Evidence map›Paper›PMID 40450196›Full record

Trial reportBMC neurology2025

Enhanced neuroplasticity and gait recovery in stroke patients: a comparative analysis of active and passive robotic training modes.

Yong Yu, Wenhao Huang, Halikejiang Tuerxun, Yadan Zheng, Liujie Su, Xin Li, Zulin Dou

Abstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in BMC neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 3 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

7 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Review
  6. Article
  7. 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.

Yong Yu *Department of Rehabilitation Medicine, The Third Affiliated Hospital of Sun Yat- Sen University, Guangzhou, China.
Wenhao Huang *Department of Rehabilitation Medicine, The Third Affiliated Hospital of Sun Yat- Sen University, Guangzhou, China.
Halikejiang TuerxunDepartment of Rehabilitation Medicine, The First People's Hospital of Kashi, Kashi, China.
Yadan ZhengDepartment of Rehabilitation Medicine, The Third Affiliated Hospital of Sun Yat- Sen University, Guangzhou, China.
Liujie SuDepartment of Rehabilitation Medicine, The Third Affiliated Hospital of Sun Yat- Sen University, Guangzhou, China.
Xin LiDepartment of Rehabilitation Medicine, The Third Affiliated Hospital of Sun Yat- Sen University, Guangzhou, China. lixin36@mail.sysu.edu.cn.
Zulin DouDepartment of Rehabilitation Medicine, The Third Affiliated Hospital of Sun Yat- Sen University, Guangzhou, China. douzul@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStroke is a leading cause of long-term disability, with lower limb dysfunction being a common sequela that significantly impacts patients' mobility and quality of life. Robotic-assisted training has emerged as a promising intervention for gait rehabilitation post-stroke. This study aims to compare the effects of active and passive lower limb robotic training on gait recovery in stroke patients.

methodsThis randomized controlled trial included 45 stroke patients who were divided into three groups: active mode group, passive mode group, and control group. All participants received standard rehabilitation therapy, while the intervention groups additionally received 20 min of robotic training (active or passive mode) daily for 10 sessions over two weeks. Outcome measures included the Fugl-Meyer Assessment (FMA) for motor function, motor evoked potentials (MEP) for neurophysiological assessment, and functional near-infrared spectroscopy (fNIRS) for brain imaging.

resultsBoth active and passive groups showed significant improvements in FMA scores and MEP measures compared to pre-treatment baselines (P < 0.01). The active group exhibited significantly greater FMA score improvements (P = 0.02) and MEP amplitudes (P < 0.01) than the passive group. Additionally, fNIRS results indicated significantly enhanced brain activation in the affected motor cortex in the active group post-treatment (F = 5.82, P = 0.026), a change not observed in the passive group. These findings underscore the clinical superiority of active robotic training in enhancing motor recovery post-stroke.

conclusionActive mode robotic training is more effective than passive mode training in improving motor function and neurophysiological outcomes in stroke patients. These findings support the preferential use of active mode robotic training in clinical rehabilitation settings for enhancing gait recovery post-stroke. Further research with larger sample sizes and longer follow-up periods is warranted to confirm these results and explore long-term benefits.

Indexed as

Exercise TherapyGait Disorders, NeurologicNeuronal PlasticityRoboticsStrokeStroke RehabilitationAdultAgedEvoked Potentials, MotorFemaleGaitHumansMaleMiddle AgedRecovery of FunctionSpectroscopy, Near-InfraredActive modeGait recoveryMotor functionNeurophysiological assessmentPassive modeRehabilitationRobotic trainingStroke

Identifiers

PMID40450196
PMCPMC12125807

What OpenQuestion holds

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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.