Evidence map›Paper›PMID 38452199›Full record

ArticlePhysical therapy2024

Blood Flow Restriction and Veterans With Multiple Sclerosis and Advanced Disability: Protocol for a Randomized Controlled Trial.

Mark M Mañago, Robert Will, Talia Strahler, Lauren Van Valkenburgh, Michael O Harris-Love, Jeri E Forster, Michelle Cameron, Cory L Christiansen

Abstract readClinical Trial Protocol
In one paragraph

Article in Physical therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

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

1 citing paper in PubMed.

  1. Trial
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

8 authors.

Mark M MañagoDepartment of Physical Medicine and Rehabilitation, University of Colorado, Aurora, Colorado, USA.ORCID 0000-0002-4928-9787
Robert WillDepartment of Neurology, School of Medicine, University of Colorado, Aurora, Colorado, USA.
Talia StrahlerDepartment of Neurology, School of Medicine, University of Colorado, Aurora, Colorado, USA.
Lauren Van ValkenburghDepartment of Physical Medicine and Rehabilitation, University of Colorado, Aurora, Colorado, USA.
Michael O Harris-LoveDepartment of Physical Medicine and Rehabilitation, University of Colorado, Aurora, Colorado, USA.ORCID 0000-0002-1842-3269
Jeri E ForsterDepartment of Physical Medicine and Rehabilitation, University of Colorado, Aurora, Colorado, USA.
Michelle CameronDepartment of Neurology, Oregon Health & Science University, Portland, Oregon, USA.
Cory L ChristiansenDepartment of Physical Medicine and Rehabilitation, University of Colorado, Aurora, Colorado, USA.

Funding

NIH Prior Approval Process ProfessionalUL1TR002535 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2018 to 2022
$51.1M
Colorado Clinical and Translational Sciences InstituteUL1TR001082 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2013 to 2017
$48.0M
Colorado Clinical and Translational Science Institute NIH/NCATS UL1-TR001082Department of Veterans Affairs Rehabilitation Service IK2 RX004242-01NCATS NIH HHS UL1 TR001082NCATS NIH HHS UL1 TR002535RRD VA IK2 RX004242
6 · The paper itself

Abstract

objectiveThe purpose of this study will be to determine the efficacy of low intensity lower extremity resistance training with and without blood flow restriction (BFR) on quadriceps muscle strength and thickness in veterans with advanced multiple sclerosis (MS).

methodsThis will be an assessor-blinded, 2-group (1 to 1 allocation) randomized controlled trial targeting an enrollment of 58 participants with advanced MS as defined by Patient-Determined Disease Steps scale levels 4 to 7. Both groups will complete 10 weeks of twice weekly low-load resistance training (20%-30% of 1-repetition max) targeting knee and hip extension, knee flexion, and ankle plantarflexion. The intervention group will perform all training using BFR, with limb occlusion pressures between 60% and 80% of maximal limb occlusion pressure. Primary outcomes will be quadriceps muscle strength and thickness. Secondary outcomes will include knee flexion and ankle plantarflexion strength, functional mobility, physical activity, and patient-reported measures. All outcomes will be assessed at baseline before the intervention, immediately after the intervention, and at a 2-month follow-up assessment. The change between groups postintervention and after the 2-month follow-up will be reported for all outcomes. All analyses will assume a 2-sided test of hypothesis (α = .05). IMPACT: There is very little evidence for the efficacy of exercise interventions in people with MS who have advanced mobility disability. Resistance training with BFR may be an important approach for people with advanced MS who may not tolerate more conventional, moderate-to-high intensity resistance training. The results of this study will inform clinicians regarding exercise decisions for people with advanced MS and future investigations on the role of BFR in people with MS.

Indexed as

Multiple SclerosisMuscle StrengthResistance TrainingVeteransAdultFemaleHumansLower ExtremityMaleQuadriceps MuscleRandomized Controlled Trials as TopicRegional Blood FlowSingle-Blind MethodBFRExerciseMultiple SclerosisMuscle MorphologyMuscle Strength

Identifiers

PMID38452199
PMCPMC12106284

What OpenQuestion holds

Textmetadata
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.