Evidence map›Paper›PMID 32023011›Full record

ArticleAnnals of clinical and translational neurology2020

The feasibility of using exoskeletal-assisted walking with epidural stimulation: a case report study.

Ashraf S Gorgey, Satinder Gill, Matthew E Holman, John C Davis, Roozbeh Atri, Ou Bai, Lance Goetz, Denise L Lester, Robert Trainer, Timothy D Lavis

2 registry-linked trialsAbstract readCase Reports
In one paragraph

Article in Annals of clinical and translational neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–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.

NCT06939660 narecruitingnot on this mapstarted 2025, after this paper: background citation

Spatiotemporal Spinal Cord Stimulation Based on Implantable Brain-machine Interfaces and Exoskeletons for Spinal Cord Injury (BASEGO)

TypeinterventionalSponsorXuanwu Hospital, BeijingRan2025 to 2027Enrolled3ConditionsSpinal Cord Injuries (SCI), Spinal Cord Injury, Chronic, Spinal Cord Injury, Spinal Cord Injury CervicalArmsBCI-SCS-EXS
NCT07745686 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

VALSE: Integration of Neuromodulation and Exoskeleton Systems for Mobility in Individuals With Chronic Spinal Cord Injury

TypeinterventionalSponsorEcole Polytechnique Fédérale de LausanneRan2026 to 2028Enrolled12ConditionsSpinal Cord InjuryArmsTWIICE Rise 1.0 robotic exoskeleton combined with epidural electrical stimulation (EES)
3 · Its place in the literature

Who cites it

21 citing papers in PubMed.

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  10. Synergistic implications of combinatorial rehabilitation approaches using spinal stimulation on therapeutic outcomes in spinal cord injury.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2024
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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

10 authors.

Ashraf S GorgeySpinal Cord Injury and Disorders Center, Hunter Holmes McGuire VAMC, 1201 Broad Rock Boulevard, Richmond, Virginia, 23249.ORCID 0000-0002-9157-6034
Satinder GillSpinal Cord Injury and Disorders Center, Hunter Holmes McGuire VAMC, 1201 Broad Rock Boulevard, Richmond, Virginia, 23249.ORCID 0000-0002-9222-8867
Matthew E HolmanSpinal Cord Injury and Disorders Center, Hunter Holmes McGuire VAMC, 1201 Broad Rock Boulevard, Richmond, Virginia, 23249.ORCID 0000-0001-9734-2418
John C DavisSpinal Cord Injury and Disorders Center, Hunter Holmes McGuire VAMC, 1201 Broad Rock Boulevard, Richmond, Virginia, 23249.
Roozbeh AtriDepartment of Electrical and Computer Engineering, Florida International University, Miami, Florida, 33174.
Ou BaiDepartment of Electrical and Computer Engineering, Florida International University, Miami, Florida, 33174.
Lance GoetzSpinal Cord Injury and Disorders Center, Hunter Holmes McGuire VAMC, 1201 Broad Rock Boulevard, Richmond, Virginia, 23249.
Denise L LesterDepartment of Physical Medicine & Rehabilitation, Virginia Commonwealth University, Richmond, Virginia, 23298.
Robert TrainerDepartment of Physical Medicine & Rehabilitation, Virginia Commonwealth University, Richmond, Virginia, 23298.
Timothy D LavisSpinal Cord Injury and Disorders Center, Hunter Holmes McGuire VAMC, 1201 Broad Rock Boulevard, Richmond, Virginia, 23249.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Spinal cord epidural stimulation (SCES) exhibits a rehabilitation potential of restoring locomotion in individuals with spinal cord injury (SCI). However, this is linked to an intensive rehabilitation locomotion approach, which is impractical to apply among a large clinical SCI population. We, hereby, propose a rehabilitation approach of using SCES to enhance motor control during exoskeletal-assisted walking (EAW). After 24 sessions (12 weeks) of EAW swing assistance decreased from 100% to 35% in a person with C7 complete SCI. This was accompanied by 573 unassisted steps (50% of the total number of steps). Electromyographic pattern improved during EAW, reflecting the subject's ability to rhythmically activate paralyzed muscles. Rate perceived exertion increased during EAW with SCES compared to stepping without SCES. These preliminary findings suggest that using SCES with EAW may be a feasible rehabilitation approach for persons with SCI.

Indexed as

Exercise TherapyExoskeleton DeviceNeurological RehabilitationSpinal Cord StimulationAdultCervical CordCombined Modality TherapyElectromyographyEpidural SpaceFeasibility StudiesHumansSpinal Cord Injuries

Identifiers

PMID32023011
PMCPMC7034511

What OpenQuestion holds

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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.