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Titre : | Efficacy of Robot-Assisted Training on Rehabilitation of Upper Limb Function in Patients With Stroke: A Systematic Review and Meta-analysis (2023) |
Auteurs : | Xinwei Yang ; Xiubo Shi ; Xiali Xue ; Zhongyi Deng |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 104, n° 9, 2023) |
Article en page(s) : | p. 1498-1513 |
Note générale : | https://doi.org/10.1016/j.apmr.2023.02.004 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Accident vasculaire cérébral (AVC) ; Entrainement d'endurance ; Membre supérieur ; Méta-analyse ; Réadaptation ; Robot |
Résumé : | Objective To systematically evaluate the effect of robot-assisted training (RAT) on upper limb function recovery in patients with stroke, providing the evidence-based medical basis for the clinical application of RAT. Data Sources We searched online electronic databases up to June 2022, including PubMed, The Cochrane Library, Scopus, Web of Science, EMBASE, WanFang Data, CNKI, and VIP full-text databases. Study Selection Randomized controlled trials of the effect of RAT on upper extremity functional recovery in patients with stroke. Data Extraction The Cochrane Collaboration Tool for Assessing the Risk of Bias was used to assess study quality and risk of bias. Data Synthesis Fourteen randomized controlled trials involving 1275 patients were included for review. Compared with the control group, RAT significantly improved upper limb motor function and daily living ability. The overall differences were statistically significant, Fugl-Meyer Assessment for the Upper Extremity (FMA-UE; standard mean difference=0.69; 95% confidence interval, 0.34, 1.05; P=.0001), modified Barthel Index (standard mean difference=0.95; 95% confidence interval, 0.75, 1.15; P<.00001 whereas the differences in modified ashworth scale fim and wolf motor function test scores were not statistically significant. subgroup analysis compared with control group between fma-ue barthel index at weeks of rat there significant patients stroke acute chronic phases conclusion present study showed that can significantly enhance upper limb activities daily life undergoing rehabilitation.> |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999323001041 |