Evidence map›Paper›PMID 38167021›Full record

SynthesisBiomedical engineering online2024

Cycling using functional electrical stimulation therapy to improve motor function and activity in post-stroke individuals in early subacute phase: a systematic review with meta-analysis.

Wagner Rodrigues Galvão, Luana Karoline Castro Silva, Magno Ferreira Formiga, George André Pereira Thé, Christina Danielli Coelho de Morais Faria, Ramon Távora Viana, Lidiane Andréa Oliveira Lima

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Biomedical engineering online, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 15% 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

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

  1. Pooled it
  2. Trial
  3. 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

7 authors at 2 institutions in 1 country.

Wagner Rodrigues GalvãoMaster Program in Physiotherapy and Functioning, Federal University of Ceará, Fortaleza, Brazil. wagnerrodriguesg17@gmail.com.
Luana Karoline Castro SilvaMaster Program in Physiotherapy and Functioning, Federal University of Ceará, Fortaleza, Brazil.
Magno Ferreira FormigaMaster Program in Physiotherapy and Functioning, Federal University of Ceará, Fortaleza, Brazil.
George André Pereira ThéDepartment of Teleinformatics Engineering, Federal University of Ceará, Fortaleza, Brazil.
Christina Danielli Coelho de Morais FariaDepartment of Physiotherapy, Federal University of Minas Gerais, Belo Horizonte, Brazil.
Ramon Távora VianaDepartment of Physiotherapy, Federal University of Ceará, Fortaleza, Brazil.
Lidiane Andréa Oliveira LimaMaster Program in Physiotherapy and Functioning, Federal University of Ceará, Fortaleza, Brazil.
Universidade Federal do Ceará · BRUniversidade Federal de Minas Gerais · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStroke necessitates interventions to rehabilitate individuals with disabilities, and the application of functional electrical stimulation therapy (FEST) has demonstrated potential in this regard. This study aimed to analyze the efficacy and effectiveness of cycling using FEST to improve motor function and lower limb activity in post-stroke individuals.

methodsWe performed a systematic review according to the recommendations of the PRISMA checklist, searching MEDLINE, Cochrane, EMBASE, LILACS, and PEDro databases by July 2022, without any date or language limitations. Studies were selected using the following terms: stroke, electrical stimulation therapy, cycling, and clinical trials. Randomized or quasi-randomized clinical trials that investigated the effectiveness of cycling using FEST combined with exercise programs and cycling using FEST alone for motor function and activity in subacute post-stroke individuals were included. The quality of included trials was assessed using the PEDro scores. Outcome data were extracted from eligible studies and combined in random-effects meta-analyses. The quality of evidence was determined according to the Grading of Recommendations Assessment, Development, and Evaluation system.

resultsFive randomized clinical trials involving 187 participants were included. Moderate-quality evidence indicates that cycling using FEST combined with exercise programs promotes relevant benefits in trunk control (MD 9 points, 95% CI 0.36-17.64) and walking distance (MD 94.84 m, 95% CI 39.63-150.05, I = 0%), the other outcomes had similar benefits. Cycling using FEST alone compared to exercise programs promotes similar benefits in strength, balance, walking speed, walking distance, and activities of daily living.

conclusionThis systematic review provides low- to moderate-quality evidence that cycling using FEST may be an effective strategy to consider in improving motor function and activity outcomes for post-stroke individuals in the early subacute phase. REVIEW REGISTRATION: PROSPERO (CRD42022345282).

Indexed as

Electric Stimulation TherapyStrokeStroke RehabilitationActivities of Daily LivingExerciseHumansRandomized Controlled Trials as TopicElectrical stimulationFESTGaitStrokeSystematic review

Identifiers

PMID38167021
PMCPMC10762955
OpenAlexW4390496436

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.