Evidence map›Paper›PMID 38491302›Full record

ArticleSpinal cord2024

Effect on functional outcome of robotic assisted rehabilitation versus conventional rehabilitation in patients with complete spinal cord injury: a prospective comparative study.

Chandra Kumar Khande, Vishal Verma, Anil Regmi, Syed Ifthekar, P Venkata Sudhakar, Siddharth Shekhar Sethy, Pankaj Kandwal, Bhaskar Sarkar

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Spinal cord, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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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

8 authors.

Chandra Kumar KhandeDepartment of Orthopedics, AIIMS, Rishikesh, 249203, Uttarakhand, India.
Vishal VermaDepartment of Orthopedics, AIIMS, Rishikesh, 249203, Uttarakhand, India.ORCID 0000-0002-5504-4989
Anil RegmiDepartment of Orthopedics, AIIMS, Rishikesh, 249203, Uttarakhand, India.ORCID 0000-0002-9182-4851
Syed IfthekarDepartment of Orthopedics, AIIMS, Rishikesh, 249203, Uttarakhand, India.
P Venkata SudhakarDepartment of Orthopedics, AIIMS, Rishikesh, 249203, Uttarakhand, India.
Siddharth Shekhar SethyDepartment of Orthopedics, AIIMS, Rishikesh, 249203, Uttarakhand, India.
Pankaj KandwalDepartment of Orthopedics, AIIMS, Rishikesh, 249203, Uttarakhand, India.ORCID 0000-0002-8801-6909
Bhaskar SarkarDepartment of Trauma Surgery, AIIMS, Rishikesh, 249203, Uttarakhand, India. drbhaskarsarkar@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designProspective Comparative Study.

objectiveThis study aims to compare the functional outcomes of Robotic-assisted rehabilitation by Lokomat system Vs. Conventional rehabilitation in participants with Dorsolumbar complete spinal cord injury (SCI).

settingUniversity level teaching hospital in a hilly state of northern India.

methods15 participants with Dorsolumbar SCI with ASIA A neurology were allocated to robotic rehabilitation and 15 participants to conventional rehabilitation after an operative procedure. Pre-and Post-rehabilitation parameters were noted in terms of ASIA Neurology, Motor and sensory function scores, WISCI II score (Walking Index in SCI score), LEMS (Lower Extremity Motor Score), SCI M III score (Spinal Cord Independence Measure III score), AO Spine PROST (AO Patient Reported Outcome Spine Trauma), McGill QOL score (Mc Gill Quality of Life score), VAS score (Visual Analogue Scale) for pain and Modified Ashworth scale for spasticity in lower limbs.

resultsOn comparing robotic group with conventional group there was a statistically significant improvement in Robotic-assisted rehabilitation group in terms of Motor score (p = 0.034), WISCI II score (p = 0.0001), SCIM III score (p = 0.0001), AO PROST score (p = 0.0001), Mc GILL QOL score (p = 0.0001), Max velocity (p = 0.0001) and Step length (p = 0.0001). Whereas LEMS score (p = 0.052), ASIA neurology (p = 0.264 (ASIA A); 1.000 (ASIA B); 0.053 (ASIA C)), VAS score (p = 0.099), Sensory score (p = 0.422) and Modified Ashworth scale for spasticity (p = 0.136) were not statically significant when comparing between two groups.

conclusionRobot-assisted rehabilitation is superior than conventional rehabilitation in people living with SCI with AIS A neurology. Differences in the patient group, type of a lesion its and severity, duration from onset to initiation of rehabilitation, devices employed, administration of the therapies and regulation of interventions are likely the cause of variations in the findings seen in the literature for robotic assisted training. LEVEL OF EVIDENCE: III.

Indexed as

RoboticsSpinal Cord InjuriesAdultFemaleHumansMaleMiddle AgedNeurological RehabilitationProspective StudiesRecovery of FunctionTreatment OutcomeYoung Adult

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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.