Evidence map›Paper›PMID 37780126›Full record

ArticleFrontiers in sports and active living2023

Motor adaptation and immediate retention to overground gait-slip perturbation training in people with chronic stroke: an experimental trial with a comparison group.

Tanvi Bhatt, Shamali Dusane, Rachana Gangwani, Shuaijie Wang, Lakshmi Kannan

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Frontiers in sports and active living, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03205527 (Perturbation Training for Enhancing Stability and Limb Support Control for Fall-risk Reduction Among Stroke Survivors), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.9field-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.

NCT03205527 naactive not recruitingnot on this map

Perturbation Training for Enhancing Stability and Limb Support Control for Fall-risk Reduction Among Stroke Survivors

TypeinterventionalSponsorUniversity of Illinois at ChicagoRan2017 to 2027Enrolled91ConditionsStrokeArmsOverground slip perturbation training
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 4 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

5 authors at 2 institutions in 1 country.

Tanvi Bhatt *Department of Physical Therapy, College of Applied Health Sciences, University of Illinois, Chicago, IL, United States.
Shamali Dusane *Department of Physical Therapy, College of Applied Health Sciences, University of Illinois, Chicago, IL, United States.
Rachana GangwaniDepartment of Physical Therapy, College of Applied Health Sciences, University of Illinois, Chicago, IL, United States.
Shuaijie WangDepartment of Physical Therapy, College of Applied Health Sciences, University of Illinois, Chicago, IL, United States.
Lakshmi KannanDepartment of Physical Therapy, College of Applied Health Sciences, University of Illinois, Chicago, IL, United States.
University of Illinois Chicago · USUniversity of Illinois Urbana-Champaign · US

Funding

Perturbation training for enhancing stability and limb support control for fall-risk reduction among stroke survivorsR01HD088543 · NICHD · UNIVERSITY OF ILLINOIS AT CHICAGO · PI BHATT, TANVI · 2016 to 2022
$1.9M
NICHD NIH HHS R01 HD088543
6 · The paper itself

Abstract

Background: Perturbation-based training has shown to be effective in reducing fall-risk in people with chronic stroke (PwCS). However, most evidence comes from treadmill-based stance studies, with a lack of research focusing on training overground perturbed walking and exploring the relative contributions of the paretic and non-paretic limbs. This study thus examined whether PwCS could acquire motor adaptation and demonstrate immediate retention of fall-resisting skills following bilateral overground gait-slip perturbation training. Methods: 65 PwCS were randomly assigned to either (i) a training group, that received blocks of eight non-paretic (NP-S1 to NP-S8) and paretic (P-S1 to P-S8) overground slips during walking followed by a mixed block (seven non-paretic and paretic slips each interspersed with unperturbed walking trials) (NP-S9/P-S9 to NP-S15/P-S15) or (ii) a control group, that received a single non-paretic and paretic slip in random order. The assessor and training personnel were not blinded. Immediate retention was tested for the training group after a 30-minute rest break. Primary outcomes included laboratory-induced slip outcomes (falls and balance loss) and center of mass (CoM) state stability. Secondary outcomes to understand kinematic contributors to stability included recovery strategies, limb kinematics, slipping kinematics, and recovery stride length. Results: PwCS within the training group showed reduced falls ( Conclusion: PwCS can reduce laboratory-induced slip falls and backward balance loss outcomes by adapting their post-slip CoM state stability after bilateral overground gait-slip perturbation training. Such reactive adaptations were better acquired and retained post-training in PwCS especially on the non-paretic slips than paretic slips, suggesting a need for higher dosage for paretic slips. Clinical registry number: NCT03205527.

Indexed as

adaptationfallsreactive balancestabilitystroke

Identifiers

PMID37780126
PMCPMC10533933
OpenAlexW4386699476

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.