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Is Leg-Driven Treadmill-Based Exoskeleton Robot Training Beneficial to Poststroke Patients: A Systematic Review and Meta-analysis.
Zhu, Ying-Hui; Ruan, Ming; Yun, Rui-Sheng; Zhong, Ying-Xi; Zhang, Yu-Xin; Wang, Yong-Jun; Sun, Yue-Li; Cui, Jia-Wen.
Affiliation
  • Zhu YH; From the School of Rehabilitation Science, Shanghai University of Traditional Chinese Medicine, Shanghai, China (Y-HZ, MR, R-SY, Y-X Zhong, Y-X Zhang, Y-JW, J-WC); and Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China (Y-JW, Y-LS).
Am J Phys Med Rehabil ; 102(4): 331-339, 2023 04 01.
Article de En | MEDLINE | ID: mdl-36075885
ABSTRACT

OBJECTIVE:

The aim of the study is to systematically review the effects of leg-driven treadmill-based exoskeleton robot training on balance and walking ability in poststroke patients.

DESIGN:

The PubMed, Cochrane Library, Embase, Web of Science, Medline, CNKI, VIP, and Wanfang databases were searched from inception to August 2021. The literature quality was evaluated using Cochrane Handbook. Primary outcomes include the Functional Ambulation Category Scale and Berg Balance Scale, and secondary outcomes include the 10 meter walk test, 6 minute walk test, and gait assessment cadence were analyzed.

RESULTS:

Seventeen randomized controlled trials were included in the systematic review, 15 studies in meta-analysis. Primary outcomes showed no significant difference in the Functional Ambulation Category Scale score; subgroup with the exoskeleton robot + conventional therapy of the Berg Balance Scale score was significantly increased; secondary outcomes showed no significance in 6 minute walk test or 10 meter walk test. The cadence score increased for the subgroup with an onset of more than 6 mos in the treatment group. The control group performed better than the subgroup with an onset of less than 6 mos.

CONCLUSIONS:

Leg-driven treadmill-based exoskeleton robot training can improve balance function in poststroke patients and is beneficial for patients with an onset of greater than 6 mos. However, there is no evidence to support the efficacy of walking ability.
Sujet(s)

Texte intégral: 1 Collection: 01-internacional Base de données: MEDLINE Sujet principal: Robotique / Dispositif d'exosquelette / Réadaptation après un accident vasculaire cérébral Type d'étude: Clinical_trials / Systematic_reviews Limites: Humans Langue: En Journal: Am J Phys Med Rehabil Sujet du journal: MEDICINA FISICA / REABILITACAO Année: 2023 Type de document: Article

Texte intégral: 1 Collection: 01-internacional Base de données: MEDLINE Sujet principal: Robotique / Dispositif d'exosquelette / Réadaptation après un accident vasculaire cérébral Type d'étude: Clinical_trials / Systematic_reviews Limites: Humans Langue: En Journal: Am J Phys Med Rehabil Sujet du journal: MEDICINA FISICA / REABILITACAO Année: 2023 Type de document: Article