Evidence map›Paper›PMID 30214126›Full record

ArticleJournal of physical therapy science2018

Long-term sustained effect of gait training using a hybrid assistive limb on gait stability via prevention of knee collapse in a patient with cerebral palsy: a case report.

Yusuke Endo, Hirotaka Mutsuzaki, Masafumi Mizukami, Kenichi Yoshikawa, Yasuto Kobayashi, Arito Yozu, Yuki Mataki, Shogo Nakagawa, Nobuaki Iwasaki, Masashi Yamazaki

Abstract readCase Reports
In one paragraph

Article in Journal of physical therapy science, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. 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

10 authors.

Yusuke EndoDepartment of Physical Therapy, Ibaraki Prefectural University of Health Sciences, Japan.
Hirotaka MutsuzakiDepartment of Orthopaedic Surgery, Ibaraki Prefectural University of Health Sciences: 4669-2 Ami, Ami-machi, Inashiki-gun, Ibaraki 300-0394, Japan.
Masafumi MizukamiDepartment of Physical Therapy, Ibaraki Prefectural University of Health Sciences, Japan.
Kenichi YoshikawaDepartment of Physical Therapy, Ibaraki Prefectural University of Health Sciences Hospital, Japan.
Yasuto KobayashiDepartment of Sport Management, Faculty of Business and Public Administration, Sakushin Gakuin University, Japan.
Arito YozuDepartment of Rehabilitation Medicine, Ibaraki Prefectural University of Health Sciences, Japan.
Yuki MatakiDepartment of Orthopaedic Surgery, Ibaraki Prefectural University of Health Sciences: 4669-2 Ami, Ami-machi, Inashiki-gun, Ibaraki 300-0394, Japan.
Shogo NakagawaDepartment of Orthopaedic Surgery, Ibaraki Prefectural University of Health Sciences: 4669-2 Ami, Ami-machi, Inashiki-gun, Ibaraki 300-0394, Japan.
Nobuaki IwasakiDepartment of Pediatrics, Ibaraki Prefectural University of Health Sciences Hospital, Japan.
Masashi YamazakiDepartment of Orthopaedic Surgery, Faculty of Medicine, University of Tsukuba, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

[Purpose] The hybrid assistive limb was developed to improve the kinematics and muscle activity in patients with neurological and orthopedic conditions. The purpose of the present study was to examine the long-term sustained effect of gait training using a hybrid assistive limb on gait stability, kinematics, and muscle activity by preventing knee collapse in a patient with cerebral palsy. [Participant and Methods] A 17 year-old male with cerebral palsy performed gait training with a hybrid assistive limb 12 times in 4 weeks. After completion of 12 sessions of hybrid assistive limb training, monthly follow-up was conducted for 8 months. The improvement was assessed on the basis of joint angle and muscle activity during gait. [Results] The degree of knee collapse observed at baseline was improved at 8-month follow-up. Regarding muscle activity, electromyography revealed increased activation of the vastus lateralis at 8-month follow-up. Moreover, the hip and knee angles were expanded during gait. In particular, the knee extension angle at heel contact was increased at 8 months after follow-up. [Conclusion] Gait training with a hybrid assistive limb provided improvement of gait stability such as kinematics and muscle activity in a patient with cerebral palsy. The improved gait stability through prevention of knee collapse achieved with hybrid assistive limb training sustained for 8 months.

Indexed as

Cerebral palsyHybrid Assistive Limb (HAL)Knee collapse

Identifiers

PMID30214126
PMCPMC6127483

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Registered trials

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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.