Evidence map›Paper›PMID 27762171›Full record

ArticleThe journal of spinal cord medicine2017

Decrease of spasticity after hybrid assistive limb

Akira Ikumi, Shigeki Kubota, Yukiyo Shimizu, Hideki Kadone, Aiki Marushima, Tomoyuki Ueno, Hiroaki Kawamoto, Yasushi Hada, Akira Matsumura, Yoshiyuki Sankai and 1 more

Open access · greenAbstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in The journal of spinal cord medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 4 pooled it
3.7field-weighted citation impact, top 7% 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

19 citing papers in PubMed, 4 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Article
  7. Article
  8. Article
  9. Observational
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. 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

11 authors at 2 institutions in 1 country.

Akira Ikumia Department of Orthopaedic Surgery, Faculty of Medicine , University of Tsukuba , Ibaraki , Japan.ORCID 0000-0001-6034-1593
Shigeki Kubotaa Department of Orthopaedic Surgery, Faculty of Medicine , University of Tsukuba , Ibaraki , Japan.
Yukiyo Shimizuc Department of Rehabilitation Medicine , University of Tsukuba Hospital , Ibaraki , Japan.
Hideki Kadoned Center for Innovating Medicine and Engineering (CIME) , University of Tsukuba Hospital , Ibaraki , Japan.
Aiki Marushimae Department of Neurosurgery, Faculty of Medicine , University of Tsukuba , Ibaraki , Japan.
Tomoyuki Uenoc Department of Rehabilitation Medicine , University of Tsukuba Hospital , Ibaraki , Japan.
Hiroaki Kawamotof Faculty of Systems and Information Engineering , University of Tsukuba , Ibaraki , Japan.
Yasushi Hadac Department of Rehabilitation Medicine , University of Tsukuba Hospital , Ibaraki , Japan.
Akira Matsumurae Department of Neurosurgery, Faculty of Medicine , University of Tsukuba , Ibaraki , Japan.
Yoshiyuki Sankaif Faculty of Systems and Information Engineering , University of Tsukuba , Ibaraki , Japan.
Masashi Yamazakia Department of Orthopaedic Surgery, Faculty of Medicine , University of Tsukuba , Ibaraki , Japan.
University of Tsukuba · JPUniversity of Tsukuba Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextRecently, locomotor training with robotic assistance has been found effective in treating spinal cord injury (SCI). Our case report examined locomotor training using the robotic suit hybrid assistive limb (HAL) in a patient with complete C4 quadriplegia due to chronic SCI. This is the first report examining HAL in complete C4 quadriplegia.

findingsThe patient was a 19-year-old man who dislocated C3/4 during judo 4 years previously. Following the injury, he underwent C3/4 posterior spinal fusion but remained paralyzed despite rehabilitation. There was muscle atrophy under C5 level and no sensation around the anus, but partial sensation of pressure remained in the limbs. The American Spinal Injury Association impairment scale was Grade A (complete motor C4 lesion). HAL training was administered in 10 sessions (twice per week). The training sessions consisted of treadmill walking with HAL. For safety, 2 physicians and 1 therapist supported the subject for balance and weight-bearing. The device's cybernic autonomous control mode provides autonomic physical support based on predefined walking patterns. We evaluated the adverse events, walking time and distance, and the difference in muscle spasticity before and after HAL-training using a modified Ashworth scale (mAs). No adverse events were observed that required discontinuation of rehabilitation. Walking distance and time increased from 25.2 meters/7.6 minutes to 148.3 meter/15 minutes. The mAs score decreased after HAL training.

conclusionOur case report indicates that HAL training is feasible and effective for complete C4 quadriplegia in chronic SCI.

Indexed as

HumansMaleMotion Therapy, Continuous PassiveNeurological RehabilitationQuadriplegiaRoboticsSpinal Cord InjuriesWalkingYoung AdultHybrid assistive limb (HAL)Locomotor trainingRoboticsSpasticitySpinal cord injury

Identifiers

PMID27762171
PMCPMC5815155
OpenAlexW2538654510

What OpenQuestion holds

Textmetadata
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.