Evidence map›Paper›PMID 38851703›Full record

Trial reportJournal of neuroengineering and rehabilitation2024

Exoskeleton rehabilitation robot training for balance and lower limb function in sub-acute stroke patients: a pilot, randomized controlled trial.

Yuting Zhang, Weiwei Zhao, Chunli Wan, Xixi Wu, Junhao Huang, Xue Wang, Guilan Huang, Wenjuan Ding, Yating Chen, Jinyu Yang and 7 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of neuroengineering and rehabilitation, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 6 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

24 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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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

17 authors.

Yuting ZhangThe First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Weiwei ZhaoWuxi Central Rehabilitation Hospital, The Affiliated Mental Health Center of Jiangnan University, Wuxi, Jiangsu, China.
Chunli WanThe First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Xixi WuNanjing Medical University, Nanjing, China.
Junhao HuangNanjing Sport Institute, Nanjing, China.
Xue WangThe First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Guilan HuangWuxi Central Rehabilitation Hospital, The Affiliated Mental Health Center of Jiangnan University, Wuxi, Jiangsu, China.
Wenjuan DingWuxi Central Rehabilitation Hospital, The Affiliated Mental Health Center of Jiangnan University, Wuxi, Jiangsu, China.
Yating ChenWuxi Central Rehabilitation Hospital, The Affiliated Mental Health Center of Jiangnan University, Wuxi, Jiangsu, China.
Jinyu YangWuxi Central Rehabilitation Hospital, The Affiliated Mental Health Center of Jiangnan University, Wuxi, Jiangsu, China.
Bin SuWuxi Central Rehabilitation Hospital, The Affiliated Mental Health Center of Jiangnan University, Wuxi, Jiangsu, China.
Yi XuWuxi MaxRex Robotic Exoskeleton Limited, Wuxi, China.
Zhengguo ZhouWuxi MaxRex Robotic Exoskeleton Limited, Wuxi, China.
Xuting ZhangWuxi MaxRex Robotic Exoskeleton Limited, Wuxi, China.
Fengdong MiaoWuxi MaxRex Robotic Exoskeleton Limited, Wuxi, China.
Jianan LiThe First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Yongqiang LiThe First Affiliated Hospital of Nanjing Medical University, Nanjing, China. liyongqiang_1980@163.com.

Funding

Wuxi Municipal Bureau on Science and Technology Y20212008Wuxi 'Taihu Talent Plan' medical and health high-level talents project No. WXTTP2020008
6 · The paper itself

Abstract

purposeThis pilot study aimed to investigate the effects of REX exoskeleton rehabilitation robot training on the balance and lower limb function in patients with sub-acute stroke.

methodsThis was a pilot, single-blind, randomized controlled trial. Twenty-four patients with sub-acute stroke (with the course of disease ranging from 3 weeks to 3 months) were randomized into two groups, including a robot group and a control group. Patients in control group received upright bed rehabilitation (n = 12) and those in robot group received exoskeleton rehabilitation robot training (n = 12). The frequency of training in both groups was once a day (60 min each) for 5 days a week for a total of 4 weeks. Besides, the two groups were evaluated before, 2 weeks after and 4 weeks after the intervention, respectively. The primary assessment index was the Berg Balance Scale (BBS), whereas the secondary assessment indexes included the Fugl-Meyer Lower Extremity Motor Function Scale (FMA-LE), the Posture Assessment Scale for Stroke Patients (PASS), the Activities of Daily Living Scale (Modified Barthel Index, MBI), the Tecnobody Balance Tester, and lower extremity muscle surface electromyography (sEMG).

resultsThe robot group showed significant improvements (P < 0.05) in the primary efficacy index BBS, as well as the secondary efficacy indexes PASS, FMA-LE, MBI, Tecnobody Balance Tester, and sEMG of the lower limb muscles. Besides, there were a significant differences in BBS, PASS, static eye-opening area or dynamic stability limit evaluation indexes between the robotic and control groups (P < 0.05).

conclusionsThis is the first study to investigate the effectiveness of the REX exoskeleton rehabilitation robot in the rehabilitation of patients with stroke. According to our results, the REX exoskeleton rehabilitation robot demonstrated superior potential efficacy in promoting the early recovery of balance and motor functions in patients with sub-acute stroke. Future large-scale randomized controlled studies and follow-up assessments are needed to validate the current findings. CLINICAL TRIALS REGISTRATION: URL: https://www.chictr.org.cn/index.html.Unique identifier: ChiCTR2300068398.

Indexed as

Exoskeleton DeviceLower ExtremityPostural BalanceRoboticsStroke RehabilitationAdultAgedElectromyographyFemaleHumansMaleMiddle AgedPilot ProjectsRecovery of FunctionSingle-Blind MethodStrokeBalance functionLower limb functionRehabilitation robotStroke

Identifiers

PMID38851703
PMCPMC11162020

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.