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Settings matter: a scoping review on parameters in robot-assisted gait therapy identifies the importance of reporting standards

van Dellen, Florian; Labruyère, Rob (2022). Settings matter: a scoping review on parameters in robot-assisted gait therapy identifies the importance of reporting standards. Journal of Neuroengineering and Rehabilitation (JNER), 19:40.

Abstract

Background: Lokomat therapy for gait rehabilitation has become increasingly popular. Most evidence suggests that Lokomat therapy is equally effective as but not superior to standard therapy approaches. One reason might be that the Lokomat parameters to personalize therapy, such as gait speed, body weight support and Guidance Force, are not optimally used. However, there is little evidence available about the influence of Lokomat parameters on the effectiveness of the therapy. Nevertheless, an appropriate reporting of the applied therapy parameters is key to the successful clinical transfer of study results. The aim of this scoping review was therefore to evaluate how the currently available clinical studies report Lokomat parameter settings and map the current literature on Lokomat therapy parameters.

Methods and results: A systematic literature search was performed in three databases: Pubmed, Scopus and Embase. All primary research articles performing therapy with the Lokomat in neurologic populations in English or German were included. The quality of reporting of all clinical studies was assessed with a framework developed for this particular purpose. We identified 208 studies investigating Lokomat therapy in patients with neurologic diseases. The reporting quality was generally poor. Less than a third of the studies indicate which parameter settings have been applied. The usability of the reporting for a clinical transfer of promising results is therefore limited.

Conclusion: Although the currently available evidence on Lokomat parameters suggests that therapy parameters might have an influence on the effectiveness, there is currently not enough evidence available to provide detailed recommendations. Nevertheless, clinicians should pay close attention to the reported therapy parameters when translating research findings to their own clinical practice. To this end, we propose that the quality of reporting should be improved and we provide a reporting framework for authors as a quality control before submitting a Lokomat-related article.

Keywords: Body weight support; Gait speed; Lokomat; Neurological rehabilitation; Public Reporting of Healthcare Data; Robotic guidance.

Additional indexing

Item Type:Journal Article, refereed, further contribution
Communities & Collections:04 Faculty of Medicine > University Children's Hospital Zurich > Medical Clinic
Dewey Decimal Classification:610 Medicine & health
Scopus Subject Areas:Health Sciences > Rehabilitation
Health Sciences > Health Informatics
Uncontrolled Keywords:Health Informatics, Rehabilitation
Language:English
Date:1 December 2022
Deposited On:20 Jan 2023 15:11
Last Modified:29 Oct 2024 02:35
Publisher:BioMed Central
ISSN:1743-0003
OA Status:Gold
Free access at:PubMed ID. An embargo period may apply.
Publisher DOI:https://doi.org/10.1186/s12984-022-01017-3
PubMed ID:35459246
Project Information:
  • Funder: schweizerische stiftung für das cerebral gelähmte kind
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  • Funder: walter muggli fonds of the accentus foundation
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  • Funder: j&k wonderland foundation
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  • Funder: Swiss Federal Institute of Technology Zurich
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  • Licence: Creative Commons: Attribution 4.0 International (CC BY 4.0)

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