机器人辅助步态训练对亚急性中风患者下肢功能的疗效:系统综述与荟萃分析

IF 5.2 2区 医学 Q1 ENGINEERING, BIOMEDICAL
Miao-miao Hu, Shan Wang, Cai-qin Wu, Kun-peng Li, Zhao-hui Geng, Guo-hui Xu, Lu Dong
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引用次数: 0

摘要

机器人辅助步态训练(RAGT)是一种新型技术,被广泛应用于亚急性中风患者的神经康复领域。然而,与传统步态训练(CGT)相比,RAGT 在改善下肢功能方面的有效性仍是一个争论不休的话题。本研究旨在调查和比较 RAGT 和 CGT 对亚急性脑卒中患者下肢运动的影响。本研究对多个数据库进行了全面检索,包括PubMed、Web of Science、Cochrane Library、EBSCO、Embase、Scopus、中国国家知识基础设施、万方数据库、SinoMed和Vip期刊集成平台。数据库检索截止到 2024 年 7 月 9 日。使用 RevMan 5.4 软件进行元分析。共有 24 项研究纳入分析。结果表明,与 CGT 相比,RAGT 显著改善了 Fugl-Meyer 下肢评估[MD = 2.10, 95%CI (0.62, 3.59),P = 0.005]、功能性行走类别[MD = 0.44, 95%CI (0.23, 0.65),P < 0.001]、Berg 平衡量表[MD = 4.55,95%CI (3.00,6.11),P < 0.001]、定时上下楼测试[MD = -4.05,95%CI (-5.12,-2.98),P < 0.001]和 6 分钟步行测试[MD = 30.66,95%CI (22.36,38.97),P < 0.001]对亚急性脑卒中患者的影响。然而,它对 10 米步行测试的影响并不明显[MD = 0.06,95%CI (-0.01, 0.14),P = 0.08]。本研究提供的证据表明,与 CGT 相比,RAGT 可以增强下肢功能、平衡功能、行走能力和耐力水平。然而,有关步态速度改善的证据质量仍然较低。
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 robot-assisted gait training on lower extremity function in subacute stroke patients: a systematic review and meta-analysis
Robot-Assisted Gait Training (RAGT) is a novel technology widely employed in the field of neurological rehabilitation for patients with subacute stroke. However, the effectiveness of RAGT compared to conventional gait training (CGT) in improving lower extremity function remains a topic of debate. This study aimed to investigate and compare the effects of RAGT and CGT on lower extremity movement in patients with subacute stroke. Comprehensive search was conducted across multiple databases, including PubMed, Web of Science, Cochrane Library, EBSCO, Embase, Scopus, China National Knowledge Infrastructure, Wan Fang, SinoMed and Vip Journal Integration Platform. The database retrieval was performed up until July 9, 2024. Meta-analysis was conducted using RevMan 5.4 software. A total of 24 RCTs were included in the analysis. The results indicate that, compared with CGT, RAGT led to significant improvements in the Fugl-Meyer Assessment for Lower Extremity [MD = 2.10, 95%CI (0.62, 3.59), P = 0.005], Functional Ambulation Category[MD = 0.44, 95%CI (0.23, 0.65), P < 0.001], Berg Balance Scale [MD = 4.55, 95%CI (3.00, 6.11), P < 0.001], Timed Up and Go test [MD = −4.05, 95%CI (−5.12, −2.98), P < 0.001], and 6-Minute Walk Test [MD = 30.66, 95%CI (22.36, 38.97), P < 0.001] for patients with subacute stroke. However, it did not show a significant effect on the 10-Meter Walk Test [MD = 0.06, 95%CI (−0.01, 0.14), P = 0.08]. This study provides evidence that RAGT can enhance lower extremity function, balance function, walking ability, and endurance levels compared to CGT. However, the quality of evidence for improvements in gait speed remains low.
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来源期刊
Journal of NeuroEngineering and Rehabilitation
Journal of NeuroEngineering and Rehabilitation 工程技术-工程:生物医学
CiteScore
9.60
自引率
3.90%
发文量
122
审稿时长
24 months
期刊介绍: Journal of NeuroEngineering and Rehabilitation considers manuscripts on all aspects of research that result from cross-fertilization of the fields of neuroscience, biomedical engineering, and physical medicine & rehabilitation.
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