Evidence map›Paper›PMID 24440365›Full record

Trial reportArchives of physical medicine and rehabilitation2014

Robotic resistance/assistance training improves locomotor function in individuals poststroke: a randomized controlled study.

Ming Wu, Jill M Landry, Janis Kim, Brian D Schmit, Sheng-Che Yen, Jillian Macdonald

Open access · greenAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Archives of physical medicine and rehabilitation, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 5 pooled it
4.7field-weighted citation impact, top 5% 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.

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

23 citing papers in PubMed, 5 syntheses or guidelines pooled it, 58 citations in OpenAlex.

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  4. Electromechanical-assisted training for walking after stroke.The Cochrane database of systematic reviews · 2020
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  5. Electromechanical-assisted training for walking after stroke.The Cochrane database of systematic reviews · 2017
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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

6 authors at 2 institutions in 1 country.

Ming WuSensory Motor Performance Program, Rehabilitation Institute of Chicago, Chicago, IL; Department of Physical Medicine and Rehabilitation, Northwestern University, Chicago, IL. Electronic address: w-ming@northwestern.edu.
Jill M LandrySensory Motor Performance Program, Rehabilitation Institute of Chicago, Chicago, IL.
Janis KimSensory Motor Performance Program, Rehabilitation Institute of Chicago, Chicago, IL.
Brian D SchmitSensory Motor Performance Program, Rehabilitation Institute of Chicago, Chicago, IL; Department of Physical Medicine and Rehabilitation, Northwestern University, Chicago, IL; Department of Biomedical Engineering, Marquette University, Milwaukee, WI.
Sheng-Che YenSensory Motor Performance Program, Rehabilitation Institute of Chicago, Chicago, IL.
Jillian MacdonaldSensory Motor Performance Program, Rehabilitation Institute of Chicago, Chicago, IL.
Shirley Ryan AbilityLab · USMarquette University · US

Funding

Locomotor Adaptation in Individuals Post-StrokeR21HD058267 · NICHD · REHABILITATION INSTITUTE OF CHICAGO D/B/A SHIRLEY RYAN ABILITYLAB · PI WU, MING · 2009 to 2010
$417k
NICHD NIH HHS 1R21HD058267NICHD NIH HHS R21 HD058267
6 · The paper itself

Abstract

objectiveTo determine whether providing a controlled resistance versus assistance to the paretic leg at the ankle during treadmill training will improve walking function in individuals poststroke.

designRepeated assessment of the same patients with parallel design and randomized controlled study between 2 groups.

settingResearch units of rehabilitation hospitals.

participantsPatients (N=30) with chronic stroke.

interventionSubjects were stratified based on self-selected walking speed and were randomly assigned to the resistance or assistance training group. For the resistance group, a controlled resistance load was applied to the paretic leg at the ankle to resist leg swing during treadmill walking. For the assistance group, a load that assists swing was applied.

main outcome measuresPrimary outcome measures were walking speed and 6-minute walking distance. Secondary measures included clinical assessments of balance, muscle tone, and quality of life. Outcome measures were evaluated before and after 6 weeks of training and at 8 weeks' follow-up, and compared within group and between the 2 groups.

resultsAfter 6 weeks of robotic training, walking speed significantly increased for both groups, with no significant differences in walking speed gains observed between the 2 groups. In addition, 6-minute walking distance and balance significantly improved for the assistance group but not for the resistance group.

conclusionsApplying a controlled resistance or an assistance load to the paretic leg during treadmill training may induce improvements in walking speed in individuals poststroke. Resistance training was not superior to assistance training in improving locomotor function in individuals poststroke.

Indexed as

Recovery of FunctionRoboticsStroke RehabilitationEquipment DesignExercise TestFemaleFollow-Up StudiesGait Disorders, NeurologicHumansLegLocomotionMaleMiddle AgedResistance TrainingStrokeTreatment OutcomeGaitHemiplegiaRecovery of functionRehabilitationRoboticsWalking

Identifiers

PMID24440365
PMCPMC4076161
OpenAlexW2007199052

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.