Evidence map›Paper›PMID 42133852›Full record

Trial reportAmerican journal of Alzheimer's disease and other dementias

Treatment of Clinically Diagnosed Alzheimer's Disease by External Counterpulsation A Randomized Clinical Trial.

Jack E Juni, Jeffrey M Burns, David H Salat, Drew Hill, Steven Tally, Jeffrey S Martin, Michael D Devous, Patrick M Moriarty

Abstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in American journal of Alzheimer's disease and other dementias. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Jack E JuniMedical Device Development, Renew Research, LLC, Farmington Hills, MI, USA.
Jeffrey M BurnsUniversity of Kansas Alzheimer's Disease Center, University of Kansas, Kansas City, KS, USA.
David H SalatMGH/MIT/HMS Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Boston, MA, USA.
Drew HillMedical Device Development, Renew Research, LLC, Farmington Hills, MI, USA.
Steven TallyHerbert Wertheim School of Public Health and Human Longevity Science, University of California, San Diego, CA, USA.
Jeffrey S MartinDepartment of Basic Medical Sciences, Lincoln Memorial University, Knoxville, TN, USA.ORCID 0000-0001-6762-086X
Michael D DevousMDD Enterprises, Nogal, New Mexico, USA.
Patrick M MoriartyUniversity of Kansas Medical Center, Kansas City, KS, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

ObjectiveTo assess external counterpulsation (ECP) effects on cognitive and functional decline in early AD.MethodsThis 12-month, multicenter, blinded, randomized, sham-controlled trial enrolled 190 patients with early AD (MCI due to AD or mild AD per NIA-AA clinical criteria). Participants received either full-pressure ECP (150-300 mmHg) or sham (25 mmHg): 3-5 weekly one-hour sessions for 35 treatments, then twice-weekly through six months. Assessments occurred at baseline and weeks 6, 12, 18, 24, 36, and 52. Primary endpoints included ADCS-ADL, ADAS-cog-14, and VADAS-cog.ResultsFull-pressure ECP significantly improved ADCS-ADL scores versus sham (mean change 2.57 vs. -0.49; p=0.036) and VADAS-cog scores (9.95 vs. 5.22; p=0.005) at 12-24 weeks. Benefits persisted through 52 weeks despite treatment cessation at 6 months. No serious device-related adverse events occurred.ConclusionsFull-pressure ECP therapy significantly improved cognition and ADL compared to sham treatment in early AD. ECP represents a novel therapeutic approach warranting further investigation.

Indexed as

Alzheimer DiseaseCognitive DysfunctionCounterpulsationActivities of Daily LivingAgedAged, 80 and overFemaleHumansMaleTreatment Outcomeactivities of daily livingAlzheimer’s diseasecognitive functionexternal counterpulsationmild cognitive impairmentvascular therapy

Identifiers

PMID42133852
PMCPMC13180080

What OpenQuestion holds

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Registered trials

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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.