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http://hdl.handle.net/1843/64809| Type: | Artigo de Periódico |
| Title: | Effectiveness of robot therapy on body function and structure in people with limited upper limb function: a systematic review and meta-analysis |
| Other Titles: | Eficácia da terapia robótica na função e estrutura corporal em pessoas com função limitada dos membros superiores: uma revisão sistemática e meta-análise |
| Authors: | Fernanda Márcia Rodrigues Martins Ferreira Maria Emília Abreu Chaves Vinícius Cunha Oliveira Adriana Maria Valladão Novais Van Petten Claysson Bruno Santos Vimieiro |
| Abstract: | Robot-Assisted Therapy (RT) is an innovative approach to neurological rehabilitation that uses intensive, repetitive, interactive, and individualized practice. This systematic review aimed to investigate the effectiveness of RT on the body function and structure of people with upper limb impairments (PROSPERO registration: CRD42017054982). A search strategy conducted on seven databases identified randomized controlled studies. Methodological quality was assessed using the PEDro scale. When possible, the data were pooled, the strength of evidence was assessed using the GRADE system, and the effect sizes were assessed using Cohen coefficient. Subgroup analyses investigated the impact on the estimated effects of the following parameters: methodological quality; portion of the assessed upper limb; duration of stroke; and intervention dose and duration. Thirty-eight studies involving 1174 participants were included. Pooled estimates revealed small effects of RT on motor control and medium effects on strength compared with other intervention (OI) at a short-term follow-up. Standardized differences in means were as follows: 0.3 (95% CI 0.1 to 0.4) and 0.5 (95% CI 0.2 to 0.8). Effects at other time points and on other investigated outcomes related to body function and structure were not found (p>0.05). The strength of the current evidence was usually low quality. Subgroup analyses suggested that the methodological quality, and duration and dose of RT may influence the estimated effects. In conclusion, RT has small effects on motor control and medium effects on strength in people with limited upper limb function. Poor methodological quality, and lower treatment dose and duration may impact negatively the estimated effects. |
| Subject: | Reabilitação neurológica Extremidade superior Revisão sistemática Metanálise |
| language: | eng |
| metadata.dc.publisher.country: | Brasil |
| Publisher: | Universidade Federal de Minas Gerais |
| Publisher Initials: | UFMG |
| metadata.dc.publisher.department: | EEF - DEPARTAMENTO DE TERAPIA OCUPACIONAL ENG - DEPARTAMENTO DE ENGENHARIA MECÂNICA |
| Rights: | Acesso Aberto |
| metadata.dc.identifier.doi: | https://doi.org/10.1371/journal.pone.0200330 |
| URI: | http://hdl.handle.net/1843/64809 |
| Issue Date: | 2018 |
| metadata.dc.url.externa: | https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0200330 |
| metadata.dc.relation.ispartof: | PLOS ONE |
| Appears in Collections: | Artigo de Periódico |
Files in This Item:
| File | Description | Size | Format | |
|---|---|---|---|---|
| Effectiveness of robot therapy on body function and structure in people with limited upper limb function_ A systematic review and meta-analysis.pdf | 21.89 MB | Adobe PDF | View/Open |
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