Evidence map›Paper›PMID 39425122›Full record

ArticleTrials2024

Dosing overground robotic gait training after spinal cord injury: a randomized clinical trial protocol.

Alexandria Suhalka, Fernando Zanela da Silva Areas, Faith Meza, Christa Ochoa, Simon Driver, Seema Sikka, Rita Hamilton, Hui-Ting Goh, Librada Callender, Monica Bennett and 2 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05218447 (Dosing of Overground Robotic Gait Training With Functional Outcomes and Neuroplasticity After Spinal Cord Injury), which is not on this map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

NCT05218447 naactive not recruitingnot on this map

Dosing of Overground Robotic Gait Training With Functional Outcomes and Neuroplasticity After Spinal Cord Injury

TypeinterventionalSponsorBaylor Research InstituteRan2022 to 2026Enrolled98ConditionsSpinal Cord InjuriesArmsRobotic Gait Training, Usual Care (UC) Gait Training
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
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

12 authors.

Alexandria SuhalkaBaylor Scott & White Research Institute, Dallas, TX, USA.
Fernando Zanela da Silva AreasBaylor Scott & White Research Institute, Dallas, TX, USA.
Faith MezaBaylor Scott & White Research Institute, Dallas, TX, USA.
Christa OchoaBaylor Scott & White Research Institute, Dallas, TX, USA.
Simon DriverBaylor Scott & White Research Institute, Dallas, TX, USA.
Seema SikkaBaylor Scott & White Institute for Rehabilitation, Dallas, TX, USA.
Rita HamiltonBaylor Scott & White Institute for Rehabilitation, Dallas, TX, USA.
Hui-Ting GohTexas Woman's University, Dallas, TX, USA.
Librada CallenderBaylor Scott & White Research Institute, Dallas, TX, USA.
Monica BennettBaylor Scott & White Research Institute, Dallas, TX, USA.
Hui-Ting ShihBaylor Scott & White Research Institute, Dallas, TX, USA.
Chad SwankBaylor Scott & White Research Institute, Dallas, TX, USA. chad.swank@bswhealth.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRobotic exoskeletons have changed rehabilitation care available to people after spinal cord injury (SCI). Yet, the current evidence base is insufficient to identify the optimal dose and neurophysiological mechanism of robotic exoskeleton gait training (RGT) as an effective rehabilitation approach. This study will (1) examine whether the frequency of RGT after motor incomplete SCI impacts function and health outcomes, (2) analyze the neuroplastic effects of RGT dose, and (3) evaluate the safety, tolerability, and feasibility of delivering RGT.

methodsWe will enroll 144 participants with motor incomplete SCI admitted to inpatient rehabilitation within 6 months of SCI. Participants will be randomized based on injury severity and level into one of 3 RGT frequency groups (high, moderate, low) or none/usual care only. Participants will complete 24 RGT sessions and be assessed at admission and discharge to inpatient rehabilitation, post-RGT intervention, 1-month post-RGT, and 9-month post-SCI. Outcomes include Walking Index for Spinal Cord Injury-II, health outcomes (gait speed, Spinal Cord Independence Measure, pain, fatigue, spasticity, general health, quality of life, physical activity), and motor evoked potential amplitudes obtained using transcranial magnetic stimulation. DISCUSSION: Successful completion of this study will provide an evidence-based intervention, specifically tailored to meet the unique needs of people with SCI, which supports walking recovery; maximizing health, function, and ultimately participation. The intervention will further support widespread clinical implementation of exoskeleton use during acute rehabilitation.

trial registrationClinicalTrials.gov NCT05218447. Registered on June 23, 2022.

Indexed as

Exoskeleton DeviceGaitRandomized Controlled Trials as TopicRecovery of FunctionSpinal Cord InjuriesAdultEvoked Potentials, MotorExercise TherapyFemaleHumansMaleMiddle AgedQuality of LifeRoboticsTime FactorsTreatment OutcomeClinical trialGaitRehabilitationRobotic gait trainingSpinal cord injury

Identifiers

PMID39425122
PMCPMC11487853

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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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 Socratic graph.