Evidence map›Paper›PMID 36536249›Full record

Trial reportJournal of neurology2023

Effect of robotic tilt table verticalization on recovery in patients with disorders of consciousness: a randomized controlled trial.

M J Rosenfelder, V C Helmschrott, L Willacker, B Einhäupl, T M Raiser, A Bender

2 registry-linked trialsOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are 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
2.3field-weighted citation impact, top 11% 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.

NCT02639481 phase3completednot on this map

Erigo®Pro Coma Outcome Study - Study on the Effectiveness of a Robotic Tilt Table Device for Recovery of Consciousness

TypeinterventionalSponsorLudwig-Maximilians - University of MunichRan2016 to 2019Enrolled47ConditionsBrain Injuries, Disorders of ConsciousnessArmsStandard physiotherapy, Erigo®Pro group without FES, Erigo®Pro group with FES
NCT05953649 naunknown statusnot on this map

Effect of Early Extracorporeal Diaphragm Pacing (EDP) Combined With Tilt Table Verticalization (TTV) on Diaphragm Function in Critically Ill Patients With Mechanical Ventilation: a Randomized Controlled Trial.

TypeinterventionalSponsorSun Yat-Sen Memorial Hospital of Sun Yat-Sen UniversityRan2023 to 2024Enrolled90ConditionsEarly Mobilization, Critically Ill, Mechanical Ventilation, Diaphragm DysfunctionArmsExtracorporeal Diaphragm Pacing, Tilt Table Verticalization, Conventional Physiotherapy
3 · Its place in the literature

Who cites it

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

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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

6 authors at 2 institutions in 1 country.

M J RosenfelderTherapiezentrum Burgau, Kapuzinerstraße 34, 89331, Burgau, Germany. m.rosenfelder@therapiezentrum-burgau.de.
V C HelmschrottTherapiezentrum Burgau, Kapuzinerstraße 34, 89331, Burgau, Germany.
L WillackerDepartment of Neurology, Ludwig-Maximilians-University of Munich, Marchioninistraße 15, 81377, Munich, Germany.
B EinhäuplDepartment of Neurology, Ludwig-Maximilians-University of Munich, Marchioninistraße 15, 81377, Munich, Germany.
T M Raiser *Department of Neurology, Ludwig-Maximilians-University of Munich, Marchioninistraße 15, 81377, Munich, Germany.
A Bender *Therapiezentrum Burgau, Kapuzinerstraße 34, 89331, Burgau, Germany.
Ludwig-Maximilians-Universität München · DETherapiezentrum Burgau · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Verticalization is a common therapeutic intervention during rehabilitation of patients with disorders of consciousness (DoC). The Erigo®Pro is a robotic tilt-table (RTT) with built-in stepping unit for the lower extremities to prevent orthostatic hypotension during verticalization. In addition, the system also provides functional electrical stimulation (FES) of muscles of the lower extremities. In this randomized controlled clinical trial (RCT), 47 patients with subacute DoC received a 4-week verticalization regime (16 verticalization sessions) and were allocated to one of three experimental groups: (1) verticalization by means of RTT with FES, (2) by means of RTT without FES, or (3) by conventional physiotherapy (CPT). Level of consciousness (LoC), spasticity, functional independence in daily activities, and functional brain connectivity measured by means of high-density quantitative EEG were assessed at baseline, directly after the verticalization program and after 6 months. There was a similar clinical improvement in all three experimental groups. RTT was not associated with an effect on any of the clinical outcomes. Verticalization or mobilization time during the study period was significantly positively correlated with recovery of consciousness (rho = 0.494, p < 0.001) in the short term and showed a statistical trend at the 6 months follow-up (rho = 0.244, p = 0.078). In conclusion, RTT treatment is not more effective in promoting recovery of consciousness than CPT in subacute DoC patients. Yet, our data suggest, that verticalization may be an important and feasible rehabilitation intervention in this group of patients. ClinicalTrials.gov NCT Number NCT02639481, registered on December 24, 2015.

Indexed as

Hypotension, OrthostaticRobotic Surgical ProceduresConsciousnessConsciousness DisordersHumansPhysical Therapy ModalitiesDisorders of consciousnessERIGO®Functional recoveryTilt tableVerticalization

Identifiers

PMID36536249
PMCPMC9971146
OpenAlexW4312019260

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.