Article

OBJECTIVE: To investigate the effects of robot-assisted training on the recovery
of people with spinal cord injury (SCI). DATA SOURCES: Randomized controlled
trials (RCTs) or quasi-RCTs involving people with SCI that compared
robot-assisted upper limbs or lower limbs training with a control of other
treatment approach or no treatment. We included studies involving people with
complete or incomplete SCIs. STUDY SELECTION: We searched MEDLINE, CINAHL,
Cochrane Central Register of Controlled Trials (Cochrane Library), and Embase to
August 2016. Bibliographies of relevant articles on the effect of
body-weight-supported treadmill training on subjects with SCI were screened to
avoid missing relevant articles from the search of databases. DATA EXTRACTION:
All kinds of objective assessments concerning physical ability, mobility, and/or
functional ability were included. Assessments could be clinical tests (ie,
6-minute walk test, FIM) or laboratory tests (ie, gait analysis). Subjective
outcome measures were excluded from this review. DATA SYNTHESIS: Eleven RCT
studies involving 443 subjects were included in the study. Meta-analysis was
performed on the included studies. Walking independence (3.73; 95% confidence
interval [CI], -4.92 to -2.53; P<.00001; I(2)=38%) and endurance (53.32m; 95% CI,
-73.15 to -33.48; P<.00001; I(2)=0%) were found to have better improvement in
robot-assisted training groups. Lower limb robot-assisted training was also found
to be as effective as other types of body-weight-supported training. There is a
lack of upper limb robot-assisted training studies; therefore, performing a
meta-analysis was not possible. CONCLUSIONS: Robot-assisted training is an
adjunct therapy for physical and functional recovery for patients with SCI.
Future high-quality studies are warranted to investigate the effects of
robot-assisted training on functional and cardiopulmonary recovery of patients
with SCI.
CI - Copyright (c) 2017 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS