Network Meta-analysis of the effects of five intelligent rehabilitation technologies on the upper limb function and activities of daily living of stroke patients with upper limb dysfunction
10.3760/cma.j.cn115682-20240807-04423
- VernacularTitle:5种智能康复技术对脑卒中上肢功能障碍患者上肢功能及日常生活能力影响的网状Meta分析
- Author:
Qianqian CAO
1
;
Li ZENG
;
Sailu MAO
;
Qihong LI
;
Xinyu ZHANG
;
Jiefang SONG
Author Information
1. 同济大学医学院,上海 200092
- Publication Type:Journal Article
- Keywords:
Stroke;
Virtual reality;
Augmented reality;
Brain-computer interface;
Rehabilitationrobot
- From:
Chinese Journal of Modern Nursing
2025;31(10):1329-1337
- CountryChina
- Language:Chinese
-
Abstract:
Objective:This study aims to explore the intervention effects of five different intelligent rehabilitation technologies, namely immersive virtual reality (imVR), non-fully immersive virtual reality (Nf-imVR), augmented reality, brain-computer interface (BCI), and rehabilitation robot (RT), on the upper limb function and activities of daily living of stroke patients with upper limb dysfunction.Methods:A computer-based search was conducted in PubMed, Web of Science, Embase, Cochrane Library, China National Knowledge Infrastructure, and Wanfang Databases for randomized controlled trials (RCT) on the intervention effects of different intelligent rehabilitation technologies on stroke patients with upper limb dysfunction. Manual search and other retrieval methods were also supplemented. The retrieval time limit was from the establishment of the databases to May 31, 2024. Data were extracted and the methodological quality was evaluated, and a network Meta-analysis was performed using Stata 17.0 software.Results:A total of 34 articals were included, involving 1 926 patients, and the studies included five intelligent rehabilitation technologies. The control groups all received dose-matched conventional physical training. The results of the network Meta-analysis showed that, compared with the dose-matched conventional physical training, in terms of improving upper limb function, the BCI had the best effect, followed by imVR, RT, Nf-imVR, and augmented reality in sequence; in terms of improving activities of daily living, the BCI still had the best effect, followed by imVR, RT, augmented reality, and Nf-imVR in sequence. The clustering ranking of upper limb function and activities of daily living was BCI >imVR > RT > Nf-imVR > augmented reality in turn.Conclusions:Intelligent rehabilitation technologies have advantages in improving the upper limb function and activities of daily living of stroke patients with upper limb dysfunction, and the BCI has obvious advantages.