Evidence map›Paper›PMID 30995268›Full record

Trial reportPloS one2019

The long-term effects of an implantable drop foot stimulator on gait in hemiparetic patients.

Agnes Sturma, Othmar Schuhfried, Timothy Hasenoehrl, Clemens Ambrozy, Stefan Salminger, Laura A Hruby, Johannes A Mayer, Kirsten Götz-Neumann, Richard Crevenna, Michaela M Pinter and 1 more

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 31% 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

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Review
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 3 institutions in 2 countries.

Agnes SturmaChristian Doppler Laboratory for Restoration of Extremity Function, Medical University of Vienna, Vienna, Austria.ORCID 0000-0003-2066-1394
Othmar SchuhfriedDepartment of Physical Medicine, Rehabilitation and Occupational Medicine, Medical University of Vienna, Vienna, Austria.
Timothy HasenoehrlDepartment of Physical Medicine, Rehabilitation and Occupational Medicine, Medical University of Vienna, Vienna, Austria.
Clemens AmbrozyDepartment of Physical Medicine, Rehabilitation and Occupational Medicine, Medical University of Vienna, Vienna, Austria.
Stefan SalmingerChristian Doppler Laboratory for Restoration of Extremity Function, Medical University of Vienna, Vienna, Austria.
Laura A HrubyChristian Doppler Laboratory for Restoration of Extremity Function, Medical University of Vienna, Vienna, Austria.
Johannes A MayerChristian Doppler Laboratory for Restoration of Extremity Function, Medical University of Vienna, Vienna, Austria.
Kirsten Götz-NeumannObservational Gait Instructor Group (O.G.I.G.), Los Angeles, United States of America.
Richard CrevennaDepartment of Physical Medicine, Rehabilitation and Occupational Medicine, Medical University of Vienna, Vienna, Austria.
Michaela M PinterDepartment for Clinical Neurosciences and Preventive Medicine, Danube-University Krems, Krems, Austria.
Oskar C AszmannChristian Doppler Laboratory for Restoration of Extremity Function, Medical University of Vienna, Vienna, Austria.
Medical University of Vienna · ATHochschule Campus Wien · ATUniversität für Weiterbildung Krems · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Drop foot is a frequent abnormality in gait after central nervous system lesions. Different treatment strategies are available to functionally restore dorsal extension during swing phase in gait. Orthoses as well as surface and implantable devices for electrical stimulation of the peroneal nerve may be used in patients who do not regain good dorsal extension. While several studies investigated the effects of implanted systems on walking speed and gait endurance, only a few studies have focussed on the system's impact on kinematics and long-term outcomes. Therefore, our aim was to further investigate the effects of the implanted system ActiGait on gait kinematics and spatiotemporal parameters for the first time with a 1-year follow-up period. 10 patients were implanted with an ActiGait stimulator, with 8 patients completing baseline and follow-up assessments. Assessments included a 10-m walking test, video-based gait analysis and a Visual Analogue Scale (VAS) for health status. At baseline, gait analysis was performed without any assistive device as well as with surface electrical stimulation. At follow-up patients walked with the ActiGait system switched off and on. The maximum dorsal extension of the ankle at initial contact increased significantly between baseline without stimulation and follow-up with ActiGait (p = 0.018). While the spatio-temporal parameters did not seem to change much with the use of ActiGait in convenient walking speed, patients did walk faster when using surface stimulation or ActiGait compared to no stimulation at the 10-m walking test at their fastest possible walking speed. Patients rated their health better at the 1-year follow-up. In summary, a global improvement in gait kinematics compared to no stimulation was observed and the long-term safety of the device could be confirmed.

Indexed as

Electric Stimulation TherapyElectrodes, ImplantedFootGaitOrthotic DevicesParesisAdultAgedFemaleHumansMaleMiddle AgedPeroneal Nerve

Identifiers

PMID30995268
PMCPMC6469760
OpenAlexW2939548772

What OpenQuestion holds

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LicenceCC BY
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.