Robot-Assisted Arm Training in Stroke Individuals With Unilateral Spatial Neglect: A Pilot Study

Chen, Zejian; Gu, Minghui; He, Chang; Chen, Xiong; Xu, Jiang; Huang, Xiaolin

doi:10.3389/fneur.2021.691444

Cited by 7 publications

(20 citation statements)

References 42 publications

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“…The risk of bias in the included studies is presented in Table 3. The PEDRO score was eight in two studies, 55,56 five in one study, 54 and four in one study. 53 The detailed guidance of GRADE in the evidence profile is presented in Table 4.…”

Section: Resultsmentioning

confidence: 87%

“…A total of 630 studies were identified, and after reading the titles and abstracts, 23 studies were selected for eligibility analysis, 18 of which were excluded because they were prospective studies ( n = 2), case series ( n = 3), proof of concept ( n = 1), did not use any type of robot ( n = 4), did not include USN patients ( n = 5), used robot without limb activation ( n = 1), and were clinical trial protocols ( n = 2). In total, two RCTs, 53,54 two pilot RCTs, 55,56 and one quasi-RCT 57 were included in the qualitative analysis. A flowchart of the review steps is shown in Figures 1 and 2.…”

Section: Resultsmentioning

confidence: 99%

“…The mean age of the individuals in the experimental and control groups was 60.65 (±8.88) years and 63.41 (±9.13) years, respectively. Three studies included patients in the subacute phase, 53,54,56 one in the chronic phase, 55 and one in the acute phase 57 of stroke. In all studies, the individuals had ischemic and/or hemorrhagic strokes.…”

Section: Resultsmentioning

confidence: 99%

“…The type of robotic therapy was the end-effector type in four studies [53][54][55]57 and the exoskeleton type in one study. 56 In all studies, the outcome assessment was performed after the intervention protocol. No long-term follow-up was performed for any of the included studies.…”

Section: Resultsmentioning

confidence: 99%

“…Park 55 performed training with visual feedback on hand movements via video animation. Chen et al 56 used three-dimensional animation and voice prompt from the exoskeleton. Potentially, these may be critical active ingredients as the passive-active movements induced by the robot because visual and auditory feedback can improve perception during upper limb exercises.…”

Section: Discussionmentioning

confidence: 99%

See 4 more Smart Citations

Effect of Robot-Assisted Training on Unilateral Spatial Neglect After Stroke: Systematic Review and Meta-Analysis of Randomized Controlled Trials

Bazan

Fonseca

Miranda

et al. 2022

Neurorehabil Neural Repair

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Background Several studies have shown that robotic devices can effectively improve motor function in stroke patients through limb activation. However, the effects of robot-assisted therapy on perceptual deficits after stroke is unclear. Objective This review aimed to evaluate the effectiveness of robotic limb activation in patients with unilateral spatial neglect (USN) after stroke. Methods In this systematic review, a literature search was performed using MEDLINE, EMBASE, CENTRAL, CINAHL, and LILACS databases without language restrictions. Randomized controlled trials (RCTs) and quasi-RCTs of robot-assisted therapy for USN after stroke were selected. Two reviewers independently assessed the risk of bias and certainty of the evidence of the included studies. Results A total of 630 studies were identified, including five studies for qualitative synthesis and four meta-analyses. The results of RCTs comparing robotic limb activation with a control group suggested an improvement in the degree of USN measured by the line bisection test (standardized mean difference [SMD], −0.64; 95% confidence interval [CI], −1.13 to −0.15; P = .01). There were no differences between the groups in the motor-free visual perception test 3rd edition (SMD, 0.27; 95% CI, −0.25–0.79; P = .31), star cancellation test (SMD, 0.26; 95% CI, −0.42−0.94; P = .54), Albert’s test (SMD, −0.67; 95% CI, −2.01−0.66; P = .32), and Catherine Bergego Scale (SMD, −0.81; 95% CI, −2.07−0.45; P = .21). Conclusion The study demonstrated that limb activation through robotic therapy can improve midline perception. However, there was no impact on tasks assessing visual scanning, functionality, or activities of daily living.

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Section: Resultsmentioning

confidence: 87%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Effect of Robot-Assisted Training on Unilateral Spatial Neglect After Stroke: Systematic Review and Meta-Analysis of Randomized Controlled Trials

Bazan

Fonseca

Miranda

et al. 2022

Neurorehabil Neural Repair

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Robotic arm use for upper limb rehabilitation after stroke: A systematic review and meta‐analysis

Lee

Saragih

Batubara

2023

The Kaohsiung J of Med Scie

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Several studies have reported the effects of robotic arms on improving upper limb function in patients with stroke. However, previous studies have reported inconsistent findings that may lead to incorrect applications of robotic arm use. Six databases were searched for relevant randomized controlled trials. Meta-analyses were performed for upper limb performance measures, including subgroup analysis of pooled upper limb rehabilitation data such as stroke stage and intervention delivery dose.Furthermore, the Cochrane risk-of-bias tool for randomized trials version 2 (RoB 2) and sensitivity analysis were used to assess methodology and determine publication bias. The final analysis included 18 studies. Robotic arms improved upper limb and hand function in patients with stroke. Subgroup analysis revealed that robotic arm interventions lasting 30-60 min per session significantly improved upper limb function. However, no significant improvement was observed in shoulder and elbow or wrist and hand movements. This review may help develop applicable rehabilitation robots and collaboration between clinicians.

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Advances in the Rehabilitation of Hemispatial Inattention

Singh

Leff

2023

Curr Neurol Neurosci Rep

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Purpose of Review There continue to be a plethora of approaches to the rehabilitation of hemispatial inattention, from different forms of sensory stimulation (visual, auditory and somatosensory feedback), through all major modes of non-invasive brain stimulation to drug therapies. Here we summarise trials published in the years 2017–2022 and tabulate their effect sizes, with the aim of drawing on common themes that may serve to inform future rehabilitative studies. Recent Findings Immersive virtual reality approaches to visual stimulation seem well tolerated, although they have yet to yield any clinically relevant improvements. Dynamic auditory stimulation looks very promising and has high potential for implementation. Robotic interventions are limited by their cost and are perhaps best suited to patients with a co-occurring hemiparesis. Regarding brain stimulation, rTMS continues to demonstrate moderate effects but tDCS studies have yielded disappointing results so far. Drugs, primarily aimed at the dopaminergic system, often demonstrate beneficial effects of a medium size, but as with many of the approaches, it seems difficult to predict responders and non-responders. Summary Our main recommendation is that researchers consider incorporating single-case experimental designs into their studies as rehabilitation trials are likely to remain small in terms of patient numbers, and this is the best way to deal with all the factors that cause large between-subject heterogeneity.

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Robot-Assisted Arm Training in Stroke Individuals With Unilateral Spatial Neglect: A Pilot Study

Cited by 7 publications

References 42 publications

Effect of Robot-Assisted Training on Unilateral Spatial Neglect After Stroke: Systematic Review and Meta-Analysis of Randomized Controlled Trials

Effect of Robot-Assisted Training on Unilateral Spatial Neglect After Stroke: Systematic Review and Meta-Analysis of Randomized Controlled Trials

Robotic arm use for upper limb rehabilitation after stroke: A systematic review and meta‐analysis

Advances in the Rehabilitation of Hemispatial Inattention

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