Evidence map›Paper›PMID 36366250›Full record

Trial reportSensors (Basel, Switzerland)2022

Vestibular Rehabilitation Improves Gait Quality and Activities of Daily Living in People with Severe Traumatic Brain Injury: A Randomized Clinical Trial.

Marco Tramontano, Valeria Belluscio, Elena Bergamini, Giulia Allevi, Sara De Angelis, Giorgia Verdecchia, Rita Formisano, Giuseppe Vannozzi, Maria Gabriella Buzzi

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Sensors (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 9% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

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  16. Instrumental assessment of dynamic postural stability in patients with unilateral vestibular hypofunction during straight, curved, and blindfolded gait.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2024
    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

9 authors at 2 institutions in 1 country.

Marco TramontanoIRCCS Santa Lucia Foundation, Via Ardeatina 306, 00179 Roma, Italy.ORCID 0000-0001-6034-0638
Valeria BelluscioIRCCS Santa Lucia Foundation, Via Ardeatina 306, 00179 Roma, Italy.ORCID 0000-0001-9893-1804
Elena BergaminiIRCCS Santa Lucia Foundation, Via Ardeatina 306, 00179 Roma, Italy.ORCID 0000-0002-9055-3981
Giulia AlleviIRCCS Santa Lucia Foundation, Via Ardeatina 306, 00179 Roma, Italy.
Sara De AngelisIRCCS Santa Lucia Foundation, Via Ardeatina 306, 00179 Roma, Italy.
Giorgia VerdecchiaIRCCS Santa Lucia Foundation, Via Ardeatina 306, 00179 Roma, Italy.
Rita FormisanoIRCCS Santa Lucia Foundation, Via Ardeatina 306, 00179 Roma, Italy.ORCID 0000-0002-2516-0540
Giuseppe VannozziIRCCS Santa Lucia Foundation, Via Ardeatina 306, 00179 Roma, Italy.ORCID 0000-0002-2359-6076
Maria Gabriella BuzziIRCCS Santa Lucia Foundation, Via Ardeatina 306, 00179 Roma, Italy.ORCID 0000-0003-1307-8707
Fondazione Santa Lucia · ITForo Italico University of Rome · IT

Funding

Ministero della Salute GR-2019-12370757Regione Lazio A0375-2020-36724
6 · The paper itself

Abstract

Neurorehabilitation research in patients with traumatic brain injury (TBI) showed how vestibular rehabilitation (VR) treatments positively affect concussion-related symptoms, but no studies have been carried out in patients with severe TBI (sTBI) during post-acute intensive neurorehabilitation. We aimed at testing this effect by combining sensor-based gait analysis and clinical scales assessment. We hypothesized that integrating VR in post-acute neurorehabilitation training might improve gait quality and activity of daily living (ADL) in sTBI patients. A two-arm, single-blind randomized controlled trial with 8 weeks of follow-up was performed including thirty sTBI inpatients that underwent an 8-week rehabilitation program including either a VR or a conventional program. Gait quality parameters were obtained using body-mounted magneto-inertial sensors during instrumented linear and curvilinear walking tests. A 4X2 mixed model ANOVA was used to investigate session−group interactions and main effects. Patients undergoing VR exhibited improvements in ADL, showing early improvements in clinical scores. Sensor-based assessment of curvilinear pathways highlighted significant VR-related improvements in gait smoothness over time (p < 0.05), whereas both treatments exhibited distinct improvements in gait quality. Integrating VR in conventional neurorehabilitation is a suitable strategy to improve gait smoothness and ADL in sTBI patients. Instrumented protocols are further promoted as an additional measure to quantify the efficacy of neurorehabilitation treatments.

Indexed as

Activities of Daily LivingBrain Injuries, TraumaticGaitHumansSingle-Blind MethodTreatment Outcomebalancebiomechanicsinertial sensorslocomotionmovement analysisneurorehabilitationRCTsmoothnesssTBIwearables

Identifiers

PMID36366250
PMCPMC9657265
OpenAlexW4308445494

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.