Effect of Upper Robot-Assisted Training on Upper Limb Motor, Daily Life Activities, and Muscular Tone in Patients With Stroke: A Systematic Review and Meta-Analysis

IF 4.6 Q2 MATERIALS SCIENCE, BIOMATERIALS

ACS Applied Bio Materials Pub Date : 2024-10-31 DOI:10.1002/brb3.70117

Tingting Su, Mengting Wang, Zhouyang Chen, Liang Feng

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Abstract

Background

Upper limb rehabilitation robot is a relatively new technology, but its effectiveness remains debatable due to the inconsistent results of clinical trials. This article intends to assess how upper limb rehabilitation robots help the functional recovery of stroke patients.

Methods

PubMed, Embase, Cochrane Library, and Web of Science databases were searched for eligible studies to explore the effect of upper limb rehabilitation robots on upper limb motor function, muscle tone, and daily living activities.

Results

Eighteen trials with 573 stroke patients met the inclusion criteria. The results showed that compared to conventional rehabilitation training, patients who received upper limb robotic therapy (RT) had significantly improved Fugl-Meyer Upper Extremity Motor Assessment (FMA-UE) scores (weighted mean differences [WMD]: 5.27, 95% confidence intervals [CI]: 3.36, 7.17), Action Research Arm Test (ARAT) scores (WMD: 4.07, 95% CI: −4.14, 12.28), Modified Barthel Index (MBI) scores (WMD: 9.55, 95% CI: 6.37, 12.73), and modified Ashworth Scale (MAS) scores (WMD: −0.28, 95% CI: −0.50, 0.06), with no significant heterogeneity.

Conclusions

Upper limb robot–assisted training is superior to conventional training in terms of improving upper limb motor impairment, ability to perform daily living activities, and muscle tone recovery, which supports the application of robots in clinical practice.

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上肢机器人辅助训练对脑卒中患者上肢运动、日常生活活动和肌肉张力的影响：系统回顾与元分析》。

背景：上肢康复机器人是一项相对较新的技术，但由于临床试验结果不一致，其有效性仍有待商榷。本文旨在评估上肢康复机器人如何帮助中风患者的功能恢复：方法：在PubMed、Embase、Cochrane Library和Web of Science数据库中检索符合条件的研究，探讨上肢康复机器人对上肢运动功能、肌张力和日常生活活动的影响：结果：18 项试验的 573 名中风患者符合纳入标准。结果表明，与传统康复训练相比，接受上肢机器人治疗（RT）的患者Fugl-Meyer上肢运动评估（FMA-UE）评分有明显改善（加权平均差[WMD]：5.27，95%置信区间：0.05）：5.27，95% 置信区间 [CI]：结论：上肢机器人辅助治疗对上肢运动评估（FMA-UE）得分（加权平均差 [WMD]：5.27，95% 置信区间 [CI]：3.36，7.17）、行动研究臂测试（ARAT）得分（WMD：4.07，95% CI：-4.14，12.28）、改良巴特尔指数（MBI）得分（WMD：9.55，95% CI：6.37，12.73）和改良阿什沃斯量表（MAS）得分（WMD：-0.28，95% CI：-0.50，0.06）均无显著异质性：在改善上肢运动障碍、日常生活活动能力和肌张力恢复方面，上肢机器人辅助训练优于传统训练，这为机器人在临床实践中的应用提供了支持。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

ACS Applied Bio Materials Chemistry-Chemistry (all)

CiteScore

9.40

自引率

2.10%

发文量

464