Evidence map›Paper›PMID 35854321›Full record

Trial reportJournal of neuroengineering and rehabilitation2022

Effects of ATLAS 2030 gait exoskeleton on strength and range of motion in children with spinal muscular atrophy II: a case series.

C Cumplido-Trasmonte, J Ramos-Rojas, E Delgado-Castillejo, E Garcés-Castellote, G Puyuelo-Quintana, M A Destarac-Eguizabal, E Barquín-Santos, A Plaza-Flores, M Hernández-Melero, A Gutiérrez-Ayala and 2 more

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in Journal of neuroengineering and rehabilitation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04837157 (Evaluation of the Safety of ATLAS 2030 in the Application of Robot-assisted Physical Therapy to Children With Neuromuscular Diseases Phase I), which is not on this map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 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.

NCT04837157 nacompletednot on this map

Evaluation of the Safety of ATLAS 2030 in the Application of Robot-assisted Physical Therapy to Children With Neuromuscular Diseases Phase I

TypeinterventionalSponsorMarsiBionicsRan2020 to 2021Enrolled6ConditionsCerebral Palsy, SMA II, Neuromuscular DiseasesArmsExoskeleton rehabilitation
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Trial
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  7. Observational
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  13. [Recent research on home rehabilitation and nursing for spinal muscular atrophy].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2024
    Review
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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

12 authors.

C Cumplido-TrasmonteCentre for Automation and Robotics (CAR), Spanish National Research Council-Technical University of Madrid, Ctra. Campo Real km 0.2 - La Poveda-Arganda del Rey, 28500, Madrid, Spain. carlos.cumplido@csic.es.
J Ramos-RojasCentre for Automation and Robotics (CAR), Spanish National Research Council-Technical University of Madrid, Ctra. Campo Real km 0.2 - La Poveda-Arganda del Rey, 28500, Madrid, Spain.
E Delgado-CastillejoCentre for Automation and Robotics (CAR), Spanish National Research Council-Technical University of Madrid, Ctra. Campo Real km 0.2 - La Poveda-Arganda del Rey, 28500, Madrid, Spain.
E Garcés-CastelloteMarsi Bionics S.L., Madrid, Spain.
G Puyuelo-QuintanaInternational Doctoral School, Rey Juan Carlos University, Madrid, Spain.
M A Destarac-EguizabalMarsi Bionics S.L., Madrid, Spain.
E Barquín-SantosMarsi Bionics S.L., Madrid, Spain.
A Plaza-FloresMarsi Bionics S.L., Madrid, Spain.
M Hernández-MeleroCentre for Automation and Robotics (CAR), Spanish National Research Council-Technical University of Madrid, Ctra. Campo Real km 0.2 - La Poveda-Arganda del Rey, 28500, Madrid, Spain.
A Gutiérrez-AyalaCentre for Automation and Robotics (CAR), Spanish National Research Council-Technical University of Madrid, Ctra. Campo Real km 0.2 - La Poveda-Arganda del Rey, 28500, Madrid, Spain.
M Martínez-MorenoLa Paz University Hospital, Madrid, Spain.
E García-ArmadaCentre for Automation and Robotics (CAR), Spanish National Research Council-Technical University of Madrid, Ctra. Campo Real km 0.2 - La Poveda-Arganda del Rey, 28500, Madrid, Spain.

Funding

STEROIDS AND GABA:PHYSIOLOGY OF RECEPTOR SUBUNIT CHANGESR01DA009618 · NIDA · SUNY DOWNSTATE MEDICAL CENTER · PI SMITH, SHERYL S · 1995 to 2010
$2.7M
6 · The paper itself

Abstract

backgroundChildren with spinal muscular atrophy (SMA) present muscle weakness and atrophy that results in a number of complications affecting their mobility, hindering their independence and the development of activities of daily living. Walking has well-recognized physiological and functional benefits. The ATLAS 2030 exoskeleton is a paediatric device that allows gait rehabilitation in children with either neurological or neuromuscular pathologies with gait disorders. The purpose is to assess the effects in range of motion (ROM) and maximal isometric strength in hips, knees and ankles of children with SMA type II after the use of ATLAS 2030 exoskeleton.

methodsThree children (mean age 5.7 ± 0.6) received nine sessions bi-weekly of 60 min with ATLAS 2030. ROM was assessed by goniometry and strength by hand-held dynamometer. All modes of use of the exoskeleton were tested: stand up and sit down, forward and backward walking, and gait in automatic and active-assisted modes. In addition, different activities were performed during the gait session. A descriptive analysis of all variables was carried out.

resultsThe average time of use was 53.5 ± 12.0 min in all sessions, and all participants were able to carry out all the proposed activities as well as to complete the study. Regarding isometric strength, all the measurements increased compared to the initial state, obtaining the greatest improvements for the hip flexors (60.2%) and extensors muscles (48.0%). The ROM increased 12.6% in hip and 34.1% in the ankle after the study, while knee ROM remained stable after the study.

conclusionImprovements were showed in ROM and maximal isometric strength in hips, knees and ankles after using ATLAS 2030 paediatric gait exoskeleton in all three children. This research could serve as a preliminary support for future clinical integration of ATLAS 2030 as a part of a long-term rehabilitation of children with SMA.

trial registrationThe approval was obtained (reference 47/370329.9/19) by Comunidad de Madrid Regional Research Ethics Committee with Medical Products and the clinical trial has been registered on Clinical Trials.gov: NCT04837157.

Indexed as

Exoskeleton DeviceMuscular Atrophy, SpinalActivities of Daily LivingChildChild, PreschoolGaitHumansRange of Motion, ArticularWalkingATLASChildrenExoskeletonRange of motionRehabilitationRobot-assisted gait trainingSpinal muscular atrophyStrength

Identifiers

PMID35854321
PMCPMC9297544

What OpenQuestion holds

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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.