Evidence map›Paper›PMID 32552775›Full record

Trial reportJournal of neuroengineering and rehabilitation2020

The ReWalk ReStore™ soft robotic exosuit: a multi-site clinical trial of the safety, reliability, and feasibility of exosuit-augmented post-stroke gait rehabilitation.

Louis N Awad, Alberto Esquenazi, Gerard E Francisco, Karen J Nolan, Arun Jayaraman

2 registry-linked trialsOpen access · goldAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Journal of neuroengineering and rehabilitation, 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 48 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 3 pooled it
11.7field-weighted citation impact, top 1% 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.

NCT03499210 naunknown statusnot on this map

A Multi-site, Interventional, Non-comparative, Single-arm Trial to Evaluate the Safety of the ReWalk ReStore Device in Subjects With Mobility Impairments Due to Ischemic or Hemorrhagic Stroke

TypeinterventionalSponsorReWalk Robotics, Inc.Ran2018 to 2018Enrolled40ConditionsStroke, Stroke, Acute, Stroke Hemorrhagic, HemiparesisArmsReWalk ReStore device
NCT07218094 naenrolling by invitationnot on this mapstarted 2025, after this paper: background citation

Neuromechanical Mechanisms of Exosuit-assisted Gait Rehabilitation After Stroke

TypeinterventionalSponsorBoston University Charles River CampusRan2025 to 2027Enrolled22ConditionsStrokeArmsWalking with robotic ankle assistance
3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 3 syntheses or guidelines pooled it, 173 citations in OpenAlex.

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  12. A Lightweight Powered Hip Exoskeleton With Parallel Actuation for Frontal and Sagittal Plane Assistance.IEEE transactions on robotics : a publication of the IEEE Robotics and Automation Society · 2025
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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

5 authors at 5 institutions in 1 country.

Louis N AwadDepartment of Physical Therapy & Athletic Training, Boston University, Boston, MA, USA. louawad@bu.edu.ORCID 0000-0002-0159-8011
Alberto EsquenaziDepartment of PM&R, MossRehab and Einstein Healthcare Network, Elkins Park, PA, USA.
Gerard E FranciscoDepartment of PM&R, University of Texas McGovern Medical School, TIRR Memorial Hermann, Houston, TX, USA.
Karen J NolanCenter for Mobility and Rehabilitation Engineering, Kessler Foundation, West Orange, NJ, USA.
Arun JayaramanDepartment of PM&R, Northwestern University, Chicago, IL, USA. ajayaraman@sralab.org.
Boston University · USEinstein Healthcare Network · USMemorial Hermann Institute for Rehabilitation and Research Foundation · USNorthwestern University · USRutgers, The State University of New Jersey · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAtypical walking in the months and years after stroke constrain community reintegration and reduce mobility, health, and quality of life. The ReWalk ReStore™ is a soft robotic exosuit designed to assist the propulsion and ground clearance subtasks of post-stroke walking by actively assisting paretic ankle plantarflexion and dorsiflexion. Previous proof-of-concept evaluations of the technology demonstrated improved gait mechanics and energetics and faster and farther walking in users with post-stroke hemiparesis. We sought to determine the safety, reliability, and feasibility of using the ReStore™ during post-stroke rehabilitation.

methodsA multi-site clinical trial (NCT03499210) was conducted in preparation for an application to the United States Food and Drug Administration (FDA). The study included 44 users with post-stroke hemiparesis who completed up to 5 days of training with the ReStore™ on the treadmill and over ground. In addition to primary and secondary endpoints of safety and device reliability across all training activities, an exploratory evaluation of the effect of multiple exposures to using the device on users' maximum walking speeds with and without the device was conducted prior to and following the five training visits.

resultsAll 44 study participants completed safety and reliability evaluations. Thirty-six study participants completed all five training days. No device-related falls or serious adverse events were reported. A low rate of device malfunctions was reported by clinician-operators. Regardless of their reliance on ancillary assistive devices, after only 5 days of walking practice with the device, study participants increased both their device-assisted (Δ: 0.10 ± 0.03 m/s) and unassisted (Δ: 0.07 ± 0.03 m/s) maximum walking speeds (P's < 0.05).

conclusionsWhen used under the direction of a licensed physical therapist, the ReStore™ soft exosuit is safe and reliable for use during post-stroke gait rehabilitation to provide targeted assistance of both paretic ankle plantarflexion and dorsiflexion during treadmill and overground walking.

trial registrationNCT03499210. Prospectively registered on March 28, 2018.

Indexed as

Exoskeleton DeviceAdultFeasibility StudiesFemaleGait Disorders, NeurologicHumansMaleMiddle AgedParesisPhysical Therapy ModalitiesQuality of LifeReproducibility of ResultsRoboticsStrokeStroke RehabilitationExoskeletonExosuitPhysical therapyRehabilitationStrokeWalking

Identifiers

PMID32552775
PMCPMC7301475
OpenAlexW3035926617

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.