Evidence map›Paper›PMID 42609645›Full record

ArticleCase reports in neurological medicine2026

The Novel Use of Robot-Assisted Gait Training in the Treatment of Functional Neurological Disorder: A Case Report.

Sam Smith, Lydia Caisley Harland, Bernie Bissett, Tapiwa Matangira, Philip Gaughwin

Abstract read
In one paragraph

Article in Case reports in neurological medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

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. 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

5 authors.

Sam SmithPhysiotherapy Department, Canberra Health Services, Canberra, Australian Capital Territory, Australia.ORCID https://orcid.org/0009-0003-6944-5606
Lydia Caisley HarlandPhysiotherapy Department, Canberra Health Services, Canberra, Australian Capital Territory, Australia.ORCID https://orcid.org/0009-0003-6886-3275
Bernie BissettFaculty of Health, University of Canberra, Canberra, Australian Capital Territory, Australia, canberra.edu.au.ORCID https://orcid.org/0000-0002-3248-384X
Tapiwa MatangiraRehabilitation Medicine, Canberra Health Services, Canberra, Australian Capital Territory, Australia.ORCID https://orcid.org/0009-0009-4931-9681
Philip GaughwinRehabilitation Medicine, Canberra Health Services, Canberra, Australian Capital Territory, Australia.ORCID https://orcid.org/0009-0005-9088-1028

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Functional neurological disorder (FND) is a condition defined by neurological symptoms that may be motor, sensory or cognitive in nature and can result in significant functional impairment, including total loss of mobility. There is evidence supporting the use of robotics in other neurological conditions such as stroke and spinal cord injury, but there is currently no published evidence for its use in the treatment of FND. This case using the Hocoma Lokomat robotic exoskeleton device represents the first known case of robot-assisted gait training in the treatment of FND. The aim of this case study was to determine if robot-assisted gait training (RAGT) could be a viable treatment option to improve mobility for patients with FND. Over 9 weeks, the 34-year-old patient completed 15 RAGT sessions. Outcome measures included the functional ambulation category (FAC), functional independence measure (FIM), 10-m walk test (10MWT) and Oxford manual muscle strength testing (MMT). At the conclusion of the RAGT programme, the patient had achieved independent walking: FAC improved from 0/5 to 5/5, FIM Locomotion improved from 1/7 to 7/7, FIM Total improved from 56 to 123 and the 10 MWT was completed in 37.45 s. The patient's muscle strength improved from 0/5 to 5/5 in all lower limb muscle groups (MMT). At 6 months postintervention, the patient reported zero FND relapses or functional impairments. RAGT can be considered a potential intervention option in FND, specifically in cases with gait impairments, and can be associated with dramatic improvements in strength and mobility. This is the first case of a patient with FND successfully completing RAGT in the treatment of gait-related impairments. Studies exploring feasibility and patient acceptability of this novel therapy in FND are now warranted.

Indexed as

case reportfunctional neurological disorderHocoma Lokomatphysiotherapyrobot-assisted gait training

Identifiers

PMID42609645
PMCPMC13478720

What OpenQuestion holds

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Read underepoch 390

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.