Effectiveness of robot-assisted arm therapy in stroke rehabilitation: An overview of systematic reviews.

Autor: Straudi S; Department of Neuroscience and Rehabilitation, Ferrara University, Ferrara, Italy., Baluardo L; Department of Neuroscience and Rehabilitation, Ferrara University, Ferrara, Italy., Arienti C; IRCCS Fondazione Don Carlo Gnocchi, Milan, Italy., Bozzolan M; Interdepartmental Educational Service, Azienda Ospedaliero Universitaria S. Anna Ferrara, Ferrara, Italy., Lazzarini SG; IRCCS Fondazione Don Carlo Gnocchi, Milan, Italy., Agostini M; San Camillo IRCCS, Venice, Italy., Aprile I; IRCCS Fondazione Don Carlo Gnocchi, Florence, Italy., Paci M; AUSL (Unique Sanitary Local Company) District of Central Tuscany, Florence, Italy., Casanova E; IRCCS Istituto delle Scienze Neurologiche di Bologna, Bologna, Italy., Marino D; IRCCS Neurolysis Center 'Bonino Pulejo', Messina, Italy., La Rosa G; Consorzio Siciliano di Riabilitazione (CSR), Catania, Italy., Bressi F; Campus Bio-Medico University Hospital Foundation, Rome, Italy., Sterzi S; Campus Bio-Medico University Hospital Foundation, Rome, Italy., Giansanti D; National Center for Innovative Technologies in Public Health, Italian National Institute of Health, Rome, Italy., Perrero L; Neurorehabilitation Unit, Azienda Ospedaliera Nazionale SS. Antonio e Biagio e Cesare Arrigo, Alessandria, Italy., Battistini A; IRCCS Istituto delle Scienze Neurologiche di Bologna, Bologna, Italy., Miccinilli S; Campus Bio-Medico University Hospital Foundation, Rome, Italy., Filoni S; Padre Pio Onlus Rehabilitation Centers Foundation, San Giovanni Rotondo, Italy., Sicari M; A.O.U. Città della Salute e della Scienza di Torino, Turin, Italy., Petrozzino S; A.O.U. Città della Salute e della Scienza di Torino, Turin, Italy., Solaro CM; CRRF 'Mons. Luigi Novarese', Vercelli, Italy., Gargano S; IRCCS Fondazione Don Carlo Gnocchi, Turin, Italy., Benanti P; Pontifical Gregorian University, Rome, Italy., Boldrini P; Società Italiana di Medicina Fisica e Riabilitativa (SIMFER), Rome, Italy., Bonaiuti D; Istituto Geriatrico Piero Redaelli, Milan, Italy., Castelli E; Department of Paediatric Neurorehabilitation, IRCCS Bambino Gesù Children's Hospital,, Rome, Italy., Draicchio F; Department of Occupational and Environmental Medicine, Epidemiology and Hygiene, INAIL, Rome, Italy., Falabella V; Italian Federation of Persons with Spinal Cord Injuries (Faip Onlus), Rome, Italy., Galeri S; IRCCS Fondazione Don Carlo Gnocchi, Milan, Italy., Gimigliano F; Department of Mental, Physical Health and Preventive Medicine, University of Campania 'Luigi Vanvitelli', Naples, Italy., Grigioni M; National Center for Innovative Technologies in Public Health, Italian National Institute of Health, Rome, Italy., Mazzoleni S; Department of Electrical and Information Engineering, Politecnico di Bari, Bari, Italy., Mazzon S; AULSS6 (Unique Sanitary Local Company), Euganea Padova - Distretto 4 'Alta Padovana', Padua, Italy., Molteni F; Department of Rehabilitation Medicine, Villa Beretta Rehabilitation Center, Valduce Hospital, Lecco, Italy., Petrarca M; Movement Analysis and Robotics Laboratory (MARlab), IRCCS Bambino Gesù Children's Hospital, Rome, Italy., Picelli A; Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy., Posteraro F; Department of Rehabilitation, Versilia Hospital - AUSL12, Viareggio, Italy., Senatore M; Associazione Italiana dei Terapisti Occupazionali (AITO), Rome, Italy., Turchetti G; Management Institute, Sant'Anna School of Advanced Studies, Pisa, Italy., Morone G; Department of Life, Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy.
Jazyk: angličtina
Zdroj: NeuroRehabilitation [NeuroRehabilitation] 2022; Vol. 51 (4), pp. 559-576.
DOI: 10.3233/NRE-220027
Abstrakt: Background: Robot-assisted arm therapy (RAT) has been used mainly in stroke rehabilitation in the last 20 years with rising expectations and growing evidence summarized in systematic reviews (SRs).
Objective: The aim of this study is to provide an overview of SRs about the effectiveness, within the ICF domains, and safety of RAT in the rehabilitation of adult with stroke compared to other treatments.
Methods: The search strategy was conducted using search strings adapted explicitly for each database. A screening base on title and abstract was realized to find all the potentially relevant studies. The methodological quality of the included SRs was assessed using AMSTAR-2. A pre-determined standardized form was used to realize the data extraction.
Results: 18 SRs were included in this overview. Generally, positive effects from the RAT were found for motor function and muscle strength, whereas there is no agreement for muscle tone effects. No effect was found for pain, and only a SR reported the positive impact of RAT in daily living activity.
Conclusion: RAT can be considered a valuable option to increase motor function and muscle strength after stroke. However, the poor quality of most of the included SRs could limit the certainty around the results.
Databáze: MEDLINE
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