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Effects of robotic therapy associated with noninvasive brain stimulation on motor function in individuals with incomplete spinal cord injury: A systematic review of randomized controlled trials.

作者信息

Alashram Anas R

机构信息

Department of Physiotherapy, Middle East University, Amman, Jordan.

Applied Science Research Center, Applied Science Private University, Amman, Jordan.

出版信息

J Spinal Cord Med. 2025 Jan;48(1):6-21. doi: 10.1080/10790268.2024.2304921. Epub 2024 Jan 24.


DOI:10.1080/10790268.2024.2304921
PMID:38265422
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11749291/
Abstract

CONTEXT: Motor deficits are among the most common consequences of incomplete spinal cord injury (SCI). These impairments can affect patients' levels of functioning and quality of life. Combined robotic therapy and non-invasive brain stimulation (NIBS) have been used to improve motor impairments in patients with corticospinal tract lesions. OBJECTIVES: To examine the effects of combined robotic therapy and NIBS on motor function post incomplete SCI. METHODS: PubMed, SCOPUS, MEDLINE, PEDro, Web of Science, REHABDATA, CINAHL, and EMBASE were searched from inception until July 2023. The Physiotherapy Evidence Database (PEDro) scale was employed to evaluate the selected studies quality. RESULTS: Of 557 studies, five randomized trials ( = 122), with 25% of participants being females, were included in this review. The PEDro scores ranged from eight to nine, with a median score of nine. There were variations in treatment protocols and outcome measures, resulting in heterogeneous findings. The findings showed revealed evidence for the impacts of combined robotic therapy and NIBS on motor function in individuals with incomplete SCI. CONCLUSIONS: Combined robotic training and NIBS may be safe for individuals with incomplete SCI. The existing evidence concerning its effects on motor outcomes in individuals with SCI is limited. Further experimental studies are needed to understand the effects of combined robotic training and NIBS on motor impairments in SCI populations.

摘要

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本文引用的文献

[1]
The SoftHand Pro platform: a flexible prosthesis with a user-centered approach.

J Neuroeng Rehabil. 2023-2-8

[2]
Effects of non-invasive brain stimulation on motor function after spinal cord injury: a systematic review and meta-analysis.

J Neuroeng Rehabil. 2023-1-12

[3]
Motor rehabilitation as a therapeutic tool for spinal cord injury: New perspectives in immunomodulation.

Cytokine Growth Factor Rev. 2023-2

[4]
The effects of robot-assisted gait training combined with non-invasive brain stimulation on lower limb function in patients with stroke and spinal cord injury: A systematic review and meta-analysis.

Front Hum Neurosci. 2022-8-16

[5]
Spinal Cord Injury: The Global Incidence, Prevalence, and Disability From the Global Burden of Disease Study 2019.

Spine (Phila Pa 1976). 2022-11-1

[6]
How are patient-related characteristics associated with shared decision-making about treatment? A scoping review of quantitative studies.

BMJ Open. 2022-5-24

[7]
Epidemiology of traumatic spinal cord injury: a large population-based study.

Spinal Cord. 2022-9

[8]
Transcranial direct current stimulation for upper extremity spasticity rehabilitation in stroke survivors: A systematic review of randomized controlled trials.

PM R. 2023-2

[9]
Neuroplasticity of spinal cord injury and repair.

Handb Clin Neurol. 2022

[10]
Upper Limb Robotic Rehabilitation for Patients with Cervical Spinal Cord Injury: A Comprehensive Review.

Brain Sci. 2021-12-10

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