Effectiveness of robot therapy on body function and structure in people with limited upper limb function: a systematic review and meta-analysis

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dc.creatorFernanda Márcia Rodrigues Martins Ferreira
dc.creatorMaria Emília Abreu Chaves
dc.creatorVinícius Cunha Oliveira
dc.creatorAdriana Maria Valladão Novais Van Petten
dc.creatorClaysson Bruno Santos Vimieiro
dc.date.accessioned2024-02-27T16:25:42Z
dc.date.accessioned2025-09-09T00:56:22Z
dc.date.available2024-02-27T16:25:42Z
dc.date.issued2018
dc.description.sponsorshipCAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
dc.identifier.doihttps://doi.org/10.1371/journal.pone.0200330
dc.identifier.issn1932-6203
dc.identifier.urihttps://hdl.handle.net/1843/64809
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofPLOS ONE
dc.rightsAcesso Aberto
dc.subjectReabilitação neurológica
dc.subjectExtremidade superior
dc.subjectRevisão sistemática
dc.subjectMetanálise
dc.subject.otherNeurological rehabilitation
dc.subject.otherUpper limb
dc.subject.otherRobot therapy
dc.subject.otherSystematic review
dc.titleEffectiveness of robot therapy on body function and structure in people with limited upper limb function: a systematic review and meta-analysis
dc.title.alternativeEficácia da terapia robótica na função e estrutura corporal em pessoas com função limitada dos membros superiores: uma revisão sistemática e meta-análise
dc.typeArtigo de periódico
local.citation.issue7
local.citation.volume13
local.description.resumoRobot-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.
local.identifier.orcidhttps://orcid.org/0000-0003-1031-7389
local.identifier.orcidhttps://orcid.org/0000-0002-8658-3774
local.identifier.orcidhttps://orcid.org/0000-0001-7979-2319
local.identifier.orcidhttps://orcid.org/0000-0003-1916-0517
local.publisher.countryBrasil
local.publisher.departmentEEF - DEPARTAMENTO DE TERAPIA OCUPACIONAL
local.publisher.departmentENG - DEPARTAMENTO DE ENGENHARIA MECÂNICA
local.publisher.initialsUFMG
local.url.externahttps://journals.plos.org/plosone/article?id=10.1371/journal.pone.0200330

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