Robot-Assisted Arm Training versus Therapist-Mediated Training after Stroke: A Systematic Review and Meta-Analysis.

Journal of Healthcare Engineering
Zejian ChenXiaolin Huang

Abstract

More than two-thirds of stroke patients have arm motor impairments and function deficits on hospital admission, leading to diminished quality of life and reduced social participation. Robot-assisted training (RAT) is a promising rehabilitation program for upper extremity while its effect is still controversial due to heterogeneity in clinical trials. We performed a systematic review and meta-analysis to compare robot-assisted training (RAT) versus therapist-mediated training (TMT) for arm rehabilitation after stroke. We searched the following electronic databases: MEDLINE, EMBASE, Cochrane EBM Reviews, and Physiotherapy Evidence Database (PEDro). Studies of moderate or high methodological quality (PEDro score ≥4) were included and analyzed. We assessed the effects of RAT versus TMT for arm rehabilitation after stroke with testing the noninferiority of RAT. A small effect size of -2 score for mean difference in Fugl-Meyer Assessment of the Upper Extremity (FMA-UE) and Cohen's d = -0.2 for standardized mean difference (SMD) were set as noninferiority margin. Thirty-five trials with 2241 participants met inclusion criteria. The effect size for arm motor impairment, capacity, activities of daily living, and social participation wer...Continue Reading

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Citations

Aug 28, 2021·International Journal of Environmental Research and Public Health·Zhenxuan ZhangMaysam Ghovanloo
May 28, 2021·European Journal of Physical and Rehabilitation Medicine·Marialuisa GandolfiUNKNOWN Italian Consensus Conference on Robotics in Neurorehabilitation (CICERONE)

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Methods Mentioned

BETA
RAT

Software Mentioned

PEDro
RATULS
STATA

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