Evidence map›Paper›PMID 40341197›Full record

Trial reportScientific reports2025

Split-belt treadmill training improves gait symmetry and lower limb function in patients with stroke.

Chunfang Wang, Qun Zhang, Siyan Hou, Dan Guo, Xuemin Han, Weiguang Huo, Ying Zhang

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07057700 (Investigating the Mechanisms of Welwalk Robot in Restoring Motor Function of the Lower Extremities in Stroke Patients), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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.

NCT07057700 nanot yet recruitingnot on this map

Investigating the Mechanisms of Welwalk Robot in Restoring Motor Function of the Lower Extremities in Stroke Patients

TypeinterventionalSponsorRuijin HospitalRan2025 to 2027Enrolled38ConditionsStroke, Walking ImpairmentArmswelwalk training, physical therapy
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. 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

7 authors.

Chunfang WangRehabilitation Medical Department, Tianjin Union Medical Centre, Tianjin, 300121, China.
Qun ZhangRehabilitation Medical Department, Tianjin Union Medical Centre, Tianjin, 300121, China.
Siyan HouThe First Clinical Medical College of Nanjing Medical University, Nanjing, 211166, Jiangsu, China.
Dan GuoRehabilitation Medical Department, Tianjin Union Medical Centre, Tianjin, 300121, China.
Xuemin HanRehabilitation Medical Department, Tianjin Union Medical Centre, Tianjin, 300121, China.
Weiguang HuoCollege of Artificial Intelligence, Nankai University, Tianjin, 300350, China. weiguang.huo@nankai.edu.cn.
Ying ZhangRehabilitation Medical Department, Tianjin Union Medical Centre, Tianjin, 300121, China. zhangying@umc.net.cn.

Funding

Integrative Medicine Spine Rehabilitation Department (combining traditional Chinese and Western medicine) ZDZKKF03the Natural Science Foundation of Tianjin, China 22JCZDJC00060Tianjin Health Research Project TJWJ2021QN020
6 · The paper itself

Abstract

Split-belt treadmill training (SBTT) enhances gait symmetry in patients with stroke (PwS) by improving sensorimotor adaptation, However, it remains unclear whether repeated SBTT leads to long-term acquisition of gait adaptation skills and whether it improves functional walking in PwS. This study aimed to investigate the effect of SBTT on gait symmetry and lower limb function in PwS. We designed a parallel-group randomized controlled experiment. PwS who have the ability to stand and walk unassisted for at least 30 min were included in this study. They were randomly assigned to either rehabilitation with SBTT or with tied-belt treadmill training (TBTT). The treatment was provided once per day, five times per week for four weeks(total of 20 treatments). Gait analysis including step length, gait speed, temporal and spatial asymmetry and clinical assessment of lower limb function using Fugl-Meyer Assessment - lower extremity (LEFM), the Berg Balance Scale (BBS), the Wisconsin Gait Scale(WGS), and the Timed Up and Go Test (TUGT) were measured at baseline, 2 weeks post intervention, 4 weeks post intervention, and at follow-up after 4 weeks finishing the exercise. Two-way repeated measures ANOVA was used for intergroup comparisons between the two groups at different time points. In addition, Pearson correlation analysis was used to test the relationship between the improvement of clinical assessment scales and changes in gait parameters. Results showed that SBTT could effectively and efficiently improve the spatial asymmetry and speed of gait, as well as lower limb balance and walking function in PwS. In addition, the improvement of functional walking was positively correlated with the decrease of spatial asymmetry, and the increase of step length of paretic leg. In Conclusion, a 4-week SBTT intervention could effectively improve gait asymmetry and, consequently, enhance walking and lower limb function in PwS with independent walking ability.

Indexed as

Exercise TherapyGaitLower ExtremityStrokeStroke RehabilitationAdultAgedExercise TestFemaleHumansMaleMiddle AgedTreatment OutcomeWalkingGait symmetryLower extremity functionSplit-belt treadmill trainingStroke

Identifiers

PMID40341197
PMCPMC12062375

What OpenQuestion holds

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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.