Effects of robot rehabilitation on the motor function and gait in children with cerebral palsy: a systematic review and meta-analysis.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-06-30 eCollection Date: 2024-06-01 DOI:10.12965/jer.2448186.093

Jae-Hyun Lim, Eun-Young Kang, Se-Ju Park, Byeong-Geun Kim

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Abstract

This study was to determine the effects of robot rehabilitation on motor function and gait in children with cerebral palsy (CP) and the effect of robot type. Inclusion criteria were children with any type of CP, robot rehabilitation studies, non-robot rehabilitation comparison groups, outcomes related to motor function and gait, and randomized controlled trials. PubMed, Embase, Cochrane Library, CINAHL, and Web of Science databases were searched. Risk of bias was assessed using physiotherapy evidence database. Seven studies with a total of 228 participants were selected. Motor function was significantly improved in three studies comparing robot rehabilitation and control groups (standard mean difference [SMD], 0.79; 95% confidence intervals [CIs], 0.34-1.24; I ²=73%). Gait was not significantly improved in five studies comparing robot rehabilitation and control groups (SMD, 0.27; 95% CI, -0.09 to 0.63; I ²=45%). When comparing effects by robot type, robotic-assisted gate training (RAGT) showed significant improvements in both motor function (SMD, 0.89; 95% CI, 0.36-1.43; I ²=77%) and gait (SMD, 0.62; 95% CI, 0.12-1.11; I ²=44%). Robot rehabilitation effectively improved motor function, and among the robot types, RAGT was found to be effective in improving motor function and gait.

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机器人康复对脑瘫儿童运动功能和步态的影响：系统综述和荟萃分析。

本研究旨在确定机器人康复对脑瘫（CP）儿童运动功能和步态的影响，以及机器人类型的影响。纳入标准包括任何类型的 CP 儿童、机器人康复研究、非机器人康复对比组、与运动功能和步态相关的结果以及随机对照试验。检索了 PubMed、Embase、Cochrane Library、CINAHL 和 Web of Science 数据库。使用物理治疗证据数据库评估了偏倚风险。共筛选出 7 项研究，228 名参与者。在三项研究中，机器人康复组与对照组的运动功能有明显改善（标准平均差 [SMD]，0.79；95% 置信区间 [CIs]，0.34-1.24；I 2=73%）。在五项比较机器人康复组与对照组的研究中，步态没有明显改善（SMD，0.27；95% CI，-0.09-0.63；I 2=45%）。如果按机器人类型比较效果，机器人辅助门训练（RAGT）在运动功能（SMD，0.89；95% CI，0.36-1.43；I 2=77%）和步态（SMD，0.62；95% CI，0.12-1.11；I 2=44%）方面均有显著改善。机器人康复有效地改善了运动功能，在各种机器人类型中，RAGT被认为能有效改善运动功能和步态。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.