Evidence map›Paper›PMID 37934493›Full record

Observational studyThe journal of spinal cord medicine2025

Gait training using a wearable robotic hip device for incomplete spinal cord injury: A preliminary study.

Kenichi Yoshikawa, Hirotaka Mutsuzaki, Kazunori Koseki, Koichi Iwai, Ryoko Takeuchi, Yutaka Kohno

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in The journal of spinal cord medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 26% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

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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

6 authors at 1 institution in 1 country.

Kenichi YoshikawaDepartment of Physical Therapy, Ibaraki Prefectural University of Health Sciences Hospital, Ibaraki, Japan.ORCID 0000-0002-9216-0057
Hirotaka MutsuzakiCenter for Medical Sciences, Ibaraki Prefectural University of Health Sciences, Ibaraki, Japan.
Kazunori KosekiDepartment of Physical Therapy, Ibaraki Prefectural University of Health Sciences Hospital, Ibaraki, Japan.ORCID 0000-0001-7864-8753
Koichi IwaiCenter for Humanities and Sciences, Ibaraki Prefectural University of Health Sciences, Ibaraki, Japan.
Ryoko TakeuchiDepartment of Orthopedic Surgery, Ibaraki Prefectural University of Health Sciences Hospital, Ibaraki, Japan.
Yutaka KohnoCenter for Medical Sciences, Ibaraki Prefectural University of Health Sciences, Ibaraki, Japan.
Ibaraki Prefectural University of Health Sciences · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

CONTEXT/

objectiveTo explore changes in gait functions for patients with chronic spinal cord injury (SCI) before and after standard rehabilitation and rehabilitation with a wearable hip device, explore the utility of robot-assisted gait training (RAGT), and evaluate the safety and dose of RAGT.

designSingle-arm, open-label, observational study.

settingA rehabilitation hospital.

participantsTwelve patients with SCI.

interventionsStandard rehabilitation after admission in the first phase. RAGT for two weeks in the second phase. OUTCOME MEASURES: Self-selected walking speed (SWS), step length, cadence, and the 6-minute walking distance were the primary outcomes. Walking Index for SCI score, lower extremity motor score, and spasticity were measured. Walking abilities were compared between the two periods using a generalized linear mixed model (GLMM). Correlations between assessments and changes in walking abilities during each period were analyzed.

resultsAfter standard rehabilitation for 66.1 ± 36.9 days, a period of 17.6 ± 3.3 days of RAGT was safely performed. SWS increased during both periods. GLMM showed that the increase in cadence was influenced by standard rehabilitation, whereas the limited step length increase was influenced by RAGT. During RAGT, the increase in step length was related to an increase in hip flexor function.

conclusionsGait speed in patients with SCI increased after rehabilitation, including RAGT, in the short-term. This increase was associated with improved muscle function in hip flexion at the start of RAGT.

Indexed as

Exercise TherapyGaitGait Disorders, NeurologicRoboticsSpinal Cord InjuriesWearable Electronic DevicesAdultFemaleHipHumansMaleMiddle AgedRobot-assisted gait trainingSpinal cord injuryWalking ability

Identifiers

PMID37934493
PMCPMC11864017
OpenAlexW4388446668

What OpenQuestion holds

Textmetadata
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.