Effectiveness of robot-assisted arm therapy in stroke rehabilitation: An overview of systematic reviews

Author:

Straudi Sofia1,Baluardo Ludovica1,Arienti Chiara2,Bozzolan Michela3,Lazzarini Stefano G.2,Agostini Michela4,Aprile Irene5,Paci Matteo6,Casanova Emanuela7,Marino Dario8,La Rosa Giuseppe9,Bressi Federica10,Sterzi Silvia10,Giansanti Daniele11,Perrero Luca12,Battistini Alberto7,Miccinilli Sandra10,Filoni Serena13,Sicari Monica14,Petrozzino Salvatore14,Solaro Claudio Marcello15,Gargano Stefano16,Benanti Paolo17,Boldrini Paolo18,Bonaiuti Donatella19,Castelli Enrico20,Draicchio Francesco21,Falabella Vincenzo22,Galeri Silvia2,Gimigliano Francesca23,Grigioni Mauro11,Mazzoleni Stefano24,Mazzon Stefano25,Molteni Franco26,Petrarca Maurizio27,Picelli Alessandro28,Posteraro Federico29,Senatore Michele30,Turchetti Giuseppe31,Morone Giovanni32,

Affiliation:

1. Department of Neuroscience and Rehabilitation, Ferrara University, Ferrara, Italy

2. IRCCS Fondazione Don Carlo Gnocchi, Milan, Italy

3. Interdepartmental Educational Service, Azienda Ospedaliero Universitaria S. Anna Ferrara, Ferrara, Italy

4. San Camillo IRCCS, Venice, Italy

5. IRCCS Fondazione Don Carlo Gnocchi, Florence, Italy

6. AUSL (Unique Sanitary Local Company) District of Central Tuscany, Florence, Italy

7. IRCCS Istituto delle Scienze Neurologiche di Bologna, Bologna, Italy

8. IRCCS Neurolysis Center “Bonino Pulejo”, Messina, Italy

9. Consorzio Siciliano di Riabilitazione (CSR), Catania, Italy

10. Campus Bio-Medico University Hospital Foundation, Rome, Italy

11. National Center for Innovative Technologies in Public Health, Italian National Institute of Health, Rome, Italy

12. Neurorehabilitation Unit, Azienda Ospedaliera Nazionale SS. Antonio e Biagio e Cesare Arrigo, Alessandria, Italy

13. Padre Pio Onlus Rehabilitation Centers Foundation, San Giovanni Rotondo, Italy

14. A.O.U. Città della Salute e della Scienza di Torino, Turin, Italy

15. CRRF “Mons. Luigi Novarese”, Vercelli, Italy

16. IRCCS Fondazione Don Carlo Gnocchi, Turin, Italy

17. Pontifical Gregorian University, Rome, Italy

18. Società Italiana di Medicina Fisica e Riabilitativa (SIMFER), Rome, Italy

19. Istituto Geriatrico Piero Redaelli, Milan, Italy

20. Department of Paediatric Neurorehabilitation, IRCCS Bambino Gesù Children’s Hospital,, Rome, Italy

21. Department of Occupational and Environmental Medicine, Epidemiology and Hygiene, INAIL, Rome, Italy

22. Italian Federation of Persons with Spinal Cord Injuries (Faip Onlus), Rome, Italy

23. Department of Mental, Physical Health and Preventive Medicine, University of Campania “Luigi Vanvitelli”, Naples, Italy

24. Department of Electrical and Information Engineering, Politecnico di Bari, Bari, Italy

25. AULSS6 (Unique Sanitary Local Company), Euganea Padova - Distretto 4 “Alta Padovana”, Padua, Italy

26. Department of Rehabilitation Medicine, Villa Beretta Rehabilitation Center, Valduce Hospital, Lecco, Italy

27. Movement Analysis and Robotics Laboratory (MARlab), IRCCS Bambino Gesù Children’s Hospital, Rome, Italy

28. Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy

29. Department of Rehabilitation, Versilia Hospital – AUSL12, Viareggio, Italy

30. Associazione Italiana dei Terapisti Occupazionali (AITO), Rome, Italy

31. Management Institute, Sant’Anna School of Advanced Studies, Pisa, Italy

32. Department of Life, Health and Environmental Sciences, University of L’Aquila, L’Aquila, Italy

Abstract

BACKGROUND: Robot-assisted arm therapy (RAT) has been used mainly in stroke rehabilitation in the last 20 years with rising expectations and growing evidence summarized in systematic reviews (SRs). OBJECTIVE: The aim of this study is to provide an overview of SRs about the effectiveness, within the ICF domains, and safety of RAT in the rehabilitation of adult with stroke compared to other treatments. METHODS: The search strategy was conducted using search strings adapted explicitly for each database. A screening base on title and abstract was realized to find all the potentially relevant studies. The methodological quality of the included SRs was assessed using AMSTAR-2. A pre-determined standardized form was used to realize the data extraction. RESULTS: 18 SRs were included in this overview. Generally, positive effects from the RAT were found for motor function and muscle strength, whereas there is no agreement for muscle tone effects. No effect was found for pain, and only a SR reported the positive impact of RAT in daily living activity. CONCLUSION: RAT can be considered a valuable option to increase motor function and muscle strength after stroke. However, the poor quality of most of the included SRs could limit the certainty around the results.

Publisher

IOS Press

Subject

Neurology (clinical),Rehabilitation,Physical Therapy, Sports Therapy and Rehabilitation

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