Evidence map›Paper›PMID 39762953›Full record

Trial reportJournal of neuroengineering and rehabilitation2025

Overground robotic exoskeleton vs conventional therapy in inpatient stroke rehabilitation: results from a pragmatic, multicentre implementation programme.

Pui Kit Tam, Ning Tang, Nur Shafawati Binte Kamsani, Thian Yong Yap, Ita Coffey-Aladdin, Shi Min Goh, Jean Pei Pei Tan, Yook Cing Lui, Rui Ling Lee, Ramaswamy Suresh and 1 more

Registry-linked trialAbstract readMulticenter StudyPragmatic Clinical Trial
In one paragraph

Trial report in Journal of neuroengineering and rehabilitation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05659121 (Evaluating Evidence-based and Sustainable Application of Robotic Exoskeletons in Rehabilitation for Those With Impaired Mobility), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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.

NCT05659121 nacompletednot on this map

Evaluating Evidence-based and Sustainable Application of Robotic Exoskeletons in Rehabilitation for Those With Impaired Mobility

TypeinterventionalSponsorNational University Hospital, SingaporeRan2018 to 2022Enrolled375ConditionsStroke, Spinal Cord Injuries, Spinal Cord DiseasesArmsrobotic exoskeleton training
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. 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

11 authors.

Pui Kit TamDivision of Rehabilitation Medicine, Department of Medicine, National University Hospital, Singapore, Singapore.
Ning TangDivision of Rehabilitation Medicine, Department of Medicine, National University Hospital, Singapore, Singapore.
Nur Shafawati Binte KamsaniDepartment of Rehabilitation, Alexandra Hospital, National University Health System, Singapore, Singapore.
Thian Yong YapRehabilitation Department, St Luke's Hospital, Singapore, Singapore.
Ita Coffey-AladdinJurong Community Hospital, Singapore, Singapore.
Shi Min GohStroke Support Station, Singapore, Singapore.
Jean Pei Pei TanDepartment of Allied Health, NTUC Health Co-operative Ltd, Singapore, Singapore.
Yook Cing LuiSt Luke's ElderCare Ltd, Singapore, Singapore.
Rui Ling LeeRehabilitation Department, St Luke's Hospital, Singapore, Singapore.
Ramaswamy SureshDepartment of Rehabilitation, Alexandra Hospital, National University Health System, Singapore, Singapore.
Effie ChewDivision of Rehabilitation Medicine, Department of Medicine, National University Hospital, Singapore, Singapore. effie_chew@nuhs.edu.sg.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite the reported efficacy of overground robotic exoskeleton (ORE) for rehabilitation of mobility post-stroke, its effectiveness in real-world practice is still debated. We analysed prospectively collected data from Improving Mobility Via Exoskeleton (IMOVE), a multicentre clinical implementation programme of ORE enrolling participants with various neurological conditions and were given options to choose between 12 sessions of ORE or conventional therapy (control).

methodsThis is analysis of participants under IMOVE who fulfilled the following criteria (i) primary diagnosis was stroke (ischemic, hemorrhagic; first or recurrent), (ii) onset of stroke was within 9 months and (iii) the intervention was during inpatient stay. They should also fulfill the general IMOVE inclusion and exclusion criteria which were resembling general clinical and manufacturing criteria of ORE. Outcome measures included Functional Ambulatory Category (FAC), Rivermead Mobility Index (RMI), Functional Independence Measure (FIM) and Clinical Outcome Variable Scale (COVS), measured immediately before and after the 12 sessions of therapy, and mean distance walked per session.

resultsOf 149 participants (105 OREs and 44 controls), both groups improved significantly in motor outcomes with no significant between-group differences. Participants with baseline FAC 1 had significantly greater improvement in motor sub-score of FIM (FIM-motor) compared to controls (mean difference 8.4, 95% CI 0.65-16.07, η

conclusionIn a pragmatic setting, use of ORE for gait training enabled patients with lower ambulatory capacity to walk longer distances during therapy sessions. Patients who required continuous assistance during ambulation (FAC 1) had significantly better gains in FIM-motor compared to conventional therapy, suggesting possible benefit of ORE for this group.

trial registrationThe trial was registered with clinicaltrials.gov (NCT05659121) on April 14, 2022.

Indexed as

Exoskeleton DeviceStroke RehabilitationAdultAgedFemaleHumansInpatientsMaleMiddle AgedProspective StudiesTreatment OutcomeExoskeletonGaitRehabilitationRoboticStroke

Identifiers

PMID39762953
PMCPMC11702026

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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.