Evidence map›Paper›PMID 19799783›Full record

Trial reportJournal of neuroengineering and rehabilitation2009

Gait quality is improved by locomotor training in individuals with SCI regardless of training approach.

Carla F J Nooijen, Nienke Ter Hoeve, Edelle C Field-Fote

2 registry-linked trialsOpen access · goldAbstract readComparative StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of neuroengineering and rehabilitation, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 50 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 3 pooled it
6.9field-weighted citation impact, top 3% 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.

NCT01095380 phase2 / phase3completednot on this map

Comparison of Post-SCI Locomotor Training Techniques

TypeinterventionalSponsorUniversity of MiamiRan2003 to 2008Enrolled74ConditionsSpinal Cord InjuryArmsLocomotor training
NCT04052009 naunknown statusnot on this mapstarted 2019, after this paper: background citation

Effects of End-effector Based Training vs. Conventional Gait Training With Incomplete Spinal Cord Injury. A Pilot Study

TypeinterventionalSponsorRehab BaselRan2019 to 2020Enrolled36ConditionsIncomplete Spinal Cord InjuryArmsConventional gait training, End-effector based gait training, combined training (conventional and end-effector-based)
3 · Its place in the literature

Who cites it

50 citing papers in PubMed, 3 syntheses or guidelines pooled it, 139 citations in OpenAlex.

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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

3 authors at 2 institutions in 2 countries.

Carla F J NooijenThe Miami Project to Cure Paralysis, University of Miami Miller School of Medicine, Miami, FL, USA. c.nooijen@erasmusmc.nl
Nienke Ter Hoeve
Edelle C Field-Fote
University of Miami · USVrije Universiteit Amsterdam · NL

Funding

Comparison of post-SCI locomotor training techniquesR01HD041487 · NICHD · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI FIELD-FOTE, EDELLE CARMEN · 2002 to 2006
$1.3M
NICHD NIH HHS R01 HD041487NICHD NIH HHS R01HD41487PHS HHS H133B031114
6 · The paper itself

Abstract

backgroundWhile various body weight supported locomotor training (BWSLT) approaches are reported in the literature for individuals with spinal cord injury (SCI), none have evaluated outcomes in terms of gait quality. The purpose of this study was to compare changes in measures of gait quality associated with four different BWSLT approaches in individuals with chronic motor-incomplete SCI, and to identify how gait parameters differed from those of non-disabled (ND) individuals.

methodsData were analyzed from 51 subjects with SCI who had been randomized into one of four BWSLT groups: treadmill with manual assistance (TM), treadmill with electrical stimulation (TS), overground with electrical stimulation (OG), treadmill with locomotor robot (LR). Subjects with SCI performed a 10-meter kinematic walk test before and after 12 weeks of training. Ten ND subjects performed the test under three conditions: walking at preferred speed, at speed comparable to subjects with SCI, and with a walker at comparable speed. Six kinematic gait quality parameters were calculated including: cadence, step length, stride length, symmetry index, intralimb coordination, and timing of knee extension.

resultsIn subjects with SCI, all training approaches were associated with improvements in gait quality. After training, subjects with SCI walked at higher cadence and had longer step and stride lengths. No significant differences were found among training groups, however there was an interaction effect indicating that step and stride length improved least in the LR group. Compared to when walking at preferred speed, gait quality of ND subjects was significantly different when walking at speeds comparable to those of the subjects with SCI (both with and without a walker). Post training, gait quality measures of subjects with SCI were more similar to those of ND subjects.

conclusionBWSLT leads to improvements in gait quality (values closer to ND subjects) regardless of training approach. We hypothesize that the smaller changes in the LR group were due to the passive settings used for the robotic device. Compared to walking at preferred speed, gait quality values of ND individuals walking at a slower speed and while using a walker were more similar to those of individuals with SCI.

Indexed as

Physical Therapy ModalitiesAdultAgedBiomechanical PhenomenaCanesExercise TestFemaleGaitGait Disorders, NeurologicHumansMaleMiddle AgedMotor ActivityRecovery of FunctionRoboticsSpinal Cord Injuries

Identifiers

PMID19799783
PMCPMC2764722
OpenAlexW2122633504

What OpenQuestion 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 OpenQuestion graph.