Evidence map›Paper›PMID 37997324›Full record

Trial reportEuropean journal of physical and rehabilitation medicine2024

Cognitive-motor dual-task training improves dynamic stability during straight and curved gait in patients with multiple sclerosis: a randomized controlled trial.

Marco Tramontano, Ornella Argento, Amaranta S Orejel Bustos, Sara DE Angelis, Rebecca Montemurro, Michela Bossa, Valeria Belluscio, Elena Bergamini, Giuseppe Vannozzi, Ugo Nocentini

Open access · diamondAbstract readRandomized Controlled Trial
In one paragraph

Trial report in European journal of physical and rehabilitation medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
2.8field-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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
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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

10 authors at 3 institutions in 1 country.

Marco TramontanoDepartment of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy - marco.tramontano@unibo.it.
Ornella ArgentoSanta Lucia Foundation, Scientific Institute for Research and Health Care, Rome, Italy.
Amaranta S Orejel BustosSanta Lucia Foundation, Scientific Institute for Research and Health Care, Rome, Italy.
Sara DE AngelisSanta Lucia Foundation, Scientific Institute for Research and Health Care, Rome, Italy.
Rebecca MontemurroSanta Lucia Foundation, Scientific Institute for Research and Health Care, Rome, Italy.
Michela BossaSanta Lucia Foundation, Scientific Institute for Research and Health Care, Rome, Italy.
Valeria BelluscioSanta Lucia Foundation, Scientific Institute for Research and Health Care, Rome, Italy.
Elena BergaminiSanta Lucia Foundation, Scientific Institute for Research and Health Care, Rome, Italy.
Giuseppe VannozziSanta Lucia Foundation, Scientific Institute for Research and Health Care, Rome, Italy.
Ugo NocentiniSanta Lucia Foundation, Scientific Institute for Research and Health Care, Rome, Italy.
Fondazione Santa Lucia · ITAzienda USL di Bologna · ITForo Italico University of Rome · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMultiple Sclerosis (MS) is a chronic inflammatory, demyelinating, degenerative disease of the central nervous system and the second most frequent cause of permanent disability in young adults. One of the most common issues concerns the ability to perform postural and gait tasks while simultaneously completing a cognitive task (namely, dual-task DT).

aimAssessing cognitive-motor dual-task training effectiveness in patients with Multiple Sclerosis (PwMS) for dynamic gait quality when walking on straight, curved, and blindfolded paths.

designTwo-arm single-blind randomized controlled trial. Follow-up at 8 weeks.

settingNeurorehabilitation Hospital. POPULATION: A sample of 42 PwMS aged 28-71, with a score of 4.00±1.52 on the Expanded Disability Status Scale were recruited.

methodsParticipants were randomized in conventional (CTg) neurorehabilitation and dual-task training (DTg) groups and received 12 sessions, 3 days/week/4 weeks. They were assessed at baseline (T0), after the treatment (T1), and 8 weeks after the end of the treatment (T2) through Mini-BESTest, Tinetti Performance Oriented Mobility Assessment, Modified Barthel Index, and a set of spatiotemporal parameters and gait quality indices related to stability, symmetry, and smoothness of gait extracted from initial measurement units (IMUs) data during the execution of the 10-meter Walk Test (10mWT), the Figure-of-8 Walk Test (Fo8WT) and the Fukuda Stepping Test (FST).

resultsThirty-one PwMS completed the trial at T2. Significant improvement within subjects was found in Mini-BESTest scores for DTg from T0 to T1. The IMU-based assessment indicated significant differences in stability (P<0.01) and smoothness (P<0.05) measures between CTg and DTg during 10mWT and Fo8WT. Substantial improvements (P<0.017) were also found in the inter-session comparison, primarily for DTg, particularly for stability, symmetry, and smoothness measures.

conclusionsThis study supports the effectiveness of DT in promoting dynamic motor abilities in PwMS. CLINICAL REHABILITATION IMPACT: Cognitive-motor DT implemented into the neurorehabilitation conventional program could be a useful strategy for gait and balance rehabilitation.

Indexed as

Multiple SclerosisCognitionExercise TherapyGaitHumansPostural BalanceSingle-Blind MethodYoung Adult

Identifiers

PMID37997324
PMCPMC10932486
OpenAlexW4388979084

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.