Effects of robotic upper limb treatment after stroke on cognitive patterns: A systematic review.
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Bressi Federica, Cricenti Laura, Campagnola Benedetta, Bravi Marco, Miccinilli Sandra, Santacaterina Fabio, Sterzi Silvia, Straudi Sofia, Agostini Michela, Paci Matteo, Casanova Emanuela, Marino Dario, La Rosa Giuseppe, Giansanti Daniele, Perrero Luca, Battistini Alberto, Filoni Serena, Sicari Monica, Petrozzino Salvatore, Solaro Claudio Marcello, Gargano Stefano, Benanti Paolo, Boldrini Paolo, Bonaiuti Donatella, Castelli Enrico, Draicchio Francesco, Falabella Vincenzo, Galeri Silvia, Gimigliano Francesca, Grigioni Mauro, Mazzoleni Stefano, Mazzon Stefano, Molteni Franco, Petrarca Maurizio, Picelli Alessandro, Posteraro Federico, Senatore Michele, Turchetti Giuseppe, Morone Giovanni, Gallotti Marco, Germanotta Marco, Aprile Irene, Working Group Upper Limb “CICERONE” Italian Consensus Conference On Robotic In Neurorehabilitation
Аннотация
OBJECTIVE: To verify whether, in the current state of the literature, cognitive measures are used as inclusion or exclusion criteria and/or outcomes measures in robotic upper limb rehabilitation in stroke patients.
METHODS: The systematic review was conducted according to PRISMA guidelines. Studies eligible were identified through PubMed/MEDLINE and Web of Science from inception to March 2021.
RESULTS: Eighty-one studies were considered in this systematic review. Seventy-three studies have at least a cognitive inclusion or exclusion criteria, while only seven studies assessed cognitive outcomes.
CONCLUSION: Despite the high presence of cognitive instruments used for inclusion/exclusion criteria their heterogeneity did not allow the identification of a guideline for the evaluation of patients in different stroke stages. Therefore, although the heterogeneity and the low percentage of studies that included cognitive outcomes, seemed that the latter were positively influenced by RT in post-stroke rehabilitation. Future larger RCTs are needed to outline which cognitive scales are most suitable and their cut-off, as well as what cognitive outcome measures to use in the various stages of post-stroke rehabilitation.