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Risk of bias was assessed using the Physiotherapy Evidence Database scale or the Revised Risk of Bias Assessment Tool for Non-Randomised Studies. Certainty of evidence was established following the Grading of Recommendations, Assessment, Development and Evaluations framework. The report followed the Preferring Reporting Items for Systematic Reviews and Meta-Analyses guidelines.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Thirty studies (638 participants) were eligible for inclusion. Quality of the randomised studies ranged from \u2018Fair\u2019 to \u2018Good\u2019, while there was high risk of bias for all non-randomised studies in \u22651 domain. Robot-assisted gait training significantly improved physical activity outcomes (up time, walk time, walk distance, walk speed and number of steps) over time, though these findings were constrained by very low certainty of evidence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Up time, walk time, walk distance, walk speed, and number of steps were significantly improved across the robot-assisted gait training period for patients with spinal cord injury. Robot-assisted gait training during rehabilitation for people following spinal cord injury is a useful adjunct to support independence and improved walking ability.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02692155251411864","type":"journal-article","created":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T18:08:59Z","timestamp":1771438139000},"page":"734-756","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["The effect of robot-assisted gait training on physical activity outcomes in people with spinal cord injury: A systematic review"],"prefix":"10.1177","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7405-9281","authenticated-orcid":false,"given":"James","family":"Belsey","sequence":"first","affiliation":[{"name":"University of Winchester"},{"name":"Bath Spa University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-6843-4659","authenticated-orcid":false,"given":"Andrew","family":"Reid","sequence":"additional","affiliation":[{"name":"University of Winchester"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2761-2798","authenticated-orcid":false,"given":"Scott","family":"Hannah","sequence":"additional","affiliation":[{"name":"University of Winchester"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9445-0069","authenticated-orcid":false,"given":"Louise","family":"Johnson","sequence":"additional","affiliation":[{"name":"Stroke Services, University Hospitals Dorset NHS Foundation Trust, Bournemouth, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3704-6737","authenticated-orcid":false,"given":"James","family":"Faulkner","sequence":"additional","affiliation":[{"name":"University of Southampton"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,2,18]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-024-03514-9"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2023.1126755"},{"key":"e_1_3_2_4_2","first-page":"1646","article-title":"Development and use of assistive technologies in spinal cord injury: a narrative review of reviews on the evolution, opportunities, and bottlenecks of their integration in the health domain","volume":"11","author":"Morone G","year":"2023","unstructured":"Morone G, Pirrera A, Iannone A, et al. 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