Abstract
Objective
: To systematically evaluate the effect of robot-assisted training (RAT) on upper
limb function recovery in stroke patients, 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 (RCTs) of the effect of RAT on upper extremity functional
recovery in stroke patients.
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 RCTs involving 1275 patients were included for review. Compared with the
control group, RAT significantly improved upper limb motor function and daily living
ability. The differences have statistical significance in overall differences, FMA-UE
[SMD=0.69, 95%CI (0.34, 1.05), P=0.0001], MBI [SMD=0.95, 95%CI (0.75, 1.15), P< 0.00001];
while the differences in MAS, FIM and WMFT scores were not statistically significant.
Subgroup analysis: Compared with the control group, the differences between FMA-UE
and MBI at 4 and 12 weeks of RAT, there were statistically significant for both FMA-UE
and MAS in stroke patients in the acute and chronic phases.
Conclusion
The present study showed that RAT can significantly enhance the upper limb motor function
and activities of daily life in stroke patients undergoing upper limb rehabilitation.
Keywords
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Article info
Publication history
Accepted:
February 3,
2023
Received in revised form:
January 28,
2023
Received:
September 9,
2022
Publication stage
In Press Journal Pre-ProofFootnotes
Acknowledgments: None.
Author Contributions: All authors conceived and designed the study. Literature search: XY and XX. Screening and study selection: XX and ZD. Data extraction: XY, XX and XS. XY and XX wrote the manuscript. XY, XS and XX revised the manuscript. All authors approved the final version of the manuscript. XX is the guarantor.
Identification
Copyright
© 2023 by the American Congress of Rehabilitation Medicine.
