Evidence map›Paper›PMID 41287899›Full record

SynthesisEuropean journal of physical and rehabilitation medicine2025

Treatment dosage effects of treadmill-based exoskeletal robotic-assisted gait training in individuals with pediatric brain injuries: a systematic review and meta-analysis.

Tzuchi Lin, Yiting Tsai, Yunchuan Chang, Chienhung Lai, Shengwen Su

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in European journal of physical and rehabilitation medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

5 authors.

Tzuchi LinDepartment of Physical Medicine and Rehabilitation, Taipei Medical University Hospital, Taipei, Taiwan.
Yiting TsaiDepartment of Physical Medicine and Rehabilitation, Taipei Medical University Hospital, Taipei, Taiwan.
Yunchuan ChangDepartment of Physical Medicine and Rehabilitation, Taipei Medical University Hospital, Taipei, Taiwan.
Chienhung LaiDepartment of Physical Medicine and Rehabilitation, Taipei Medical University Hospital, Taipei, Taiwan.
Shengwen SuDepartment of Physical Medicine and Rehabilitation, Taipei Medical University Hospital, Taipei, Taiwan - 10154susw@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPediatric brain injuries frequently result in impaired mobility and functional limitations. Although treadmill-based exoskeletal robotic-assisted gait training (RAGT) may enhance gait performance, the optimal treatment parameters remain undefined. The present study evaluated the effects of treadmill-based exoskeletal RAGT on walking-related outcomes in children with brain injuries and examined the influence of training dosage on therapeutic outcomes. EVIDENCE ACQUISITION: This study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Six databases (PubMed, Embase, Science Direct, ProQuest, Cochrane Library, and PEDro) were searched for studies published between January 2010 and February 2025. Eligible studies included participants aged 2-18 years with brain injuries who received treadmill-based exoskeletal RAGT. Risk of bias was assessed using the Risk of Bias tool 2.0, Risk of Bias in Nonrandomized Studies of Intervention tool, and PEDro scale. Meta-analyses were conducted to estimate pooled effects and explore dose-response relationships. EVIDENCE SYNTHESIS: Twenty-four studies (N.=837) met the inclusion criteria; twenty were included in this meta-analysis. RAGT significantly increased gait speed (standardized mean difference [SMD]=0.40; 95% confidence interval [CI]=0.04 to 0.76; I

conclusionsTreadmill-based exoskeletal RAGT with conventional physical therapy improves gait speed and gross motor function in children with brain injuries. These findings provide preliminary guidance for optimizing training dosage. Additional high-quality trials with standardized protocols and extended follow-ups are required to validate these outcomes.

Indexed as

Brain InjuriesExercise TherapyExoskeleton DeviceGait Disorders, NeurologicRoboticsAdolescentChildChild, PreschoolGaitHumans

Identifiers

PMID41287899
PMCPMC12997073

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.