Straudi Sofia, Baluardo Ludovica, Arienti Chiara, Bozzolan Michela, Lazzarini Stefano G, Agostini Michela, Aprile Irene, Paci Matteo, Casanova Emanuela, Marino Dario, La Rosa Giuseppe, Bressi Federica, Sterzi Silvia, Giansanti Daniele, Perrero Luca, Battistini Alberto, Miccinilli Sandra, Filoni Serena, Sicari Monica, Petrozzino Salvatore, Solaro Claudio Marcello, Gargano Stefano, Benanti Paolo, Boldrini Paolo, Bonaiuti Donatella, Castelli Enrico, Draicchio Francesco, Falabella Vincenzo, Galeri Silvia, Gimigliano Francesca, Grigioni Mauro, Mazzoleni Stefano, Mazzon Stefano, Molteni Franco, Petrarca Maurizio, Picelli Alessandro, Posteraro Federico, Senatore Michele, Turchetti Giuseppe, Morone Giovanni
Department of Neuroscience and Rehabilitation, Ferrara University, Ferrara, Italy.
IRCCS Fondazione Don Carlo Gnocchi, Milan, Italy.
NeuroRehabilitation. 2022;51(4):559-576. doi: 10.3233/NRE-220027.
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).
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.
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.
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.
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.
在过去20年中，机器人辅助手臂治疗（RAT）主要用于中风康复，系统评价（SRs）总结了其不断提高的期望和越来越多的证据。
本研究的目的是概述关于RAT在中风成人康复中与其他治疗方法相比，在国际功能、残疾和健康分类（ICF）领域的有效性和安全性的系统评价。
使用专门为每个数据库调整的检索词进行检索策略。基于标题和摘要进行筛选，以找到所有潜在相关研究。使用AMSTAR-2评估纳入的系统评价的方法学质量。使用预先确定的标准化表格进行数据提取。
本综述纳入了18项系统评价。总体而言，发现RAT对运动功能和肌肉力量有积极影响，而对于肌张力影响尚无定论。未发现对疼痛有影响，只有一项系统评价报告了RAT对日常生活活动的积极影响。
RAT可被视为中风后增加运动功能和肌肉力量的一种有价值的选择。然而，大多数纳入的系统评价质量较差，可能会限制结果的确定性。
