Evidence map›Paper›PMID 29065788›Full record

SynthesisThe journal of spinal cord medicine2019

Walking speed is not the best outcome to evaluate the effect of robotic assisted gait training in people with motor incomplete Spinal Cord Injury: A Systematic Review with meta-analysis.

Ana Valeria Aguirre-Güemez, Aberto Isaac Pérez-Sanpablo, Jimena Quinzaños-Fresnedo, Ramiro Pérez-Zavala, Aída Barrera-Ortiz

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in The journal of spinal cord medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 4 pooled it
0.6field-weighted citation impact, top 32% 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

13 citing papers in PubMed, 4 syntheses or guidelines pooled it, 27 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

5 authors at 1 institution in 1 country.

Ana Valeria Aguirre-Güemeza División de Rehabilitación Neurológica , Instituto Nacional de Rehabilitación , Ciudad de México , México.
Aberto Isaac Pérez-Sanpablob Laboratorio de análisis de movimiento , Instituto Nacional de Rehabilitación , Ciudad de México , México.ORCID 0000-0003-0550-928X
Jimena Quinzaños-Fresnedoa División de Rehabilitación Neurológica , Instituto Nacional de Rehabilitación , Ciudad de México , México.
Ramiro Pérez-Zavalaa División de Rehabilitación Neurológica , Instituto Nacional de Rehabilitación , Ciudad de México , México.
Aída Barrera-Ortiza División de Rehabilitación Neurológica , Instituto Nacional de Rehabilitación , Ciudad de México , México.
Instituto Nacional de Rehabilitación · MX

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextWhile there are previous systematic reviews on the effectiveness of the use of robotic-assisted gait training (RAGT) in people with spinal cord injuries (SCI), as this is a dynamic field, new studies have been produced that are now incorporated on this systematic review (SR) with meta-analysis, updating the available evidence on this area.

objectiveTo synthesise the available evidence on the use of RAGT, to improve gait, strength and functioning.

methodsSR and meta-analysis following the Cochrane Handbook for Systematic Reviews of Interventions were implemented. Cochrane Injuries Group Specialized Register, PubMed, MEDLINE, EMBASE, CINAHL, ISIWeb of Science (SCIEXPANDED) databases were reviewed for the period 1990 to December 2016. Three researchers independently identified and categorized trials; 293 studies were identified, 273 eliminated; remaining 15 randomized clinical trials (RCT) and five SR. Six studies had available data for meta-analysis (222 participants).

resultsThe pooled mean demonstrated a beneficial effect of RAGT for WISCI, FIM-L and LEMS (3.01, 2.74 and 1.95 respectively), and no effect for speed.

conclusionsThe results show a positive effect in the use of RAGT. However, this should be taken carefully due to heterogeneity of the studies, small samples and identified limitations of some of the included trials. These results highlight the relevance of implementing a well-designed multicenter RCT powered enough to evaluate different RAGT approaches.

Indexed as

Outcome Assessment, Health CareRoboticsSelf-Help DevicesGait Disorders, NeurologicHumansSpinal Cord InjuriesWalking Speedlocomotor trainingrobot-assisted gait trainingroboticsSpinal cord injurieswalking

Identifiers

PMID29065788
PMCPMC6419626
OpenAlexW2766974616

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.