Evidence map›Paper›PMID 35585844›Full record

SynthesisFrontiers in neurology2022

Combining Robot-Assisted Gait Training and Non-Invasive Brain Stimulation in Chronic Stroke Patients: A Systematic Review.

Federica Bressi, Alex Martino Cinnera, Giovanni Morone, Benedetta Campagnola, Laura Cricenti, Fabio Santacaterina, Sandra Miccinilli, Loredana Zollo, Stefano Paolucci, Vincenzo Di Lazzaro and 2 more

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Frontiers in neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
1.1field-weighted citation impact, top 22% 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. 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

12 authors at 2 institutions in 1 country.

Federica BressiPhysical Medicine and Rehabilitation Unit, Campus Bio-Medico University of Rome, Rome, Italy.
Alex Martino CinneraIstituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Santa Lucia Foundation, Rome, Italy.
Giovanni MoroneIstituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Santa Lucia Foundation, Rome, Italy.
Benedetta CampagnolaPhysical Medicine and Rehabilitation Unit, Campus Bio-Medico University of Rome, Rome, Italy.
Laura CricentiPhysical Medicine and Rehabilitation Unit, Campus Bio-Medico University of Rome, Rome, Italy.
Fabio SantacaterinaPhysical Medicine and Rehabilitation Unit, Campus Bio-Medico University of Rome, Rome, Italy.
Sandra MiccinilliPhysical Medicine and Rehabilitation Unit, Campus Bio-Medico University of Rome, Rome, Italy.
Loredana ZolloUnit of Advanced Robotics and Human-Centred Technologies, Campus Bio-Medico University of Rome, Rome, Italy.
Stefano PaolucciIstituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Santa Lucia Foundation, Rome, Italy.
Vincenzo Di LazzaroUnity of Neurology, Neurophysiology, Neurobiology, Department of Medicine, Campus Bio-Medico University of Rome, Rome, Italy.
Silvia SterziPhysical Medicine and Rehabilitation Unit, Campus Bio-Medico University of Rome, Rome, Italy.
Marco BraviPhysical Medicine and Rehabilitation Unit, Campus Bio-Medico University of Rome, Rome, Italy.
Università Campus Bio-Medico · ITIstituti di Ricovero e Cura a Carattere Scientifico · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Gait impairment is one of the most common disorders of patients with chronic stroke, which hugely affects the ability to carry out the activities of daily living and the quality of life. Recently, traditional rehabilitation techniques have been associated with non-invasive brain stimulation (NIBS) techniques, which enhance brain plasticity, with the aim of promoting recovery in patients with chronic stroke. NIBS effectiveness in improving gait parameters in patients with chronic stroke has been in several studies evaluated. Robotic devices are emerging as promising tools for the treatment of stroke-related disabilities by performing repetitive, intensive, and task-specific treatments and have been proved to be effective for the enhancement of motor recovery in patients with chronic stroke. To date, several studies have examined the combination of NIBS with robotic-assisted gait training, but the effectiveness of this approach is not yet well established. The main purpose of this systematic review is to clarify whether the combination of NIBS and robot-assisted gait training may improve walking function in patients with chronic stroke. Our systematic review was conducted according to the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines. Studies eligible for review were identified through PubMed/MEDLINE, Embase, Scopus, and PEDro from inception to March 15, 2021, and the outcomes considered were gait assessments. Seven studies were included in the qualitative analysis of this systematic review, with a total population of 186 patients with chronic stroke. All studies specified technical characteristics of robotic devices and NIBS used, with high heterogeneity of protocols. Methodological studies have shown a significantly greater improvement in walking capacity recorded with 6MWT. Finally, research studies have highlighted a positive effect on walking recovery by combination of robot-assisted gait training with non-invasive brain stimulation. Furthermore, future studies should identify the best characteristics of the combined therapeutic protocols. Systematic Review Registration: CRD42021244869.

Indexed as

chronic strokeexoskeletonNIBSrobot-assistedroboticsTMStranscranial direct current stimulationtranscranial magnetic stimulation

Identifiers

PMID35585844
PMCPMC9108455
OpenAlexW4225276597

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.