Evidence map›Paper›PMID 34038471›Full record

SynthesisPloS one2021

Effectiveness of powered exoskeleton use on gait in individuals with cerebral palsy: A systematic review.

Lucinda Rose Bunge, Ashleigh Jade Davidson, Benita Roslyn Helmore, Aleksandra Daniella Mavrandonis, Thomas David Page, Tegan Rochelle Schuster-Bayly, Saravana Kumar

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
6.1field-weighted citation impact, top 3% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.

  1. Pooled it
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  7. Gait Event Detection From Thigh Segment Kinematics in Children With Crouch Gait.IEEE journal of translational engineering in health and medicine · 2026
    Article
  8. Article
  9. Review
  10. Biomechanical models in the lower-limb exoskeletons development: a review.Journal of neuroengineering and rehabilitation · 2025
    Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Review
  16. Article
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  20. Interleaved Assistance and Resistance for Exoskeleton Mediated Gait Training: Validation, Feasibility and Effects.Proceedings of the ... IEEE/RAS-EMBS International Conference on Biomedical Robotics and Biomechatronics. IEEE/RAS-EMBS International Conference on Biomedical Robotics and Biomechatronics · 2022
    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

7 authors at 1 institution in 1 country.

Lucinda Rose BungeUniSA Allied Health & Human Performance, University of South Australia, Adelaide, Australia.
Ashleigh Jade DavidsonUniSA Allied Health & Human Performance, University of South Australia, Adelaide, Australia.
Benita Roslyn HelmoreUniSA Allied Health & Human Performance, University of South Australia, Adelaide, Australia.
Aleksandra Daniella MavrandonisUniSA Allied Health & Human Performance, University of South Australia, Adelaide, Australia.
Thomas David PageUniSA Allied Health & Human Performance, University of South Australia, Adelaide, Australia.
Tegan Rochelle Schuster-BaylyUniSA Allied Health & Human Performance, University of South Australia, Adelaide, Australia.
Saravana KumarUniSA Allied Health & Human Performance, University of South Australia, Adelaide, Australia.ORCID 0000-0002-4003-4411
University of South Australia · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCerebral palsy (CP) is a leading cause of childhood disability. The motor impairments of individuals with CP significantly affect the kinematics of an efficient gait pattern. Robotic therapies have become increasingly popular as an intervention to address this. Powered lower limb exoskeletons (PoLLE) are a novel form of robotic therapy that allow the individual to perform over-ground gait training and yet its effectiveness for CP is unknown. PURPOSE: To determine the effectiveness of PoLLE use on gait in individuals with CP.

methodA systematic search of eight electronic databases was conducted in March 2020. Studies included children (0-18 years) and or adults (18+ years) diagnosed with CP who used a PoLLE for gait training. This review was conducted and reported in line with the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) statement, with the methodology registered with PROSPERO (CRD42020177160). A modified version of the McMaster critical review form for quantitative studies was used to assess the methodological quality. Due to the heterogeneity of the included studies, a descriptive synthesis using the National Health & Medical Research Council (NHMRC) FORM framework was undertaken.

resultsOf the 2089 studies screened, ten case series and three case studies met the inclusion criteria highlighting the current evidence base is emerging and low level. A range of PoLLEs were investigated with effectiveness measured by using a number of outcome measures. Collectively, the body of evidence indicates there is some consistent positive evidence on the effectiveness of PoLLE in improving gait in individuals with CP, with minimal adverse effects. While this is a positive and encouraging finding for an emerging technology, methodological concerns also need to be acknowledged.

conclusionWith rapidly evolving technology, PoLLEs could play a transformative role in the lives of people impacted by CP. Ongoing research is required to further strengthen the evidence base and address current methodological concerns.

Indexed as

Exoskeleton DeviceAdolescentAdultCerebral PalsyChildChild, PreschoolEnergy MetabolismFemaleGaitHumansInfantInfant, NewbornMaleYoung Adult

Identifiers

PMID34038471
PMCPMC8153467
OpenAlexW3165882098

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.