机器人辅助训练对脑卒中后单侧空间忽视的影响:随机对照试验的系统评价和meta分析。

IF 3.7 2区 医学 Q1 CLINICAL NEUROLOGY
Neurorehabilitation and Neural Repair Pub Date : 2022-08-01 Epub Date: 2022-07-26 DOI:10.1177/15459683221110894
Rodrigo Bazan, Bruno Henrique de Souza Fonseca, Jessica Mariana de Aquino Miranda, Hélio Rubens de Carvalho Nunes, Silméia Garcia Zanati Bazan, Gustavo José Luvizutto
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引用次数: 1

摘要

背景:多项研究表明,机器人设备可以通过肢体激活有效改善脑卒中患者的运动功能。然而,机器人辅助治疗对中风后知觉缺陷的影响尚不清楚。目的:本综述旨在评估机械肢体激活在卒中后单侧空间忽视(USN)患者中的有效性。方法:本系统综述采用无语言限制的MEDLINE、EMBASE、CENTRAL、CINAHL和LILACS数据库进行文献检索。选择机器人辅助治疗脑卒中后USN的随机对照试验(rct)和准rct。两名审稿人独立评估了纳入研究的偏倚风险和证据的确定性。结果:共纳入630项研究,包括5项定性综合研究和4项荟萃分析。rct结果显示,机械肢体激活组与对照组相比,通过线平分测试测量的USN程度有所改善(标准化平均差[SMD], -0.64;95%置信区间[CI], -1.13 ~ -0.15;p = 0.01)。第三版无运动视觉知觉测验各组间差异无统计学意义(SMD, 0.27;95% ci, -0.25-0.79;P = 0.31),星形抵消检验(SMD, 0.26;95% ci, -0.42-0.94;P = 0.54), Albert检验(SMD, -0.67;95% ci, -2.01-0.66;P = 0.32), Catherine Bergego量表(SMD, -0.81;95% ci, -2.07-0.45;p = .21)。结论:研究表明,通过机器人治疗激活肢体可以改善中线知觉。然而,对评估视觉扫描、功能或日常生活活动的任务没有影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effect of Robot-Assisted Training on Unilateral Spatial Neglect After Stroke: Systematic Review and Meta-Analysis of Randomized Controlled Trials.

Background: Several studies have shown that robotic devices can effectively improve motor function in stroke patients through limb activation. However, the effects of robot-assisted therapy on perceptual deficits after stroke is unclear.

Objective: This review aimed to evaluate the effectiveness of robotic limb activation in patients with unilateral spatial neglect (USN) after stroke.

Methods: In this systematic review, a literature search was performed using MEDLINE, EMBASE, CENTRAL, CINAHL, and LILACS databases without language restrictions. Randomized controlled trials (RCTs) and quasi-RCTs of robot-assisted therapy for USN after stroke were selected. Two reviewers independently assessed the risk of bias and certainty of the evidence of the included studies.

Results: A total of 630 studies were identified, including five studies for qualitative synthesis and four meta-analyses. The results of RCTs comparing robotic limb activation with a control group suggested an improvement in the degree of USN measured by the line bisection test (standardized mean difference [SMD], -0.64; 95% confidence interval [CI], -1.13 to -0.15; P = .01). There were no differences between the groups in the motor-free visual perception test 3rd edition (SMD, 0.27; 95% CI, -0.25-0.79; P = .31), star cancellation test (SMD, 0.26; 95% CI, -0.42-0.94; P = .54), Albert's test (SMD, -0.67; 95% CI, -2.01-0.66; P = .32), and Catherine Bergego Scale (SMD, -0.81; 95% CI, -2.07-0.45; P = .21).

Conclusion: The study demonstrated that limb activation through robotic therapy can improve midline perception. However, there was no impact on tasks assessing visual scanning, functionality, or activities of daily living.

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来源期刊
CiteScore
8.30
自引率
4.80%
发文量
52
审稿时长
6-12 weeks
期刊介绍: Neurorehabilitation & Neural Repair (NNR) offers innovative and reliable reports relevant to functional recovery from neural injury and long term neurologic care. The journal''s unique focus is evidence-based basic and clinical practice and research. NNR deals with the management and fundamental mechanisms of functional recovery from conditions such as stroke, multiple sclerosis, Alzheimer''s disease, brain and spinal cord injuries, and peripheral nerve injuries.
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