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 VO2peak (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 HRpeak (MD = 3.56; 95% CI: -1.90 to 9.02; p = 0.20) and RERpeak (MD = -0.01; 95% CI: -0.04 to 0.01; p = 0.34).
CONCLUSIONS: These results showed that robot-assisted gait training may have a beneficial effect in improving VO2peak and 6WMT, with a moderate recommendation level according to the GRADE guidelines.
方法:PubMed,EMBASE,WebofScience,Cochrane系统评价数据库,CBM,一直搜索到3月18日的CNKI和万方数据库,2024.包括比较机器人辅助步态训练与对照组的有效性的随机对照试验(RCTs)。主要结果变量是峰值摄氧量。6分钟步行测试,峰值心率,峰值吸气呼气比作为我们的次要指标。采用RevMan5.3软件进行统计分析。
结果:共包括17篇文章,涉及689名受试者。结果表明,机器人辅助步态训练对改善VO2peak(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)具有显着效果。然而,在HRpeak(MD=3.56;95%CI:-1.90~9.02;p=0.20)和RERpeak(MD=-0.01;95%CI:-0.04~0.01;p=0.34)中没有发现有利于机器人辅助步态训练的显著差异.
结论:这些结果表明,机器人辅助步态训练可能对改善VO2peak和6WMT具有有益作用,根据GRADE指南具有中等推荐水平。