Evidence map›Paper›PMID 22329866›Full record

Trial reportJournal of neuroengineering and rehabilitation2012

An observational report of intensive robotic and manual gait training in sub-acute stroke.

Lucas Conesa, Úrsula Costa, Eva Morales, Dylan J Edwards, Mar Cortes, Daniel León, Montserrat Bernabeu, Josep Medina

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

Trial report in Journal of neuroengineering and rehabilitation, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02735148 (The Effects of Body Weight Supported Treadmill Training On Static And Dynamic Balance In Stroke Patients), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
4.6field-weighted citation impact, top 6% 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.

NCT02735148 nacompletednot on this mapstarted 2014, after this paper: background citation

The Effects of Body Weight Supported Treadmill Training On Static And Dynamic Balance In Stroke Patients: A Randomized-Single Blind Study

TypeinterventionalSponsorIstanbul UniversityRan2014 to 2015Enrolled45ConditionsCerebrovascular Stroke, Cerebral Stroke, Cerebrovascular AccidentArmsBody Weight Supported Treadmill Training
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 43 citations in OpenAlex.

  1. Trial
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  4. Observational
  5. Article
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  12. Article
  13. Technological advances in interventions to enhance poststroke gait.Physical medicine and rehabilitation clinics of North America · 2013
    Review
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 at 2 institutions in 2 countries.

Lucas ConesaFunctional Rehabilitation Department, Neurorehabilitation Hospital Institut Guttmann, Badalona, Barcelona, Spain. lconesa@guttmann.com
Úrsula Costa
Eva Morales
Dylan J Edwards
Mar Cortes
Daniel León
Montserrat Bernabeu
Josep Medina
Institut Guttmann · ESBurke Medical Research Institute · US

Funding

Transcranial Direct Current Stimulation and Robotic Training in Chronic StrokeR01HD069776 · NICHD · WINIFRED MASTERSON BURKE MED RES INST · PI EDWARDS, DYLAN JAMES · 2012 to 2016
$3.2M
Transcranial Direct Current Stimulation and Motor Training in Chronic StrokeR21HD060999 · NICHD · WINIFRED MASTERSON BURKE MED RES INST · PI EDWARDS, DYLAN JAMES · 2009 to 2010
$468k
NICHD NIH HHS 5R21HD060999-02NICHD NIH HHS R01HD069776
6 · The paper itself

Abstract

backgroundThe use of automated electromechanical devices for gait training in neurological patients is increasing, yet the functional outcomes of well-defined training programs using these devices and the characteristics of patients that would most benefit are seldom reported in the literature. In an observational study of functional outcomes, we aimed to provide a benchmark for expected change in gait function in early stroke patients, from an intensive inpatient rehabilitation program including both robotic and manual gait training.

methodsWe followed 103 sub-acute stroke patients who met the clinical inclusion criteria for Body Weight Supported Robotic Gait Training (BWSRGT). Patients completed an intensive 8-week gait-training program comprising robotic gait training (weeks 0-4) followed by manual gait training (weeks 4-8). A change in clinical function was determined by the following assessments taken at 0, 4 and 8 weeks (baseline, mid-point and end-point respectively): Functional Ambulatory Categories (FAC), 10 m Walking Test (10 MWT), and Tinetti Gait and Balance Scales.

resultsOver half of the patients made a clinically meaningful improvement on the Tinetti Gait Scale (> 3 points) and Tinetti Balance Scale (> 5 points), while over 80% of the patients increased at least 1 point on the FAC scale (0-5) and improved walking speed by more than 0.2 m/s. Patients responded positively in gait function regardless of variables gender, age, aetiology (hemorrhagic/ischemic), and affected hemisphere. The most robust and significant change was observed for patients in the FAC categories two and three. The therapy was well tolerated and no patients withdrew for factors related to the type or intensity of training.

conclusionsEight-weeks of intensive rehabilitation including robotic and manual gait training was well tolerated by early stroke patients, and was associated with significant gains in function. Patients with mid-level gait dysfunction showed the most robust improvement following robotic training.

Indexed as

Stroke RehabilitationExercise TherapyFemaleGaitGait Disorders, NeurologicHumansMaleMiddle AgedRecovery of FunctionRoboticsStroke

Identifiers

PMID22329866
PMCPMC3305481
OpenAlexW2153529057

What OpenQuestion holds

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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.