Evidence map›Paper›PMID 34942935›Full record

ReviewBrain sciences2021

Upper Limb Robotic Rehabilitation for Patients with Cervical Spinal Cord Injury: A Comprehensive Review.

Giovanni Morone, Alessandro de Sire, Alex Martino Cinnera, Matteo Paci, Luca Perrero, Marco Invernizzi, Lorenzo Lippi, Michela Agostini, Irene Aprile, Emanuela Casanova and 31 more

Abstract readReview
In one paragraph

Review in Brain sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 4 pooled it
–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.

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, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Efficacy of neuromodulation and rehabilitation approaches on pain relief in patients with spinal cord injury: a systematic review and meta-analysis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 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

41 authors.

Giovanni MoroneIRCCS Santa Lucia Foundation, 00179 Rome, Italy.
Alessandro de SirePhysical and Rehabilitative Medicine, Department of Medical and Surgical Sciences, University of Catanzaro "Magna Graecia", 88100 Catanzaro, Italy.
Alex Martino CinneraIRCCS Santa Lucia Foundation, 00179 Rome, Italy.
Matteo PaciAUSL (Unique Sanitary Local Company), 50123 Florence, Italy.ORCID 0000-0002-5180-8355
Luca PerreroNeurorehabilitation Unit, Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo, 15121 Alessandria, Italy.
Marco InvernizziPhysical and Rehabilitative Medicine, Department of Health Sciences, University of Eastern Piedmont "A. Avogadro", 10121 Novara, Italy.
Lorenzo LippiPhysical and Rehabilitative Medicine, Department of Health Sciences, University of Eastern Piedmont "A. Avogadro", 10121 Novara, Italy.
Michela AgostiniSection of Rehabilitation, Department of Neuroscience, University General Hospital of Padova, 35128 Padua, Italy.ORCID 0000-0001-8824-3338
Irene AprileIRCCS Fondazione Don Carlo Gnocchi, 50123 Florence, Italy.
Emanuela CasanovaIRCCS Istituto delle Scienze Neurologiche di Bologna, UOC Medicina Riabilitativa e Neuroriabilitazione, 40139 Bologna, Italy.
Dario MarinoIRCCS Neurolysis Center "Bonino Pulejo", 98124 Messina, Italy.
Giuseppe La RosaC.S.R.-Consorzio Siciliano di Riabilitazione, 95123 Catania, Italy.
Federica BressiCampus Bio-Medico University Hospital, University of Rome, 00128 Rome, Italy.
Silvia SterziCampus Bio-Medico University Hospital, University of Rome, 00128 Rome, Italy.
Daniele GiansantiNational Center for Innovative Technologies in Public Health, Italian National Institute of Health, 00161 Rome, Italy.
Alberto BattistiniIRCCS Istituto delle Scienze Neurologiche di Bologna, UOC Medicina Riabilitativa e Neuroriabilitazione, 40139 Bologna, Italy.
Sandra MiccinilliCampus Bio-Medico University Hospital, University of Rome, 00128 Rome, Italy.
Serena FiloniPadre Pio Foundation and Rehabilitation Center, San Giovanni Rotondo 71013, Italy.
Monica SicariA.O.U. Città della Salute e della Scienza di Torino, 10126 Turin, Italy.
Salvatore PetrozzinoA.O.U. Città della Salute e della Scienza di Torino, 10126 Turin, Italy.
Claudio Marcello SolaroCRRF "Mons. Luigi Novarese", 13040 Moncrivello, Italy.
Stefano GarganoFondazione Don Carlo Gnocchi, 10143 Torino, Italy.
Paolo BenantiDepartment of Moral Theology, Pontifical Gregorian University, 00187 Rome, Italy.
Paolo BoldriniSocietà Italiana di Medicina Fisica e Riabilitativa (SIMFER), 00198 Rome, Italy.
Donatella BonaiutiSocietà Italiana di Medicina Fisica e Riabilitativa (SIMFER), 00198 Rome, Italy.
Enrico CastelliPaediatric Neurorehabilitation Department, IRCCS Bambino Gesù Children's Hospital, 00163 Rome, Italy.
Francesco DraicchioDepartment of Occupational and Environmental Medicine, Epidemiology and Hygiene, INAIL, Monte Porzio Catone, 00185 Rome, Italy.
Vincenzo FalabellaItalian Federation of Persons with Spinal Cord Injuries (Faip Onlus), 00195 Rome, Italy.
Silvia GaleriIRCCS Fondazione Don Carlo Gnocchi, 20148 Milan, Italy.
