中国康复理论与实践Issue(8)：701-709,9.DOI:10.3969/j.issn.1006-9771.2013.08.001
机器人辅助训练改善脑卒中患者下肢功能障碍的系统评价①
Effect of Robot-Assisted Training on Lower Extremities of Patients with Stroke:A Systematic Review of Randomized Controlled Tri-als
摘要
Abstract
Objective To evaluate the effectiveness of robot-assisted training on lower extremities of patients with stroke. Methods PubMed, Medline, EMbase, Cochrane Central Register of Controlled Trials (CENTRAL), ISI Web of Knowledge, Ovid, China National Knowledge Infrastructure (CNKI), Wanfang Data and VIP Database for Chinese Technical Periodicals were searched for the randomized controlled trials (RCTs) about robot-assisted training for lower extremities of patients with stroke from the date of establishment to March 2013. The bibliographies of the retrieved studies were also searched. 2 independent researchers evaluated the included studies using the risk of bias provided by Cochrane Library. The extracted data were analyzed by RevMan 5.1 software. Results A total of 12 trials were discov-ered. Compared with conventional training, the robot-assisted training increased the score of Fugl-Meyer assessment (lower extremity) (WED=3.97, 95%CI:2.84~5.10, Z=6.89, P<0.00001) and Berg Balance Scale (WED=3.13, 95%CI:0.80~5.45, Z=2.63, P=0.008). However, the results of stride frequency (WED=8.40, 95%CI:-0.95~17.75, Z=1.76, P=0.08) and speed (WED=0.03, 95%CI:-0.02~0.07, Z=1.18, P=0.24) were not statistically significant. According to the Jadad Score of included studies, 4 of them were of low quality and 8 of them were of high quality. Conclusion The current evidence shows that to some extent, robot-assisted training could improve the lower extremities function.关键词
机器人辅助训练/脑卒中/下肢/系统评价/随机对照试验Key words
robot-assisted training/stroke/lower extremities/systematic review/randomized controlled trial分类
医药卫生引用本文复制引用
郭佳宝,杨雨洁,岳雨珊,朱毅..机器人辅助训练改善脑卒中患者下肢功能障碍的系统评价①[J].中国康复理论与实践,2013,(8):701-709,9.基金项目
1.“十二五”国家科技支撑计划项目(No.2013BAI10B00)；2.南京中医药大学中医学一级学科开放课题(No. YS2012ZYX408)；3.江苏省高等学校大学生实践创新训练计划项目(No.201302)；4.2012年度江苏省高校“青蓝工程”培养对象。 （No.2013BAI10B00）
