中国康复2023，Vol.38Issue(12)：739-747,9.DOI:10.3870/zgkf.2023.12.009
下肢外骨骼机器人对脑卒中患者时空步态影响的Meta分析
Effect of a lower extremity exoskeleton robot on spatio-temporal gait of stroke patients:a meta-analysis
摘要
Abstract
Objective:Meta-analysis was used to explore the effect of a lower extremity exoskeleton robot on the spatio-temporal gait of stroke patients.Method:The domestic and foreign databases for randomized controlled stud-ies of lower limb exoskeleton robots on gait function recovery in stroke patients were searched.Step length,step speed,cadence,step width,walking cycle,and gait phase were used as outcome indicators.The Cochrane Hand-book 5.1.0 was used as a bias risk assessment tool,and the modified Jadad scale was used to evaluate the quality of the included literature.Statistical analysis was performed using Revmen 5.4 and Stata 17.0 software.Results:A to-tal of 15 articles with 713 patients were included.Meta-analysis revealed a significant difference in merger effect be-tween the experimental group and the control group:the step length[MD=2.61,95％CI:(1.79,3.44)],step speed[MD=0.08,95％CI:(0.07,0.09)],cadence[MD=6.10,95％CI:(3.67,8.53),P=0.0001],step width[MD=-2.22,95％CI:(-2.93,-1.51),P＜0.0001],and gait phase[MD=-0.08,95％CI:(-0.11,-0.06),P＜0.0001].There was no significant difference in the walking cycle between the two groups[MD=-0.01,95％CI:(-0.37,0.35),P=0.94].The results of the subgroup analysis showed that the platform-based training robot improved step length,step speed,and cadence compared to the control group.The lower limb exo-skeleton robot had a good intervention effect on patients with a disease duration of less than 6 months,and the effect was more pronounced when the treatment period prolonged.Conclusion:Lower-limb exoskeleton robots can better improve temporal and spatial gait parameters and walking ability in stroke patients.关键词
下肢外骨骼机器人/脑卒中/时空步态/Meta分析Key words
lower limb exoskeleton robot/stroke/spatio-temporal gait/Meta analysis分类
临床医学引用本文复制引用
洪雅晴,刘铨权,张清芳,段丽红,柯美华,支亮,龙建军..下肢外骨骼机器人对脑卒中患者时空步态影响的Meta分析[J].中国康复,2023,38(12):739-747,9.基金项目
广东省医学科研基金项目资助课题(A2021169) （A2021169）
深圳市第二人民医院项目资助课题(2023xgyj3357006) （2023xgyj3357006）
深圳市三名工程"南京医科大学励建安团队"资助项目(No.SZSM202111010) （No.SZSM202111010）
