Evidence-based improvement of gait in post-stroke patients following robot-assisted training: A systematic review-Reference-Cited by-同舟云学术

Evidence-based improvement of gait in post-stroke patients following robot-assisted training: A systematic review

Published:2022-12-27 Issue:4 Volume:51 Page:595-608
ISSN:1053-8135
Container-title:NeuroRehabilitation
language:
Short-container-title:NRE

Author:

Mazzucchelli Miryam¹,Mazzoleni Daniele¹,Campanini Isabella²,Merlo Andrea²³,Mazzoli Davide³,Melegari Corrado⁴,Colombo Valentina⁵,Cerulli Simona⁶,Piscitelli Daniele¹⁷,Perin Cecilia¹⁸,Andrenelli Elisa⁹,Bizzarini Emiliana¹⁰,Calabro Rocco Salvatore¹¹,Carmignano Simona Maria¹²,Cassio Anna¹³,Chisari Carmelo¹⁴,Dalise Stefania¹⁴,Fundaro Cira¹⁵,Gazzotti Valeria¹⁶,Stampacchia Giulia¹⁷,Boldrini Paolo¹⁸,Mazzoleni Stefano¹⁹,Posteraro Federico²⁰,Benanti Paolo²¹,Castelli Enrico²²,Draicchio Francesco²³,Falabella Vincenzo²⁴,Galeri Silvia²⁵,Gimigliano Francesca²⁶,Grigioni Mauro²⁷,Mazzon Stefano²⁸,Molteni Franco²⁹,Morone Giovanni³⁰,Petrarca Maurizio³¹,Picelli Alessandro³²,Senatore Michele³³,Turchetti Giuseppe³⁴,Bonaiuti Donatella³⁵

Affiliation:

1. School of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy

2. Department of Neuromotor and Rehabilitation, LAM-Motion Analysis Laboratory, San Sebastiano Hospital, AUSL-IRCCS di Reggio Emilia, Reggio Emilia, Italy

3. Gait and Motion Analysis Laboratory, Sol et Salus Ospedale Privato Accreditato, Rimini, Italy

4. Elias Neuroriabilitazione, Parma, Italy

5. Montecatone Rehabilitation Institute, Imola, Italy

6. Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy

7. School of Physical and Occupational Therapy, McGill University, Montreal, Canada

8. San Donato Group, Istituti Clinici Zucchi, Monza, Italy

9. Department of Experimental and Clinical Medicine, Università Politecnica delle Marche, Ancona, Italy

10. Department of Rehabilitation Medicine, Spinal Cord Unit, Gervasutta Hospital, Azienda Sanitaria Universitaria Friuli Centrale (ASU FC), Udine, Italy

11. IRCCS Centro Neurolesi “Bonino Pulejo”, Messina, Italy

12. Centro Terapeutico Riabilitativo (CTR), Potenza, Italy

13. Spinal Cord Unit and Intensive Rehabilitation Medicine, Ospedale di Fiorenzuola d’Arda, AUSL Piacenza, Piacenza, Italy

14. Department of Translational Research and New Technologies in Medicine and Surgery, Neurorehabiltation Section, University of Pisa, Pisa, Italy

15. Neurophysiopathology Unit, Istituti Clinici Scientifici Maugeri, IRCCS Montescano, Pavia, Italy

16. Centro Protesi Vigorso di Budrio, Istituto Nazionale Assicurazione Infortuni sul Lavoro (INAIL), Bologna, Italy

17. Spinal Cord Unit, Pisa University Hospital, Pisa, Italy

18. Italian Society of Physical Medicine and Rehabilitation (SIMFER), Rome, Italy

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

20. Department of Rehabilitation, Versilia Hospital - AUSL12, Viareggio, Italy

21. Pontifical Gregorian University, Rome, Italy

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

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

24. Italian Federation of Persons with Spinal Cord Injuries (FAIP Onlus), Rome, Italy

25. IRCCS Fondazione Don Carlo Gnocchi, Milan, Italy

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

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

28. Rehabilitation Unit, ULSS (Local Health Authority) Euganea, Camposampiero Hospital, Padua, Italy

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

30. IRCCS Santa Lucia Foundation, Rome, Italy

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

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

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

34. Institute of Management, Scuola Superiore Sant’Anna, Pisa, Italy

35. Piero Redaelli Geriatric Institute, Milan, Italy

Abstract

BACKGROUND: The recovery of walking after stroke is a priority goal for recovering autonomy. In the last years robotic systems employed for Robotic Assisted Gait Training (RAGT) were developed. However, literature and clinical practice did not offer standardized RAGT protocol or pattern of evaluation scales. OBJECTIVE: This systematic review aimed to summarize the available evidence on the use of RAGT in post-stroke, following the CICERONE Consensus indications. METHODS: The literature search was conducted on PubMed, Cochrane Library and PEDro, including studies with the following criteria: 1) adult post-stroke survivors with gait disability in acute/subacute/chronic phase; 2) RAGT as intervention; 3) any comparators; 4) outcome regarding impairment, activity, and participation; 5) both primary studies and reviews. RESULTS: Sixty-one articles were selected. Data about characteristics of patients, level of disability, robotic devices used, RAGT protocols, outcome measures, and level of evidence were extracted. CONCLUSION: It is possible to identify robotic devices that are more suitable for specific phase disease and level of disability, but we identified significant variability in dose and protocols. RAGT as an add-on treatment seemed to be prevalent. Further studies are needed to investigate the outcomes achieved as a function of RAGT doses delivered.

Publisher

IOS Press

Subject

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

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