Evidence map›Paper›PMID 42674425›Full record

Trial reportArquivos de neuro-psiquiatria2026

Vestibular rehabilitation in hereditary spastic paraplegia: a randomized pilot study.

Geslaine Janaina Bueno Dos Santos, Maria Izabel Rodrigues Severiano, Flávio Magno Gonçalves, Cristiano Miranda de Araujo, Bianca Simone Zeigelboim, Hélio Afonso Ghizoni Teive

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Arquivos de neuro-psiquiatria, 2026. 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

6 authors.

Geslaine Janaina Bueno Dos SantosUniversidade Federal do Paraná, Programa de Pós-Graduação em Medicina Interna e Ciências da Saúde, Curitiba PR, Brazil.ORCID 0000-0001-7374-3647
Maria Izabel Rodrigues SeverianoUniversidade Federal do Paraná, Programa de Pós-Graduação em Medicina Interna e Ciências da Saúde, Curitiba PR, Brazil.ORCID 0000-0002-7230-7744
Flávio Magno GonçalvesUniversidade Tuiuti do Paraná, Programa de Pós-Graduação em Saúde da Comunicação Humana, Departamento de Otoneurologia, Curitiba PR, Brazil.ORCID 0000-0002-7972-2844
Cristiano Miranda de AraujoUniversidade Tuiuti do Paraná, Programa de Pós-Graduação em Saúde da Comunicação Humana, Departamento de Otoneurologia, Curitiba PR, Brazil.ORCID 0000-0003-1325-4248
Bianca Simone ZeigelboimUniversidade Tuiuti do Paraná, Programa de Pós-Graduação em Saúde da Comunicação Humana, Departamento de Otoneurologia, Curitiba PR, Brazil.ORCID 0000-0003-4871-2683
Hélio Afonso Ghizoni TeiveUniversidade Federal do Paraná, Programa de Pós-Graduação em Medicina Interna e Ciências da Saúde, Curitiba PR, Brazil.ORCID 0000-0003-2305-1073

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Hereditary spastic paraplegia (HSP) is a neurodegenerative disorder characterized by spasticity, lower limb weakness, impaired balance, and increased risk of falls. Objective: To evaluate the effect of vestibular rehabilitation associated with virtual reality (VRi) on functional balance in patients with HSP. Methods: A randomized pilot clinical trial was conducted with 16 patients who were diagnosed with HSP and divided into two groups: GI (balance games) and GII (balance + strength games). Interventions were performed via the Wii console and the Wii Balance Board platform (Nintendo Co, Ltd.). The Berg balance scale (BBS) and physiological profile assessment (PPA) were administered at T0 (prerehabilitation), T1 (after 10 sessions), and T2 (after 20 sessions). The Friedman test and Wilcoxon test were used to analyze temporal changes, the Mann-Whitney test was used to compare the groups. Results: All patients reported imbalance and muscle fatigue, whereas heaviness in the lower limbs and weakness were more common in GII. The visual contrast domain showed a significant change from T0 to T2, with scores increasing by a median of 2.0 (18.5-20.5) units. Conclusion: The use of VRi showed potential as a therapeutic adjunct in HSP rehabilitation, with improvements in balance and fall risk. However, larger studies are needed to corroborate these results. Clinical trial registration: ReBEC (RBR-3JMX67, 01/29/2020). https://ensaiosclinicos.gov.br/rg/RBR-3jmx67.

Indexed as

Exercise TherapyPostural BalanceSpastic Paraplegia, HereditaryAdultFemaleHumansMaleMiddle AgedPilot ProjectsStatistics, NonparametricTime FactorsTreatment OutcomeYoung Adult

Identifiers

PMID42674425
PMCPMC13529347

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.