■该研究旨在评估机器人辅助康复训练对帕金森病(PD)患者上下肢运动功能和疲劳的疗效,并探索最佳效果的机器人康复计划。
■我们在七个数据库中搜索了研究,搜索期从构建到2023年6月30日。两名研究人员独立筛选了研究,并评估了数据提取的研究质量。
■共纳入21项研究,18项与下肢康复有关的研究和3项与上肢康复有关的研究,共有787名参与者。结果表明,机器人辅助康复显著改善了下肢运动功能UPDRS第三部分(WMD=-3.58,95%CI=-5.91至-1.25,p=0.003)和BBS(WMD=4.24,95%CI=2.88至5.54,p<0.001)的指标,以及PD患者的非运动疲劳症状(WMD=-13.39,95%CI=-17.92至-8.86,p<0.001)。在上肢功能水平,PFS(WMD=-0.25,95%CI=-4.44至3.93,p=0.9)和BBT(WMD=1.73,95%CI=-2.85至6.33,p=0.458)的结局指标无统计学差异。
■机器人辅助康复显着改善了运动功能,疲劳,平衡PD患者的信心,但目前的证据并没有表明智能康复系统能改善上肢功能。特别是,机器人与虚拟现实的结合效果最好。
机器人辅助康复显著改善运动症状,下肢运动功能,疲劳,并平衡帕金森病(PD)患者的信心。机器人技术与虚拟现实相结合是最有效的应用,应该得到鼓励。在PD患者的机器人康复中,重点需要放在培训的持续时间和它提供的长期利益上。
UNASSIGNED: The study aims to assess the efficacy of robot-assisted rehabilitation training on upper and lower limb motor function and fatigue in Parkinson\'s disease (PD), and to explore the best-acting robotic rehabilitation program.
UNASSIGNED: We searched studies in seven databases and the search period was from the build to 30 June 2023. Two researchers independently screened studies and assessed the quality of the studies for data extraction.
UNASSIGNED: A total of 21 studies were included, 18 studies related to lower limbs rehabilitation and 3 studies related to upper limbs rehabilitation, involving a total of 787 participants. The results showed that robot-assisted rehabilitation significantly improved indicators of lower limb motor function UPDRS Part III (WMD = -3.58, 95% CI = -5.91 to -1.25, p = 0.003) and BBS (WMD = 4.24, 95% CI = 2.88 to 5.54, p < 0.001), as well as non-motor symptoms of fatigue (WMD = -13.39, 95% CI = -17.92 to -8.86, p < 0.001) in PD patients. At the level of upper limb function, there was no statistically significant difference in the outcome measures of PFS (WMD = -0.25, 95% CI = -4.44 to 3.93, p = 0.9) and BBT (WMD = 1.73, 95% CI = -2.85 to 6.33, p = 0.458).
UNASSIGNED: Robot-assisted rehabilitation significantly improved motor function, fatigue, and balance confidence in PD patients, but current evidence doesn\'t show that intelligent rehabilitation systems improve upper limb function. In particular, robotics combined with virtual reality worked best.
Robot-assisted rehabilitation significantly improves motor symptoms, lower limb motor function, fatigue, and balance confidence in Parkinson’s disease (PD) patients.Robotics combined with virtual reality is the most effective application and should be encouraged.In the robotic rehabilitation of PD patients, the focus needs to be on the duration of the training and the long-term benefits it provides.