Evidence map›Paper›PMID 31831847›Full record

Trial reportSpinal cord2020

Gait ability required to achieve therapeutic effect in gait and balance function with the voluntary driven exoskeleton in patients with chronic spinal cord injury: a clinical study.

Hiroki Okawara, Tomonori Sawada, Kohei Matsubayashi, Keiko Sugai, Osahiko Tsuji, Narihito Nagoshi, Morio Matsumoto, Masaya Nakamura

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Spinal cord, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 4 pooled it
1.8field-weighted citation impact, top 14% 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

15 citing papers in PubMed, 4 syntheses or guidelines pooled it, 31 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

8 authors at 2 institutions in 1 country.

Hiroki Okawara *Department of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan.
Tomonori Sawada *Department of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan.
Kohei MatsubayashiDepartment of Orthopaedic Surgery, National Hospital Organization, Murayama Medical Center, Tokyo, Japan.
Keiko SugaiDepartment of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan.
Osahiko TsujiDepartment of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan.
Narihito NagoshiDepartment of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan.
Morio MatsumotoDepartment of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan.
Masaya NakamuraDepartment of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan. masa@a8.keio.jp.
Keio University · JPNational Hospital Organization · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designA non-randomized open-label single-arm clinical trial.

objectivesTo analyze the effect of body weight supported treadmill training (BWSTT) with the voluntary driven exoskeleton (VDE) in persons with differing levels and completeness of spinal cord injury (SCI) and differing walking abilities.

settingKeio University Hospital, Tokyo, Japan.

methodsTwenty individuals with chronic SCI (age, 43 ± 17 years) classified as American Spinal Injury Association Impairment Scale grade A (n = 2), B (n = 4), C (n = 8), or D (n = 6) who had reached a plateau in recovery. Participants underwent twenty 60 min sessions of BWSTT with the hybrid assisted limb. The speed, distance, and duration walked in every 60 min training session were recorded. The Walking Index for SCI Scale II (WISCI-II), 10 meters walk test (10MWT), 2 min walk test, timed up and go (TUG) test, Berg Balance Scale (BBS), lower extremity motor score (LEMS), Barthel Index, and Functional Independence Measure were evaluated at pre and post intervention.

resultsThere was a significant improvement in 10MWT, TUG, and BBS after the intervention. Walking ability significantly improved in participants with high walking ability at baseline (WISCI-II score 6-20; n = 12) but not in participants with low walking ability (WISCI-II score 0-3; n = 8). Significant improvement of BBS was also shown in participants with high walking ability at baseline.

conclusionsPatients with high walking ability at baseline responded better to the training than those with low walking ability.

Indexed as

Exercise TherapyExoskeleton DeviceOutcome Assessment, Health CarePostural BalanceWalkingAdultChronic DiseaseExercise TestFemaleGait Disorders, NeurologicHumansMaleMiddle AgedSeverity of Illness IndexSpinal Cord Injuries

Identifiers

PMID31831847
OpenAlexW2996132696

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.