Evidence map›Paper›PMID 37596323›Full record

Trial reportScientific reports2023

Kinematic mechanism of the rehabilitative effect of 4-channel NMES: post-hoc analysis of a prospective randomized controlled study.

Jiwoon Lim, Jun Chang Lee, Eun Gyeong Jang, Sun Young Choi, Kyoung-Ho Seo, So Young Lee, Donghwi Park, Byung-Mo Oh, Han Gil Seo, Ju Seok Ryu

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03670498 (A Double-blind, Parallel Cumulative Medical Device Pivotal Clinical Study to Assess the Safety and Efficacy of the 4 Channel NMES, Multi-center Prospective Study), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT03670498 nacompletednot on this map

A Double-blind, Parallel Cumulative Medical Device Pivotal Clinical Study to Assess the Safety and Efficacy of the 4 Channel NMES, Multi-center Prospective Study (Pilot Study)

TypeinterventionalSponsorSeoul National University HospitalRan2018 to 2019Enrolled26ConditionsDysphagiaArms4 channel Electrical Stimulation Device, 2 channel Electrical Stimulation Device
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. 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

10 authors.

Jiwoon LimDepartment of Rehabilitation Medicine, Korea University Ansan Hospital, Ansan-si, South Korea.
Jun Chang LeeDepartment of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seongnam-si, South Korea.
Eun Gyeong JangDepartment of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seongnam-si, South Korea.
Sun Young ChoiDepartment of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seongnam-si, South Korea.
Kyoung-Ho SeoDepartment of Rehabilitation Medicine, Seongnam Citizen's Medical Center, Seongnam-si, South Korea.
So Young LeeDepartment of Rehabilitation Medicine, Jeju National University Hospital, Jeju National University College of Medicine, Jeju, South Korea.
Donghwi ParkDepartment of Rehabilitation Medicine, Ulsan University Hospital, Ulsan, South Korea.
Byung-Mo OhDepartment of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, South Korea.
Han Gil SeoDepartment of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, South Korea.
Ju Seok RyuDepartment of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seongnam-si, South Korea. jseok337@snu.ac.kr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The sequential 4-channel neuromuscular electrical stimulation (NMES), based on the normal contractile sequences of swallowing-related muscles, is a new rehabilitative treatment. The objective of this study was to explore the mechanism of the rehabilitative effect of the 4-channel NMES using kinematic analysis of videofluoroscopic swallowing study (VFSS) data. For this post-hoc analysis, we included a subset of participants from the prospective randomized controlled study on the clinical effectiveness of the sequential 4-channel NMES compared with that of the conventional 2-channel NMES. Seventeen subjects (11 and six in the 4- and 2-channel NMES groups, respectively) were eligible for the kinematic analysis of VFSS data. The hyoid bone movement was analyzed by evaluating the distance and time parameters with four peak points (A, B, C, D). The 4-channel NMES group showed significant improvement in vertical distances (A-C), horizontal distance (A-B, A-C), time interval (A-B-C) and total time, compared with their pretreatment data. The 2-channel NMES group showed significant improvements in time interval (A-B); however, the Euclidean distance (A-D) and mean velocity of the Euclidean distance (A-C) were significantly decreased. When the two groups were directly compared, the 4-channel group showed significantly greater improvement in horizontal distance (A-B), Euclidean distance (A-D), time interval (A-B-C), and mean velocity the Euclidean distance (A-D). The results in this study suggest that the sequential 4-channel NMES might lead to the physiologic circular movement of the hyoid bone during swallowing, and therefore be an effective treatment for dysphagia.Trial registration: Clinicaltrials.gov, registration number: NCT03670498.

Indexed as

Deglutition DisordersFractures, BoneBiomechanical PhenomenaDeglutitionFluoroscopyHumansProspective Studies

Identifiers

PMID37596323
PMCPMC10439227

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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.