Effectiveness of Robot-Assisted Task-Oriented Training in Intervening the Upper Limbs and Daily Living Abilities of Stroke Patients:A Meta-Analysis
OBJECTIVE:To study the intervention effect of robot-assisted task-oriented training on the upper limbs and daily living abilities of stroke patients.METHODS:A search was conducted through databases such as Pubmed,China National Knowledge Infrastructure(CNKI),WOS,Cochrane Library,EMbase,and Scopus.The search deadline was February 1,2024.Ultimately,1,649 relevant articles were retrieved.After screening,15 articles and 574 samples were included for analysis.The Cochrane risk assessment tool was used to evaluate the quality of the articles.Meta-analysis,subgroup analysis,regression analysis,and sensitivity analysis were performed using Review Manager 5.4 and Stata 17.0.The values of Begg and Egger were used to determine whether there was significant publication bias.RESULTS:(i)Using a random effects model,the score of the Fugl-Meyer Upper Extremity Assessment Scale influenced by robot-assisted task-oriented training was significantly higher than that of the control group[MD=6.58,95％CI(3.77,9.39),P＜0.05],and the influence of robot-assisted task-oriented training on the Modified Barthel Index score was also significantly higher than that of the control group[MD=5.76,95％CI(2.91,8.61),P＜0.05].(ii)Subgroup analysis and regression analysis showed that the publication year of the literature might be one of the sources leading to high heterogeneity,while whether to use combined intervention,the region where the first author was located,and the age of the subjects were not the sources of high heterogeneity.(iii)For the articles using the Fugl-Meyer Upper Extremity Assessment Scale as the outcome indicator,the publication bias test showed no significant publication bias.(iv)Sensitivity analysis indicated that the research results were relatively robust.CONCLUSION:Robot-assisted task-oriented training can effectively promote the rehabilitation of upper limb function and the recovery of daily living abilities in stroke patients.
万方数据
维普
