Evidence map›Paper›PMID 24890413›Full record

Trial reportJournal of neuroengineering and rehabilitation2014

Gait training early after stroke with a new exoskeleton--the hybrid assistive limb: a study of safety and feasibility.

Anneli Nilsson, Katarina Skough Vreede, Vera Häglund, Hiroaki Kawamoto, Yoshiyuki Sankai, Jörgen Borg

3 registry-linked trialsOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in Journal of neuroengineering and rehabilitation, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 74 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
74citing papers in PubMed, 4 pooled it
17.8field-weighted citation impact, top 1% 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.

NCT02410915 nacompletednot on this map

Gait Training Early After Stroke - a Comparison Between Training With the Exoskeleton Hybrid Assistive Limb and Conventional Gait Training

TypeinterventionalSponsorDanderyd HospitalRan2014 to 2017Enrolled32ConditionsStroke, Gait, Hemiplegic, Ambulation Difficulty, HemiparesisArmsHybrid Assistive Limb (HAL), gait training, Control Group, Conventional gait training
NCT02545088 nacompletednot on this mapstarted 2015, after this paper: background citation

New Technology for Individualised, Intensive Training of Gait After Stroke- Phase II Trials, Study II

TypeinterventionalSponsorDanderyd HospitalRan2015 to 2019Enrolled48ConditionsStroke, Ambulation Difficulty, HemiparesisArmsHybrid Assistive Limb (HAL), 1st control group, 2nd control group
NCT02545205 naterminatednot on this mapstarted 2018, after this paper: background citation

New Technology for Individualised, Intensive Training of Gait After Stroke- Phase II Trials, Study I

TypeinterventionalSponsorDanderyd HospitalRan2018 to 2018Enrolled2ConditionsStroke, Ambulation Difficulty, HemiparesisArmsHybrid Assistive Limb (HAL), Conventional gait training
3 · Its place in the literature

Who cites it

74 citing papers in PubMed, 4 syntheses or guidelines pooled it, 218 citations in OpenAlex.

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  14. Robot-assisted gait training in stroke.Turkish journal of physical medicine and rehabilitation · 2024
    Review
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  18. [Multi-modal synergistic quantitative analysis and rehabilitation assessment of lower limbs for exoskeleton].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2023
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14 more citing papers are in PubMed but not listed here.

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 3 institutions in 2 countries.

Anneli NilssonDepartment of Rehabilitation Medicine, Danderyd University Hospital, Building 39, floor 3, SE- 182 88 Stockholm, Sweden. anneli.2.nilsson@ds.se.
Katarina Skough Vreede
Vera Häglund
Hiroaki Kawamoto
Yoshiyuki Sankai
Jörgen Borg
Danderyds sjukhus · SEUniversity of Tsukuba · JPKarolinska Institutet · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntensive task specific training early after stroke may enhance beneficial neuroplasticity and functional recovery. Impaired gait after hemiparetic stroke remains a challenge that may be approached early after stroke by use of novel technology. The aim of the study was to investigate the safety and feasibility of the exoskeleton Hybrid Assistive Limb (HAL) for intensive gait training as part of a regular inpatient rehabilitation program for hemiparetic patients with severely impaired gait early after stroke.

methodsEligible were patients until 7 weeks after hemiparetic stroke. Training with HAL was performed 5 days per week by the autonomous and/or the voluntary control mode offered by the system. The study protocol covered safety and feasibility issues and aspects on motor function, gait performance according to the 10 Meter Walking Test (10MWT) and Functional Ambulation Categories (FAC), and activity performance.

resultsEight patients completed the study. Median time from stroke to inclusion was 35 days (range 6 to 46). Training started by use of the autonomous HAL mode in all and later switched to the voluntary mode in all but one and required one or two physiotherapists. Number of training sessions ranged from 6 to 31 (median 17) and walking time per session was around 25 minutes. The training was well tolerated and no serious adverse events occurred. All patients improved their walking ability during the training period, as reflected by the 10MWT (from 111.5 to 40 seconds in median) and the FAC (from 0 to 1.5 score in median).

conclusionsThe HAL system enables intensive training of gait in hemiparetic patients with severely impaired gait function early after stroke. The system is safe when used as part of an inpatient rehabilitation program for these patients by experienced physiotherapists.

Indexed as

Orthotic DevicesRecovery of FunctionStroke RehabilitationAdultExercise TherapyFeasibility StudiesFemaleGaitGait Disorders, NeurologicHumansMaleMiddle AgedParesisRoboticsStroke

Identifiers

PMID24890413
PMCPMC4065313
OpenAlexW2114940850

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.