Evidence map›Paper›PMID 33915808›Full record

ArticleBrain sciences2021

Functional Gait Recovery after a Combination of Conventional Therapy and Overground Robot-Assisted Gait Training Is Not Associated with Significant Changes in Muscle Activation Pattern: An EMG Preliminary Study on Subjects Subacute Post Stroke.

Francesco Infarinato, Paola Romano, Michela Goffredo, Marco Ottaviani, Daniele Galafate, Annalisa Gison, Simone Petruccelli, Sanaz Pournajaf, Marco Franceschini

Open access · goldAbstract read
In one paragraph

Article in Brain sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 16% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
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  6. Article
  7. Article
  8. Article
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  11. Enhanced Rehabilitation Outcomes of Robotic-Assisted Gait Training with EksoNR Lower Extremity Exoskeleton in 19 Stroke Patients.Medical science monitor : international medical journal of experimental and clinical research · 2023
    Observational
  12. Robotic-Assisted Gait Training (RAGT) in Stroke Rehabilitation: A Pilot Study.Archives of rehabilitation research and clinical translation · 2023
    Article
  13. Review
  14. Observational
  15. Article
  16. Article
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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

9 authors at 1 institution in 1 country.

Francesco InfarinatoNeurorehabilitation Research Laboratory, IRCCS San Raffaele Roma, 00163 Rome, Italy.ORCID 0000-0002-5570-8490
Paola RomanoNeurorehabilitation Research Laboratory, IRCCS San Raffaele Roma, 00163 Rome, Italy.ORCID 0000-0003-2441-135X
Michela GoffredoNeurorehabilitation Research Laboratory, IRCCS San Raffaele Roma, 00163 Rome, Italy.ORCID 0000-0002-2651-8479
Marco OttavianiNeurorehabilitation Research Laboratory, IRCCS San Raffaele Roma, 00163 Rome, Italy.ORCID 0000-0002-6037-2960
Daniele GalafateNeurorehabilitation Research Laboratory, IRCCS San Raffaele Roma, 00163 Rome, Italy.
Annalisa GisonNeurorehabilitation Research Laboratory, IRCCS San Raffaele Roma, 00163 Rome, Italy.ORCID 0000-0002-2472-2011
Simone PetruccelliNeurorehabilitation Research Laboratory, IRCCS San Raffaele Roma, 00163 Rome, Italy.
Sanaz PournajafNeurorehabilitation Research Laboratory, IRCCS San Raffaele Roma, 00163 Rome, Italy.ORCID 0000-0001-8749-2236
Marco FranceschiniNeurorehabilitation Research Laboratory, IRCCS San Raffaele Roma, 00163 Rome, Italy.
Istituti di Ricovero e Cura a Carattere Scientifico · IT

Funding

Ministero della Salute This project was partially funded by The Ministry of Health (Ricerca corrente).
6 · The paper itself

Abstract

backgroundOverground Robot-Assisted Gait Training (o-RAGT) appears to be a promising stroke rehabilitation in terms of clinical outcomes. The literature on surface ElectroMyoGraphy (sEMG) assessment in o-RAGT is limited. This paper aimed to assess muscle activation patterns with sEMG in subjects subacute post stroke after training with o-RAGT and conventional therapy.

methodsAn observational preliminary study was carried out with subjects subacute post stroke who received 15 sessions of o-RAGT (5 sessions/week; 60 min) in combination with conventional therapy. The subjects were assessed with both clinical and instrumental evaluations. Gait kinematics and sEMG data were acquired before (T1) and after (T2) the period of treatment (during ecological gait), and during the first session of o-RAGT (o-RAGT

conclusionsThere were significant functional gains in gait after complex intensive clinical rehabilitation with o-RAGT and conventional therapy. In addition, there was a significant increase in bilateral symmetry of the Tibialis Anterior muscles. At this stage of the signals from the tibialis anterior (TA), gastrocnemius medialis (GM), rectus femoris (RF), and biceps femoris caput longus (BF) muscles of each lower extremity. sEMG data processing extracted the Bilateral Symmetry (BS), the Co-Contraction (CC), and the Root Mean Square (RMS) coefficients.

resultsEight of 22 subjects in the subacute stage post stroke agreed to participate in this sEMG study. This subsample demonstrated a significant improvement in the motricity index of the affected lower limb and functional ambulation. The heterogeneity of the subjects' characteristics and the small number of subjects was associated with high variability research, functional gait recovery was associated with minimal change in muscle activation patterns.

Indexed as

EMGexoskeleton deviceneurologic gait disordersrehabilitationrobot-assisted gait trainingstroke

Identifiers

PMID33915808
PMCPMC8066552
OpenAlexW3144852986

What OpenQuestion holds

Textmetadata
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.