A System Review: Effect of Robot-assisted Training on Improvement of Lower Extremities Function of Stroke Patients in Early Rehabilitation

Objective:To systematically review the effect of robot-assisted training on lower extremities function of stroke patients in the early stage of rehabilitation.Methods:We electronically searched databases including PubMed, EMbase, Clinicaltrials.gov, EBSCO, CNKI, and WanFang to collect randomized con...

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Main Authors: Xuejing LI, Jiajia WU, Tao YE, Qiang TANG
Format: Article
Language:English
Published: Editorial Office of Rehabilitation Medicine 2018-04-01
Series:康复学报
Subjects:
Online Access:http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2018.02061
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author Xuejing LI
Jiajia WU
Tao YE
Qiang TANG
author_facet Xuejing LI
Jiajia WU
Tao YE
Qiang TANG
author_sort Xuejing LI
collection DOAJ
description Objective:To systematically review the effect of robot-assisted training on lower extremities function of stroke patients in the early stage of rehabilitation.Methods:We electronically searched databases including PubMed, EMbase, Clinicaltrials.gov, EBSCO, CNKI, and WanFang to collect randomized controlled trials (RCTs) about robot-assisted training for improvement of lower extremities motor and balance function of patients in early stage of stroke (duration&lt;1 month) which published before October 2017. Two reviewers independently screened literature, extracted data and assessed the risk of bias of included studies. Meta-analysis was performed by using RevMan 5.3 software.Results:Five trials involving four Chinese literatures and one English literature were enrolled in this Meta-analysis. The results demonstrated that, compared with conventional training group, the score of Fugl-Meyer assessment (lower extremity) in robot-assisted training group was increased [SMD 0.76; 95%CI (0.46, 1.07), <italic>P</italic>&lt;0.01], and Berg balance scale was also increased [SMD 0.62; 95%CI (0.32, 0.92), <italic>P</italic>&lt;0.01].Conclusion:Current evidence showed that robot-assisted training could improve the lower extremities motor function and balance of patients in early stage of stroke. It still needs to be confirmed in a larger scale of controlled studies with a more homogeneous group of patients and a longer follow-up. Optimum parameters of rehabilitation robot, such as body weight support, guide force, gait speed, need to be further studied in patients in different stages of stroke.
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spelling doaj-art-572c6f87b4ca4a7da547ec0200b0f41b2025-01-14T10:05:14ZengEditorial Office of Rehabilitation Medicine康复学报2096-03282018-04-0128616623127222A System Review: Effect of Robot-assisted Training on Improvement of Lower Extremities Function of Stroke Patients in Early RehabilitationXuejing LIJiajia WUTao YEQiang TANGObjective:To systematically review the effect of robot-assisted training on lower extremities function of stroke patients in the early stage of rehabilitation.Methods:We electronically searched databases including PubMed, EMbase, Clinicaltrials.gov, EBSCO, CNKI, and WanFang to collect randomized controlled trials (RCTs) about robot-assisted training for improvement of lower extremities motor and balance function of patients in early stage of stroke (duration&lt;1 month) which published before October 2017. Two reviewers independently screened literature, extracted data and assessed the risk of bias of included studies. Meta-analysis was performed by using RevMan 5.3 software.Results:Five trials involving four Chinese literatures and one English literature were enrolled in this Meta-analysis. The results demonstrated that, compared with conventional training group, the score of Fugl-Meyer assessment (lower extremity) in robot-assisted training group was increased [SMD 0.76; 95%CI (0.46, 1.07), <italic>P</italic>&lt;0.01], and Berg balance scale was also increased [SMD 0.62; 95%CI (0.32, 0.92), <italic>P</italic>&lt;0.01].Conclusion:Current evidence showed that robot-assisted training could improve the lower extremities motor function and balance of patients in early stage of stroke. It still needs to be confirmed in a larger scale of controlled studies with a more homogeneous group of patients and a longer follow-up. Optimum parameters of rehabilitation robot, such as body weight support, guide force, gait speed, need to be further studied in patients in different stages of stroke.http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2018.02061strokeearly rehabilitationlower extremitiesrobot-assisted trainingMeta-analysis
spellingShingle Xuejing LI
Jiajia WU
Tao YE
Qiang TANG
A System Review: Effect of Robot-assisted Training on Improvement of Lower Extremities Function of Stroke Patients in Early Rehabilitation
康复学报
stroke
early rehabilitation
lower extremities
robot-assisted training
Meta-analysis
title A System Review: Effect of Robot-assisted Training on Improvement of Lower Extremities Function of Stroke Patients in Early Rehabilitation
title_full A System Review: Effect of Robot-assisted Training on Improvement of Lower Extremities Function of Stroke Patients in Early Rehabilitation
title_fullStr A System Review: Effect of Robot-assisted Training on Improvement of Lower Extremities Function of Stroke Patients in Early Rehabilitation
title_full_unstemmed A System Review: Effect of Robot-assisted Training on Improvement of Lower Extremities Function of Stroke Patients in Early Rehabilitation
title_short A System Review: Effect of Robot-assisted Training on Improvement of Lower Extremities Function of Stroke Patients in Early Rehabilitation
title_sort system review effect of robot assisted training on improvement of lower extremities function of stroke patients in early rehabilitation
topic stroke
early rehabilitation
lower extremities
robot-assisted training
Meta-analysis
url http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2018.02061
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