脑机接口对中风后上肢运动功能康复的疗效:系统回顾与荟萃分析

IF 1.7 4区 医学 Q3 CLINICAL NEUROLOGY
Ming Zhang, Feilong Zhu, Fan Jia, Yu Wu, Bin Wang, Ling Gao, Fengming Chu, Wei Tang
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引用次数: 0

摘要

背景:上肢功能的恢复对中风患者的日常生活活动至关重要。脑机接口技术在治疗上肢功能障碍方面可能具有潜在的益处。目的:系统评估脑机接口(BCI)在中风患者上肢运动功能康复中的疗效。方法:根据 PRSIMA 指南对截至 2023 年 7 月的六个数据库进行了审查。筛选出基于 BCI 的脑卒中患者上肢功能康复随机对照试验进行荟萃分析,汇总标准化平均差 (SMD) 以总结证据。采用 Cochrane 偏倚风险工具评估纳入研究的方法学质量。结果:共纳入 25 项研究。这些研究表明,BCI 对干预后上肢功能的改善作用较小。从训练的总持续时间来看,小于 12 小时的训练可能会带来更好的康复效果,但训练持续时间大于 12 小时则表明 BCI 训练的治疗效果不显著。结论:这项荟萃分析表明,BCI 在改善上肢功能方面有轻微疗效,并且具有良好的长期效果。就训练总时长而言,小于 12 小时的训练可能会带来更好的康复效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Efficacy of brain-computer interfaces on upper extremity motor function rehabilitation after stroke: A systematic review and meta-analysis
BACKGROUND: The recovery of upper limb function is crucial to the daily life activities of stroke patients. Brain-computer interface technology may have potential benefits in treating upper limb dysfunction. OBJECTIVE: To systematically evaluate the efficacy of brain-computer interfaces (BCI) in the rehabilitation of upper limb motor function in stroke patients. METHODS: Six databases up to July 2023 were reviewed according to the PRSIMA guidelines. Randomized controlled trials of BCI-based upper limb functional rehabilitation for stroke patients were selected for meta-analysis by pooling standardized mean difference (SMD) to summarize the evidence. The Cochrane risk of bias tool was used to assess the methodological quality of the included studies. RESULTS: Twenty-five studies were included. The studies showed that BCI had a small effect on the improvement of upper limb function after the intervention. In terms of total duration of training, <  12 hours of training may result in better rehabilitation, but training duration greater than 12 hours suggests a non significant therapeutic effect of BCI training. CONCLUSION: This meta-analysis suggests that BCI has a slight efficacy in improving upper limb function and has favorable long-term outcomes. In terms of total duration of training, <  12 hours of training may lead to better rehabilitation.
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来源期刊
NeuroRehabilitation
NeuroRehabilitation CLINICAL NEUROLOGY-REHABILITATION
CiteScore
3.20
自引率
0.00%
发文量
178
审稿时长
6-12 weeks
期刊介绍: NeuroRehabilitation, an international, interdisciplinary, peer-reviewed journal, publishes manuscripts focused on scientifically based, practical information relevant to all aspects of neurologic rehabilitation. We publish unsolicited papers detailing original work/research that covers the full life span and range of neurological disabilities including stroke, spinal cord injury, traumatic brain injury, neuromuscular disease and other neurological disorders. We also publish thematically organized issues that focus on specific clinical disorders, types of therapy and age groups. Proposals for thematic issues and suggestions for issue editors are welcomed.
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