Effect of robot-assisted training on upper limb motor in patients with stroke: a meta-analysis
10.3969/j.issn.1006-9771.2023.02.004
- VernacularTitle:机器人辅助训练对脑卒中患者上肢运动功能效果的Meta分析
- Author:
Liying ZHANG
1
;
Jiening WANG
1
;
Xiaoming YU
2
Author Information
1. The Seventh Clinical School of Medicine, Shanghai University of Traditional Medicine, Shanghai 201210, China
2. Rehabilitation Medical Center, Shanghai Seventh People's Hospital, Shanghai 200137, China
- Publication Type:Journal Article
- Keywords:
stroke;
robot-assisted training;
upper exteremity;
motor function;
meta-analysis
- From:
Chinese Journal of Rehabilitation Theory and Practice
2023;29(2):156-166
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo systematically review the efficacy of robot-assisted training on upper limb motor dysfunction in stroke patients. MethodsRelated literatures were searched in PubMed, Medline, Embase, Cochrane Library, Web of Science, CNKI, Wanfang Data, SinoMed, VIP data from July 1, 2019 to July 1, 2022. Two researchers screened the studies and extracted the data independently, and evaluated the methodological quality. Rev Man 5.4 was used for meta-analysis. ResultsA total of 19 randomised controlled trials with 1 258 subjects were finally included. The scores of Fugl-Meyer Assessment-Upper Extremity (SMD = 0.55, 95%CI 0.40 to 0.71, P < 0.001), modified Bathel Index (MD = 7.55, 95%CI 6.55 to 8.54, P < 0.001) and Motor Activity Log (SMD = -0.84, 95%CI -1.38 to -0.31, P = 0.002) were better in the experimental group than in the control group. However, no significant difference was found in the scores of Brunnstrom stages (upper extremity) (SMD = 0.61, 95%CI -0.08 to 1.30, P = 0.08) and modified Ashworth Scale (MD = -0.51, 95%CI -1.18 to 0.17, P = 0.14) between two groups. ConclusionRobot-assisted training could significantly improve the motor function of upper limbs in stroke patients.