Advanced Robotic Therapy Integrated Centers (ARTIC): an international collaboration facilitating the application of rehabilitation technologies.

There was no randomisation and no comparison group, so any change cannot be attributed to the Lokomat rather than usual therapy, time, or other treatment. Many patients also received conventional therapy alongside Lokomat training, so the contribution of the Lokomat alone cannot be separated. The paper used descriptive analyses only and did not test whether training parameters or outcomes changed significantly. Some data were missing, and database updates mean earlier patients may not have the same detailed information as later patients. Patients were selected by Lokomat eligibility and clinical reasoning, not by trial-style criteria, so the results may not match all neurorehabilitation patients. The network receives technical and administrative support from a manufacturer, and the company supported meetings and produced minutes. The database uses few characteristics to describe patients with traumatic brain injury, which limits what can be learned for that group.

The paper names funding from Hocoma, the Mäxi Foundation in Zurich, and the Swiss Foundation for Children with Cerebral Palsy. ARTIC receives technical and administrative support from a manufacturer, and the company supported meetings and produced minutes. The authors say the company did not have a vote on critical decisions or on the scientific output.

Do not read the 69%, 74%, 56%, and 83% goal attainment percentages as proof that Lokomat training works. The study had no control group, many patients also received conventional therapy, and the analyses were descriptive, so the Lokomat's contribution cannot be separated.