Evidence map›Paper›PMID 37253679›Full record

ArticleAnnals of the New York Academy of Sciences2023

Design and evaluation of an independent 4-week, exosuit-assisted, post-stroke community walking program.

Richard W Nuckols, Chih-Kang Chang, Daekyum Kim, Asa Eckert-Erdheim, Dorothy Orzel, Lauren Baker, Teresa Baker, Nicholas C Wendel, Brendan Quinlivan, Patrick Murphy and 5 more

Open access · hybridAbstract read
In one paragraph

Article in Annals of the New York Academy of Sciences, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
3.7field-weighted citation impact, top 7% 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, 27 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Multi-Modal Sensing for Propulsion Estimation in People Post-Stroke Across Speeds.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2025
    Article
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  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

15 authors at 2 institutions in 2 countries.

Richard W NuckolsJohn A. Paulson School of Engineering and Applied Sciences, Harvard University, Boston, Massachusetts, USA.ORCID 0000-0002-6543-2424
Chih-Kang ChangJohn A. Paulson School of Engineering and Applied Sciences, Harvard University, Boston, Massachusetts, USA.ORCID 0009-0008-0175-293X
Daekyum KimJohn A. Paulson School of Engineering and Applied Sciences, Harvard University, Boston, Massachusetts, USA.ORCID 0000-0001-7777-8388
Asa Eckert-ErdheimJohn A. Paulson School of Engineering and Applied Sciences, Harvard University, Boston, Massachusetts, USA.
Dorothy OrzelJohn A. Paulson School of Engineering and Applied Sciences, Harvard University, Boston, Massachusetts, USA.
Lauren BakerJohn A. Paulson School of Engineering and Applied Sciences, Harvard University, Boston, Massachusetts, USA.
Teresa BakerDepartment of Physical Therapy, Boston University, Boston, Massachusetts, USA.
Nicholas C WendelDepartment of Physical Therapy, Boston University, Boston, Massachusetts, USA.
Brendan QuinlivanJohn A. Paulson School of Engineering and Applied Sciences, Harvard University, Boston, Massachusetts, USA.
Patrick MurphyJohn A. Paulson School of Engineering and Applied Sciences, Harvard University, Boston, Massachusetts, USA.
Jesse GrupperJohn A. Paulson School of Engineering and Applied Sciences, Harvard University, Boston, Massachusetts, USA.
Jacqueline VillalobosJohn A. Paulson School of Engineering and Applied Sciences, Harvard University, Boston, Massachusetts, USA.
Louis N AwadDepartment of Physical Therapy, Boston University, Boston, Massachusetts, USA.
Terry D EllisDepartment of Physical Therapy, Boston University, Boston, Massachusetts, USA.
Conor J WalshJohn A. Paulson School of Engineering and Applied Sciences, Harvard University, Boston, Massachusetts, USA.
Harvard University · USBoston University · US

Funding

Development of a Modular Soft Exosuit Platform Suitable for Community-Based NeurorehabilitationR01HD088619 · NICHD · HARVARD UNIVERSITY · PI WALSH, CONOR · 2016 to 2021
$3.9M
NICHD NIH HHS R01 HD088619NIH HHS BRG-R01HD088619
6 · The paper itself

Abstract

Chronic impairment in the paretic ankle following stroke often requires that individuals use compensatory patterns such as asymmetric propulsion to achieve effective walking speeds needed for community engagement. Ankle exosuit assistance can provide ankle biomechanical benefit in the lab, but such environments inherently limit the amount of practice available. Community walking studies without exosuits can provide massed practice and benefit walking speed but are limited in their ability to assist proper mechanics. In this study, we combined the positive aspects of community training with those of exosuit assistance. We developed and evaluated a community Robotic Exosuit Augmented Locomotion (cREAL) program. Four participants in the chronic stage of stroke independently used our community ankle exosuit for walking in the community 3-5 days/week for 4 weeks. We performed lab evaluations before and after the 4-week program. Two participants significantly improved their unassisted paretic propulsion by an average of 27% after the program and walked on average 4001 steps/day more in the week following the program. Despite the small number of participants, this study provides preliminary evidence for the potential of exosuits to augment gait training and rehabilitation in the community.

Indexed as

StrokeStroke RehabilitationAnkle JointBiomechanical PhenomenaGaitHumansWalkingcommunityexosuitgaitpropulsionrehabilitationstroketraining

Identifiers

PMID37253679
PMCPMC11606590
OpenAlexW4378781521

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.