Evidence map›Paper›PMID 37700225›Full record

ArticleBMC neurology2023

Synergy-based functional electrical stimulation and robotic-assisted for retraining reach-to-grasp in stroke: a study protocol for a randomized controlled trial.

Huan-Xia Zhou, Jun Hu, Rui-Sheng Yun, Zhong-Zhi Zhao, Ming-Hui Lai, Li-Hui-Zi Sun, Kai-Liang Luo

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMC neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07576465 (Effects of Synergy-based Motor Therapy Combined With Neuromuscular Electrical Stimulation in Post Stroke Patients), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.4field-weighted citation impact, top 35% 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.

NCT07576465 narecruitingnot on this mapstarted 2026, after this paper: background citation

Effects of Synergy-based Motor Therapy Combined With Neuromuscular Electrical Stimulation in Post Stroke Patients

TypeinterventionalSponsorRiphah International UniversityRan2026 to 2026Enrolled40ConditionsStrokeArmsSynergy-based motor therapy, Neuromuscular electrical stimulation, Conventional therapy
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 3 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. 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 5 institutions in 1 country.

Huan-Xia ZhouDepartment of Rehabilitation Medical Center, Seventh People's Hospital of Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Jun HuDepartment of Occupational Therapy, The Second Rehabilitation Hospital of Shanghai, No.25, Lane 860, Changjiang Road, Baoshan District, Shanghai, 200441, China. jasonhwu@126.com.
Rui-Sheng YunDepartment of Mental Health Rehabilitation Center, Peking University Sixth Hospital, Beijing, China.
Zhong-Zhi ZhaoDepartment of Rehabilitation Medical Center, Seventh People's Hospital of Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Ming-Hui LaiDepartment of Rehabilitation Medical Center, Seventh People's Hospital of Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Li-Hui-Zi SunDepartment of Occupational Therapy, The Second Rehabilitation Hospital of Shanghai, No.25, Lane 860, Changjiang Road, Baoshan District, Shanghai, 200441, China.
Kai-Liang LuoDepartment of Rehabilitation, The First Affiliated Hospital of Fujian Medical University, Fujian, China.
Seventh People's Hospital of Shanghai · CNShanghai Second People's Hospital · CNFujian Medical University · CNPeking University · CNShanghai University of Traditional Chinese Medicine · CN

Funding

Excellent Young Medical Talents Training Program of Health Commission of Pudong New District PWRq2020-13Youth Research Project of Shanghai Municipal Health Commission 20214Y0285
6 · The paper itself

Abstract

backgroundStroke survivors have long-term upper limb impairment, which impacts the quality of life (QOL) and social reintegration, but there is lack of effective therapeutic strategies and novel technologies. Customized multi-muscle functional electrical stimulation (FES) based on the muscle synergy of healthy adults and robotic-assisted therapy (RAT) have been proved efficacy respectively. Synergy-based FES combined with RAT can be a novel and more effective therapy for upper limb recovery of stroke survivors from the perspective of synergistic enhancement. However, few studies have examined the effectiveness of combined synergy-based FES and RAT, especially for motor control evaluated by reach-to-grasp (RTG) movements. The main objective of the following research protocol is to evaluate the effectiveness and efficacy, as well as adoptability, of FES-RAT and FES or RAT rehabilitation program for upper limb function improvement after stroke.

methodsThis will be an assessor-blinded randomized controlled trial involving a 12-week intervention and a 6-month follow-up. Stratified randomization will be used to equally and randomly assign 162 stroke patients into the FES + conventional rehabilitation program (CRP) group, RAT + CRP group and FES-RAT + CRP group. Interventions will be provided in 5 sessions per week, with a total of 60 sessions. The primary outcome measurements will include the Fugl-Meyer Assessment and Biomechanical Assessment of RTG movements. The secondary outcome measurements will include quality of life and brain neuroplasticity assessments by MRI. Evaluations will be performed at five time points, including at baseline, 6 weeks and 12 weeks from the start of treatment, and 3 months and 6 months following the end of treatment. A two-way analysis of variance with repeated measures will be applied to examine the main effects of the group, the time factor and group-time interaction effects. DISCUSSION: The results of the study protocol will provide high quality evidence for integrated synergy-based FES and RAT, and synergy-based FES alone and guide the design of more effective treatment methods for stroke rehabilitation.

trial registrationChiCTR2300071588.

Indexed as

Robotic Surgical ProceduresStrokeStroke RehabilitationAdultElectric StimulationHumansQuality of LifeRandomized Controlled Trials as TopicMotor functionRobotic-assisted therapyStrokeSynergy-based functional electrical stimulationUpper limb

Identifiers

PMID37700225
PMCPMC10496180
OpenAlexW4386640019

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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 Socratic graph.