{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T04:48:11Z","timestamp":1782103691449,"version":"3.54.5"},"reference-count":47,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,6,21]],"date-time":"2026-06-21T00:00:00Z","timestamp":1782000000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,21]],"date-time":"2026-06-21T00:00:00Z","timestamp":1782000000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PM&amp;amp;R"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This systematic review and meta\u2010analysis aimed to synthesize the current evidence on the efficacy of various technological interventions for gait rehabilitation in adults with incomplete spinal cord injury (iSCI).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Literature survey<\/jats:title>\n                    <jats:p>MEDLINE (accessed by PubMed), Embase, Cochrane Central Register of Controlled Trials (Cochrane CENTRAL), and the Physiotherapy Evidence Database (PEDro) from inception to March 2025.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methodology<\/jats:title>\n                    <jats:p>Eligible studies evaluated the effects of innovative rehabilitation technologies on gait\u2010related outcomes in individuals with iSCI. The primary outcome was gait speed. Secondary outcomes were functional mobility and functional capacity assessed before and after intervention. Two reviewers independently performed study selection and data extraction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Synthesis<\/jats:title>\n                    <jats:p>Twenty\u2010one studies involving 601 participants were included. The interventions assessed encompassed robot\u2010assisted gait training (RAGT), body\u2010weight\u2010supported treadmill training (BWSTT), exoskeletons (EXO), repetitive transcranial magnetic stimulation, functional electrical stimulation, electromyography (EMG)\u2010triggered stimulation, virtual walking, and weight support feedback. Outcomes focused on gait speed, functional mobility, and functional capacity. RAGT was the only intervention associated with improvements in all three outcomes. BWSTT and EMG improved gait speed, while EXO enhanced functional mobility.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>RAGT appears to be the most consistently effective intervention for improving gait\u2010related outcomes in individuals with iSCI. However, additional high\u2010quality randomized controlled trials are needed to confirm these findings and to support clinical decision\u2010making.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pmrj.70162","type":"journal-article","created":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T04:11:46Z","timestamp":1782101506000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Innovative technologies for gait rehabilitation in incomplete spinal cord injury: A systematic review and meta\u2010analysis"],"prefix":"10.1002","author":[{"given":"Emerson","family":"de Carvalho","sequence":"first","affiliation":[{"name":"Rehabilitation Sciences Graduate Program Universidade Federal de Ci\u00eancias da Sa\u00fade de Porto Alegre (UFCSPA)  Porto Alegre Brazil"},{"name":"Movement Analysis and Rehabilitation Laboratory, Universidade Federal de Ci\u00eancias da Sa\u00fade de Porto Alegre (UFCSPA)  Porto Alegre Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8727-7904","authenticated-orcid":false,"given":"Thainara Cruz","family":"da Rosa","sequence":"additional","affiliation":[{"name":"Rehabilitation Sciences Graduate Program Universidade Federal de Ci\u00eancias da Sa\u00fade de Porto Alegre (UFCSPA)  Porto Alegre Brazil"},{"name":"Movement Analysis and Rehabilitation Laboratory, Universidade Federal de Ci\u00eancias da Sa\u00fade de Porto Alegre (UFCSPA)  Porto Alegre Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1343-0360","authenticated-orcid":false,"given":"Maira Jaqueline","family":"da Cunha","sequence":"additional","affiliation":[{"name":"Rehabilitation Sciences Graduate Program Universidade Federal de Ci\u00eancias da Sa\u00fade de Porto Alegre (UFCSPA)  Porto Alegre Brazil"},{"name":"Movement Analysis and Rehabilitation Laboratory, Universidade Federal de Ci\u00eancias da Sa\u00fade de Porto Alegre (UFCSPA)  Porto Alegre Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aline S.","family":"Pagnussat","sequence":"additional","affiliation":[{"name":"Rehabilitation Sciences Graduate Program Universidade Federal de Ci\u00eancias da Sa\u00fade de Porto Alegre (UFCSPA)  Porto Alegre Brazil"},{"name":"Movement Analysis and Rehabilitation Laboratory, Universidade Federal de Ci\u00eancias da Sa\u00fade de Porto Alegre (UFCSPA)  Porto