltrials.gov/ct2/show/NCT03974750?cond=NCT03974750&draw=2&rank=1.

Indexed as

RoboticsStrokeStroke RehabilitationHumansLearningMotor SkillsBimanualBimanual coordinationMotor learningNeurorehabilitationRoboticsStroke

Identifiers

PMID35300709
PMCPMC8928664
OpenAlexW4221008257

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.