Evidence map›Paper›PMID 31455358›Full record

ArticleJournal of neuroengineering and rehabilitation2019

Relearning functional and symmetric walking after stroke using a wearable device: a feasibility study.

Seok Hun Kim, David E Huizenga, Ismet Handzic, Rebecca Edgeworth Ditwiler, Matthew Lazinski, Tyagi Ramakrishnan, Andrea Bozeman, David Z Rose, Kyle B Reed

3 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Journal of neuroengineering and rehabilitation, 2019. 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 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.5field-weighted citation impact, top 11% 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.

NCT02185404 nacompletednot on this map

iStride(TM) Device Used for Stroke Rehabilitation

TypeinterventionalSponsorUniversity of South FloridaRan2016 to 2017Enrolled6ConditionsStrokeArmswearing the iStride device
NCT03649217 nacompletednot on this map

Active Limb Orthosis for Home-Use Stroke Hemiparetic Gait Rehabilitation

TypeinterventionalSponsorUniversity of South FloridaRan2018 to 2019Enrolled23ConditionsStrokeArmswearing the iStride device
NCT04434313 nacompletednot on this mapstarted 2020, after this paper: background citation

Treatment of Hemiparetic Gait Impairments Using Telehealth With the Moterum iStride Solution™

TypeinterventionalSponsorMoterum Technologies, Inc.Ran2020 to 2020Enrolled6ConditionsTelemedicine, Gait, Hemiplegic, Gait Disorders, Neurologic, StrokeArmsDelivery of iStride™ device gait treatment using telemedicine
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 27 citations in OpenAlex.

  1. Trial
  2. Article
  3. Gait Adaptation to Asymmetric Hip Stiffness Applied by a Robotic Exoskeleton.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2024
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Human Gait Analysis Metric for Gait Retraining.Applied bionics and biomechanics · 2019
    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

9 authors at 2 institutions in 1 country.

Seok Hun KimUniversity of South Florida, School of Physical Therapy and Rehabilitation Sciences, Tampa, FL, USA.
David E HuizengaMoterum Technologies Inc., Greenville, SC, USA.
Ismet HandzicMoterum Technologies Inc., Greenville, SC, USA.
Rebecca Edgeworth DitwilerUniversity of South Florida, School of Physical Therapy and Rehabilitation Sciences, Tampa, FL, USA.
Matthew LazinskiUniversity of South Florida, School of Physical Therapy and Rehabilitation Sciences, Tampa, FL, USA.
Tyagi RamakrishnanNorthern New Mexico College, Espanola, NM, USA.
Andrea BozemanUniversity of South Florida Department of Neurology, Tampa, FL, USA.
David Z RoseUniversity of South Florida Department of Neurology, Tampa, FL, USA.
Kyle B ReedUniversity of South Florida, Department of Mechanical Engineering, Tampa, FL, USA. kylereed@usf.edu.ORCID 0000-0003-0848-8971
University of South Florida · USNorthern New Mexico College · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGait impairment is a common consequence of stroke and typically involves a hemiparetic or asymmetric walking pattern. Asymmetric gait patterns are correlated with decreased gait velocity and efficiency as well as increased susceptibility to serious falls and injuries. RESEARCH QUESTION: This paper presents an innovative device worn on a foot for gait rehabilitation post stroke. The device generates a backward motion to the foot, which is designed to exaggerate the existing step length asymmetry while walking over ground. We hypothesize this motion will decrease gait asymmetry and improve functional walking in individuals with chronic stroke.

methodsSix participants with chronic stroke, more than one year post stroke, received four weeks of gait training with three sessions per week. Each session included 30 min of walking over ground using the wearable device. Gait symmetry and functional walking were assessed before and after training.

resultsAll participants improved step length symmetry, and four participants improved double limb support symmetry. All participants improved on all three functional outcomes (gait velocity, Timed Up and Go Test, and 6-Minute Walk Test), and five participants improved beyond the minimal detectable change or meaningful change in at least one functional outcome.

conclusionThe results indicate that the presented device may help improve stroke patients' walking ability and warrant further study. A gait training approach using this new device may enable and expand long-term continuous gait rehabilitation outside the clinic following stroke.

trial registrationNCT02185404. Registered July 9, 2014, https://clinicaltrials.gov/ct2/show/NCT02185404.

Indexed as

WalkingWearable Electronic DevicesAgedBiomechanical PhenomenaFeasibility StudiesFemaleFootFunctional LateralityGait Disorders, NeurologicHumansLongitudinal StudiesMaleMiddle AgedParesisStroke RehabilitationTreatment OutcomeAsymmetryHemiparetic gaitRehabilitationStroke

Identifiers

PMID31455358
PMCPMC6712835
OpenAlexW2970615415

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.