Everard Gauthier J, Ajana Khawla, Dehem Stéphanie B, Stoquart Gaëtan G, Edwards Martin G, Lejeune Thierry M
Neuro Musculo Skeletal Lab (NMSK), Institut de Recherche Expérimentale et Clinique, Secteur des Sciences de la Santé, Université catholique de Louvain, Brussels.
Psychological Sciences Research Institute (IPSY), Université catholique de Louvain, Louvain-la-Neuve.
Int J Rehabil Res. 2020 Sep;43(3):195-198. doi: 10.1097/MRR.0000000000000420.
The aim of this systematic review was, first, to determine whether or not individuals with cognitive deficits after stroke were enrolled in trials that investigated upper limb robot-assisted therapy effectiveness, and, second, whether these trials measured cognitive outcomes. We retrieved 6 relevant systematic reviews covering, altogether, 66 articles and 2214 participants. Among these 66 clinical trials, only 10 (15%) enrolled stroke participants with impaired cognition, whereas 50 (76%) excluded those with impaired cognition. The remaining six trials (9%) were classified as unclear as they either excluded individuals unable to understand simple instructions or did not specify if those with cognitive disorders were included. Furthermore, only 5 trials (8%) used cognitive measures as outcomes. This review highlights a lack of consideration for individuals with cognitive impairments in upper limb robotic trials after stroke. However, cognition is important for complex motor relearning processes and should not be ignored.
本系统评价的目的，首先是确定中风后有认知缺陷的个体是否被纳入了调查上肢机器人辅助治疗效果的试验，其次是这些试验是否测量了认知结果。我们检索了6篇相关的系统评价，共涵盖66篇文章和2214名参与者。在这66项临床试验中，只有10项（15%）纳入了认知受损的中风参与者，而50项（76%）排除了认知受损的参与者。其余6项试验（9%）被归类为不明确，因为它们要么排除了无法理解简单指令的个体，要么没有具体说明是否纳入了认知障碍者。此外，只有5项试验（8%）将认知测量作为结果。本评价强调了中风后上肢机器人试验中对认知障碍个体缺乏考虑。然而，认知对于复杂的运动再学习过程很重要，不应被忽视。
