Evidence-based improvement of gait in post-stroke patients following robot-assisted training: A systematic review.
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Mazzucchelli Miryam, Mazzoleni Daniele, Campanini Isabella, Merlo Andrea, Mazzoli Davide, Melegari Corrado, Colombo Valentina, Cerulli Simona, Piscitelli Daniele, Perin Cecilia, Andrenelli Elisa, Bizzarini Emiliana, Calabro Rocco Salvatore, Carmignano Simona Maria, Cassio Anna, Chisari Carmelo, Dalise Stefania, Fundaro Cira, Gazzotti Valeria, Stampacchia Giulia, Boldrini Paolo, Mazzoleni Stefano, Posteraro Federico, Benanti Paolo, Castelli Enrico, Draicchio Francesco, Falabella Vincenzo, Galeri Silvia, Gimigliano Francesca, Grigioni Mauro, Mazzon Stefano, Molteni Franco, Morone Giovanni, Petrarca Maurizio, Picelli Alessandro, Senatore Michele, Turchetti Giuseppe, Bonaiuti Donatella
Аннотация
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.