Francesca GimiglianoMultidisciplinary Department of Medicine for Surgery and Orthodontics, University of Campania "Luigi Vanvitelli", 80138 Naples, Italy.
Mauro GrigioniNational Center for Innovative Technologies in Public Health, Italian National Institute of Health, 00161 Rome, Italy.
Stefano MazzoleniDepartment of Electrical and Information Engineering, Politecnico di Bari, 70125 Bari, Italy.
Stefano MazzonAULSS6 (Unique Sanitary Local Company) Euganea Padova, Rehabilitation Department, 35128 Padua, Italy.
Franco MolteniVilla Beretta Rehabilitation Center, Department of Rehabilitation Medicine, Valduce Hospital, 23845 Costa Masnaga, Italy.
Maurizio PetrarcaMovement Analysis and Robotics Laboratory MARlab, IRCCS Bambino Gesù Children's Hospital, 00163 Rome, Italy.ORCID 0000-0002-7330-3569
Alessandro PicelliDepartment of Neurosciences, Biomedicine and Movement Sciences, University of Verona, 37129 Verona, Italy.
Marialuisa GandolfiDepartment of Neurosciences, Biomedicine and Movement Sciences, University of Verona, 37129 Verona, Italy.
Federico PosteraroRehabilitation Department Versilia Hospital, Versilia Hospital AUSL Toscana Nord Ovest, 55049 Lido di Camaiore, Italy.
Michele SenatoreAITO (Associazione Italiana Terapisti Occupazionali), 00136 Rome, Italy.
Giuseppe TurchettiManagement Institute, Sant'Anna School of Advanced Studies, 56127 Pisa, Italy.ORCID 0000-0002-1877-5459
Sofia StraudiNeuroscience and Rehabilitation Department, Ferrara University Hospital, 44121 Ferrara, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The upper extremities limitation represents one of the essential functional impairments in patients with cervical spinal cord injury. Electromechanics assisted devices and robots are increasingly used in neurorehabilitation to help functional improvement in patients with neurological diseases. This review aimed to systematically report the evidence-based, state-of-art on clinical applications and robotic-assisted arm training (RAT) in motor and functional recovery in subjects affected by cervical spinal cord injury. The present study has been carried out within the framework of the Italian Consensus Conference on "Rehabilitation assisted by robotic and electromechanical devices for persons with disability of neurological origin" (CICERONE). PubMed/MEDLINE, Cochrane Library, and Physiotherapy Evidence Database (PEDro) databases were systematically searched from inception to September 2021. The 10-item PEDro scale assessed the study quality for the RCT and the AMSTAR-2 for the systematic review. Two different authors rated the studies included in this review. If consensus was not achieved after discussion, a third reviewer was interrogated. The five-item Oxford CEBM scale was used to rate the level of evidence. A total of 11 studies were included. The selected studies were: two systematic reviews, two RCTs, one parallel-group controlled trial, one longitudinal intervention study and five case series. One RCT was scored as a high-quality study, while the systematic review was of low quality. RAT was reported as feasible and safe. Initial positive effects of RAT were found for arm function and quality of movement in addition to conventional therapy. The high clinical heterogeneity of treatment programs and the variety of robot devices could severely affect the generalizability of the study results. Therefore, future studies are warranted to standardize the type of intervention and evaluate the role of robotic-assisted training in subjects affected by cervical spinal cord injury.

Indexed as

arm functioncervical spinal cord injuryexoskeletonrehabilitationrobot-assisted therapyrobotic therapy

Identifiers

PMID34942935
PMCPMC8699455

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Registered trials

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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.