Alegre Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,21]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1053\/apmr.2002.31173"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.sc.3102172"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100031\u20101296049"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brainresbull.2008.06.002"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1038\/sc.2016.95"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/21925682241243074"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.47391\/JPMA.22\u201090"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/1687814018783627"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.3390\/brainsci13050703"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13018\u2010022\u201003459\u2010w"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0031\u20109406(05)61264\u20103"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532\u20105415.1991.tb01616.x"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2004.02.010"},{"key":"e_1_2_10_16_1","volume-title":"Cochrane Handbook for Systematic Reviews of Interventions Version 6.5","author":"Higgins JP","year":"2024"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0004\u20109514(09)70043\u20101"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jphys.2019.08.005"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2010.07.015"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.18637\/jss.v036.i03"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/1545968312448232"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40814\u2010018\u20100247\u2010y"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12883\u2010019\u20101361\u2010z"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41393\u2010022\u201000751\u20108"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2013.12.017"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/NPT.0000000000000403"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12984\u2010023\u201001158\u2010z"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.3233\/NRE\u2010130939"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2014.07.401"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1179\/2045772314Y.0000000263"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.5606\/tftrd.2023.11585"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1186\/1743\u20100003\u201011\u20104"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.1038\/sc.2011.37"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2024.06.011"},{"key":"e_1_2_10_35_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41394\u2010024\u201000675\u2010w"},{"key":"e_1_2_10_36_1","doi-asserted-by":"publisher","DOI":"10.1186\/1743\u20100003\u201011\u201042"},{"key":"e_1_2_10_37_1","doi-asserted-by":"publisher","DOI":"10.1080\/10790268.2023.2260532"},{"key":"e_1_2_10_38_1","doi-asserted-by":"publisher","DOI":"10.3233\/NRE\u2010230085"},{"key":"e_1_2_10_39_1","doi-asserted-by":"publisher","DOI":"10.1186\/1743\u20100003\u201011\u201046"},{"key":"e_1_2_10_40_1","doi-asserted-by":"publisher","DOI":"10.1097\/PHM.0000000000000927"},{"key":"e_1_2_10_41_1","doi-asserted-by":"publisher","DOI":"10.1177\/15459683241248088"},{"key":"e_1_2_10_42_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525\u20101403.2003.03017.x"},{"key":"e_1_2_10_43_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010021\u201091714\u20101"},{"key":"e_1_2_10_44_1","doi-asserted-by":"publisher","DOI":"10.1177\/1073858417699790"},{"key":"e_1_2_10_45_1","doi-asserted-by":"publisher","DOI":"10.1159\/000486273"},{"key":"e_1_2_10_46_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0021\u20109290(00)00174\u20103"},{"key":"e_1_2_10_47_1","doi-asserted-by":"publisher","DOI":"10.1179\/016164107X230775"},{"key":"e_1_2_10_48_1","volume-title":"International Classification of Functioning, Disability and Health: ICF","author":"World Health Organization","year":"2001"}],"container-title":["PM&amp;R"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pmrj.70162","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/pmrj.70162","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pmrj.70162","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T04:11:48Z","timestamp":1782101508000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/pmrj.70162"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,21]]},"references-count":47,"alternative-id":["10.1002\/pmrj.70162"],"URL":"https:\/\/doi.org\/10.1002\/pmrj.70162","archive":["Portico"],"relation":{},"ISSN":["1934-1482","1934-1563"],"issn-type":[{"value":"1934-1482","type":"print"},{"value":"1934-1563","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,21]]},"assertion":[{"value":"2025-07-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-17","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-21","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"pmrj.70162"}}