Effects of Robot-Assisted Gait Training in Individuals with Spinal Cord Injury: A Meta-analysis
Joint Authors
Chang, Ya-Ju
Fang, Chia-Ying
Tsai, Jia-Ling
Li, Guo-Sheng
Lien, Angela Shin-Yu
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-13, 13 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-03-21
Country of Publication
Egypt
No. of Pages
13
Main Subjects
Abstract EN
Background.
To investigate the effects of robot-assisted gait training (RAGT) on spasticity and pain in people with spinal cord injury (SCI).
Material and methods.
Four electronic databases (PubMed, Scopus, Medline, and Cochrane Central Register of Controlled Trials) were searched for studies published up to November 2019.
Only human trials and of English language were included.
The searched studies were reviewed and extracted independently by two authors.
Randomized controlled trials (RCTs) and non-RCTs were pooled separately for analyses.
Primary outcome measures included spasticity assessed by Ashworth scale (AS) or modified Ashworth scale (MAS) and pain assessed by VAS.
Secondary outcome measures included lower extremity motor score (LEMS) and walking ability (i.e., 6-minute walk test, 10-meter walk test).
Results.
A total of 225 studies were identified.
Eighteen studies (7 RCTs and 11 non-RCTs) including 301 subjects met inclusion criteria.
The outcome measure of spasticity significantly improved in favor of RAGT group in non-RCTs (AS: 95%CI=−0.202 to -0.068, p≤0.001; MAS: 95%CI=−2.886 to -1.412, p≤0.001).
The results on pain did not show significant change after RAGT in either RCTs or non-RCTs.
LEMS and walking ability significantly increased in favor of RAGT.
Conclusions.
RAGT can improve spasticity and walking ability in people with SCI.
The probable reason for no significant change in pain after RAGT is floor effect.
RAGT is beneficial for normalizing muscle tone and for improving lower extremity function in people with SCI without causing extra pain.
American Psychological Association (APA)
Fang, Chia-Ying& Tsai, Jia-Ling& Li, Guo-Sheng& Lien, Angela Shin-Yu& Chang, Ya-Ju. 2020. Effects of Robot-Assisted Gait Training in Individuals with Spinal Cord Injury: A Meta-analysis. BioMed Research International،Vol. 2020, no. 2020, pp.1-13.
https://search.emarefa.net/detail/BIM-1132328
Modern Language Association (MLA)
Fang, Chia-Ying…[et al.]. Effects of Robot-Assisted Gait Training in Individuals with Spinal Cord Injury: A Meta-analysis. BioMed Research International No. 2020 (2020), pp.1-13.
https://search.emarefa.net/detail/BIM-1132328
American Medical Association (AMA)
Fang, Chia-Ying& Tsai, Jia-Ling& Li, Guo-Sheng& Lien, Angela Shin-Yu& Chang, Ya-Ju. Effects of Robot-Assisted Gait Training in Individuals with Spinal Cord Injury: A Meta-analysis. BioMed Research International. 2020. Vol. 2020, no. 2020, pp.1-13.
https://search.emarefa.net/detail/BIM-1132328
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1132328