PDF(Pubmed)
Abstract：
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 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.
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.
摘要：
目的：了解脑卒中后心肺适能的相关特点，为患者临床康复锻炼提供参考价值。本Meta分析旨在探讨机器人辅助步态训练对脑卒中后患者心肺功能改善的效果。与常规康复训练相比。
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。
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。
