PDF(Pubmed)
Abstract：
This study was to determine the effects of robot rehabilitation on motor function and gait in children with cerebral palsy (CP) and the effect of robot type. Inclusion criteria were children with any type of CP, robot rehabilitation studies, non-robot rehabilitation comparison groups, outcomes related to motor function and gait, and randomized controlled trials. PubMed, Embase, Cochrane Library, CINAHL, and Web of Science databases were searched. Risk of bias was assessed using physiotherapy evidence database. Seven studies with a total of 228 participants were selected. Motor function was significantly improved in three studies comparing robot rehabilitation and control groups (standard mean difference [SMD], 0.79; 95% confidence intervals [CIs], 0.34-1.24; I 2=73%). Gait was not significantly improved in five studies comparing robot rehabilitation and control groups (SMD, 0.27; 95% CI, -0.09 to 0.63; I 2=45%). When comparing effects by robot type, robotic-assisted gate training (RAGT) showed significant improvements in both motor function (SMD, 0.89; 95% CI, 0.36-1.43; I 2=77%) and gait (SMD, 0.62; 95% CI, 0.12-1.11; I 2=44%). Robot rehabilitation effectively improved motor function, and among the robot types, RAGT was found to be effective in improving motor function and gait.
摘要：
这项研究旨在确定机器人康复对脑瘫（CP）儿童运动功能和步态的影响以及机器人类型的影响。纳入标准为患有任何类型CP的儿童，机器人康复研究，非机器人康复比较组，与运动功能和步态相关的结果，和随机对照试验。PubMed,Embase,科克伦图书馆,CINAHL,搜索了WebofScience数据库。使用物理治疗证据数据库评估偏倚风险。选择了7项研究，共228名参与者。在三项比较机器人康复组和对照组的研究中，运动功能得到了显着改善（标准平均差[SMD]，0.79；95%置信区间[CI]，0.34-1.24；I2=73%）。在五项比较机器人康复和对照组的研究中，步态没有显着改善（SMD，0.27；95%CI，-0.09至0.63；I2=45%)。按机器人类型比较效果时，机器人辅助闸门训练(RAGT)在两个运动功能(SMD，0.89；95%CI，0.36-1.43；I2=77%）和步态（SMD，0.62；95%CI，0.12-1.11；I2=44%)。机器人康复有效改善了运动功能，在机器人类型中，发现RAGT可有效改善运动功能和步态。
