Effects of Robot-Assisted Gait Training in Individuals with Spinal Cord Injury: A Meta-analysis
Autor: | Jia-Ling Tsai, Ya-Ju Chang, Angela Shin-Yu Lien, Guo-Sheng Li, Chia-Ying Fang |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
030506 rehabilitation
medicine.medical_specialty Non-Randomized Controlled Trials as Topic Modified Ashworth scale Pain Review Article Walking General Biochemistry Genetics and Molecular Biology law.invention 03 medical and health sciences Muscle tone 0302 clinical medicine Physical medicine and rehabilitation Randomized controlled trial Gait training law Floor effect Outcome Assessment Health Care medicine Humans Spasticity Muscle Strength Spinal cord injury Gait Spinal Cord Injuries Randomized Controlled Trials as Topic General Immunology and Microbiology business.industry General Medicine Robotics medicine.disease medicine.anatomical_structure Lower Extremity Muscle Spasticity Meta-analysis Medicine medicine.symptom 0305 other medical science business 030217 neurology & neurosurgery |
Zdroj: | BioMed Research International, Vol 2020 (2020) BioMed Research International |
ISSN: | 2314-6141 2314-6133 |
Popis: | Background. To investigate the effects of robot-assisted gait training (RAGT) on spasticity and pain in people with spinal cord injury (SCI). Material and methods. Four electronic databases (PubMed, Scopus, Medline, and Cochrane Central Register of Controlled Trials) were searched for studies published up to November 2019. Only human trials and of English language were included. The searched studies were reviewed and extracted independently by two authors. Randomized controlled trials (RCTs) and non-RCTs were pooled separately for analyses. Primary outcome measures included spasticity assessed by Ashworth scale (AS) or modified Ashworth scale (MAS) and pain assessed by VAS. Secondary outcome measures included lower extremity motor score (LEMS) and walking ability (i.e., 6-minute walk test, 10-meter walk test). Results. A total of 225 studies were identified. Eighteen studies (7 RCTs and 11 non-RCTs) including 301 subjects met inclusion criteria. The outcome measure of spasticity significantly improved in favor of RAGT group in non-RCTs (AS: 95%CI=−0.202 to -0.068, p≤0.001; MAS: 95%CI=−2.886 to -1.412, p≤0.001). The results on pain did not show significant change after RAGT in either RCTs or non-RCTs. LEMS and walking ability significantly increased in favor of RAGT. Conclusions. RAGT can improve spasticity and walking ability in people with SCI. The probable reason for no significant change in pain after RAGT is floor effect. RAGT is beneficial for normalizing muscle tone and for improving lower extremity function in people with SCI without causing extra pain. |
Databáze: | OpenAIRE |
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