Effect of robot-assisted therapy on participation of people with limited upper limb functioning: a systematic review with GRADE recommendations

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dc.creatorFernanda Márcia Rodrigues Martins Ferreira
dc.creatorMaria Emília A. Chaves
dc.creatorVinícius Cunha Oliveira
dc.creatorJordana Simões Ribeiro Martins
dc.creatorAdriana Maria Valladão Novais Van Petten
dc.creatorClaysson Bruno Santos Vimieiro
dc.date.accessioned2024-02-28T17:29:37Z
dc.date.accessioned2025-09-09T00:47:29Z
dc.date.available2024-02-28T17:29:37Z
dc.date.issued2021
dc.description.sponsorshipCNPq - Conselho Nacional de Desenvolvimento Científico e Tecnológico
dc.description.sponsorshipFAPEMIG - Fundação de Amparo à Pesquisa do Estado de Minas Gerais
dc.description.sponsorshipCAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
dc.identifier.doihttps://doi.org/10.1155/2021/6649549
dc.identifier.issn1557-0703
dc.identifier.urihttps://hdl.handle.net/1843/64877
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofOccupational Therapy International
dc.rightsAcesso Aberto
dc.subjectReabilitação
dc.subjectExtremidade superior
dc.subjectRevisão sistemática
dc.subjectAbordagem GRADE
dc.subject.otherRobot assisted therapy
dc.subject.otherLimited upper limb
dc.subject.otherSystematic review
dc.subject.otherGRADE
dc.titleEffect of robot-assisted therapy on participation of people with limited upper limb functioning: a systematic review with GRADE recommendations
dc.typeArtigo de periódico
local.citation.volume2021
local.description.resumoBackground. Previous studies have suggested that robot-assisted therapy (RT) is effective in treating impairment and that it may also improve individuals’ participation. Objective. To investigate the effect of RT on the participation of individuals with limited upper limb functioning (PROSPERO: CRD42019133880). Data Sources: PEDro, Embase, MEDLINE, CINAHL, Cochrane, AMED, and Compendex. Inclusion Criteria. We selected randomized or quasirandomized controlled studies comparing the effects of RT with minimal or other interventions on participation of individuals with limited upper limb functioning. Data Extraction and Synthesis. Methodological quality of the included studies was assessed using the 0-10 PEDro scale, and effect estimates were reported using standardized mean differences (SMDs) with 95% confidence intervals (CIs), and the certainty of the current evidence was assessed using the GRADE. Results. Twelve randomized controlled studies involving 845 participants were included. The estimates of medium effects between RT and minimal intervention (MI) at a short-term follow-up were pooled, but there are no short-term effects between RT and OI. Standardized differences in means were as follows: 0.6 (95% CI 0.1 to 1.2) and 0.2 (95% CI -0.0 to 0.4). There were also no effects of additional RT in the short- or medium-term follow-up periods. Standardized differences in means were as follows: -0.6 (95% CI -1.1 to -0.1) and 0.2 (95% CI -0.3 to 0.8). The methodological quality of the included studies potentially compromised the effect estimates of RT. The existing evidence was very low-quality with many confounding variables between studies. Conclusions. For patients with upper limb neurological dysfunction, low-quality evidence supports RT over MI in terms of improving individual participation in the short term. The existing low- to very low-quality evidence does not support RT over OI in either the short- or medium-term follow-up periods with respect to community participation.
local.identifier.orcidhttps://orcid.org/0000-0003-1031-7389
local.identifier.orcidhttps://orcid.org/0000-0003-0364-1973
local.identifier.orcidhttps://orcid.org/0000-0002-8658-3774
local.identifier.orcidhttps://orcid.org/0000-0002-8860-8146
local.identifier.orcidhttps://orcid.org/0000-0003-1916-0517
local.identifier.orcidhttps://orcid.org/0000-0001-7979-2319
local.publisher.countryBrasil
local.publisher.departmentEEF - DEPARTAMENTO DE TERAPIA OCUPACIONAL
local.publisher.departmentENG - DEPARTAMENTO DE ENGENHARIA MECÂNICA
local.publisher.initialsUFMG
local.url.externahttps://www.hindawi.com/journals/oti/2021/6649549/

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