机器人辅助步态训练对改善脑卒中患者心肺功能的效果：一项荟萃分析。

Effect of robot-assisted gait training on improving cardiopulmonary function in stroke patients: a meta-analysis.

机构信息

Department of Rehabilitation Medicine, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China.

Department of Rehabilitation Medicine, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China.

出版信息

J Neuroeng Rehabil. 2024 May 30;21(1):92. doi: 10.1186/s12984-024-01388-9.

OBJECTIVE

Understanding the characteristics related to cardiorespiratory fitness after stroke can provide reference values for patients in clinical rehabilitation exercise. This meta- analysis aimed to investigate the effect of robot-assisted gait training in improving cardiorespiratory fitness in post-stroke patients, compared to conventional rehabilitation training.

METHODS

PubMed, EMBASE, Web of Science, Cochrane Database of Systematic Reviews, CBM, CNKI and Wanfang databases were searched until March 18th, 2024. Randomized controlled trials (RCTs) comparing the effectiveness of robot-assisted gait training versus control group were included. The main outcome variable was peak oxygen uptake. 6-minute walking test, peak heart rate, peak inspiratory expiratory ratio as our secondary indicators. RevMan 5.3 software was used for statistical analysis.

RESULTS

A total of 17 articles were included, involving 689 subjects. The results showed a significant effect for robot-assisted gait training to improve VO (MD = 1.85; 95% CI: -0.13 to 3.57; p = 0.04) and 6WMT (MD = 19.26; 95% CI: 10.43 to 28.08; p < 0.0001). However, no significant difference favouring robot-assisted gait training were found in HR (MD = 3.56; 95% CI: -1.90 to 9.02; p = 0.20) and RER (MD = -0.01; 95% CI: -0.04 to 0.01; p = 0.34).

CONCLUSION

These results showed that robot-assisted gait training may have a beneficial effect in improving VO and 6WMT, with a moderate recommendation level according to the GRADE guidelines.

目的

了解与中风后心肺功能相关的特征，可以为临床康复运动中的患者提供参考值。本荟萃分析旨在探讨与常规康复训练相比，机器人辅助步态训练对改善中风后患者心肺功能的效果。

方法

检索 PubMed、EMBASE、Web of Science、Cochrane 系统评价数据库、CBM、CNKI 和万方数据库，检索时间截至 2024 年 3 月 18 日。纳入比较机器人辅助步态训练与对照组疗效的随机对照试验（RCT）。主要结局变量为峰值摄氧量。6 分钟步行试验、峰值心率、峰值吸呼比为次要指标。使用 RevMan 5.3 软件进行统计学分析。

结果

共纳入 17 篇文献，涉及 689 例患者。结果显示，机器人辅助步态训练对提高 VO （MD = 1.85；95% CI：-0.13 至 3.57；p = 0.04）和 6WMT （MD = 19.26；95% CI：10.43 至 28.08；p < 0.0001）有显著效果。然而，机器人辅助步态训练对 HR （MD = 3.56；95% CI：-1.90 至 9.02；p = 0.20）和 RER （MD = -0.01；95% CI：-0.04 至 0.01；p = 0.34）无明显改善。