Robotic-assisted gait rehabilitation following stroke: a systematic review of current guidelines and practical clinical recommendations

被引：76

作者：

Calabro, Rocco S. ^{[1
]}

Sorrentino, Gregorio ^{[2
]}

Cassio, Anna ^{[3
,4
,5
,6
]}

Mazzoli, Davide ^{[7
]}

Andrenelli, Elisa ^{[8
]}

Bizzarini, Emiliana ^{[9
,10
]}

Campanini, Isabella ^{[11
]}

Carmignano, Simona M. ^{[12
]}

Cerulli, Simona ^{[13
]}

Chisari, Carmelo ^{[14
]}

Colombo, Valentina ^{[15
]}

Dalise, Stefania ^{[14
]}

Fundaro, Cira ^{[16
]}

Gazzotti, Valeria ^{[17
]}

Mazzoleni, Daniele ^{[18
]}

Mazzucchelli, Miryam ^{[19
]}

Melegari, Corrado ^{[20
]}

Merlo, Andrea ^{[7
,11
]}

Stampacchia, Giulia ^{[20
]}

Boldrini, Paolo ^{[21
]}

Mazzoleni, Stefano ^{[22
]}

Posteraro, Federico ^{[23
]}

Benanti, Paolo ^{[24
]}

Castelli, Enrico ^{[25
]}

Draicchio, Francesco ^{[26
]}

Falabella, Vincenzo ^{[27
]}

Galeri, Silvia ^{[28
]}

Gimigliano, Francesca ^{[29
]}

Grigioni, Mauro ^{[30
]}

Mazzon, Stefano ^{[31
]}

Molteni, Franco ^{[32
]}

Morone, Giovanni ^{[33
]}

Petrarca, Maurizio ^{[34
]}

Picelli, Alessandro ^{[35
]}

Senatore, Michele ^{[36
]}

Turchetti, Giuseppe ^{[37
]}

Bonaiuti, Donatella ^{[38
]}

机构：

[1] IRCCS Ctr Neurolesi Bonino Pulejo, SS 113, I-98124 Messina, Italy

[2] Polyclin Monza, Dept Med & Rehabil, Monza, Italy

[3] AUSL Piacenza, Spinal Cord Unit, Villanova Sullarda, Piacenza, Italy

[4] AUSL Piacenza, Intens Rehabil Med, Villanova Sullarda, Piacenza, Italy

[5] AUSL Piacenza, Spinal Cord Unit, Castel San Giovanni, Piacenza, Italy

[6] AUSL Piacenza, Intens Rehabil Med, Castel San Giovanni, Piacenza, Italy

[7] Gait & Mot Anal Lab OPA Sol & Salus, Torre Pedrera, Rimini, Italy

[8] Univ Politecn Marche UNIVPM, Dept Expt & Clin Med, Ancona, Italy

[9] Gervasutta Hosp, Dept Rehabil Med, Spinal Cord Unit, Udine, Italy

[10] Azienda Sanit Univ Friuli Cent ASU FC, Udine, Italy

[11] AUSL IRCCS Reggio Emilia, LAM Mot Anal Lab, Neuromotor & Rehabil Dept, Reggio Emilia, Italy

[12] Rehabil Therapeut Ctr, Potenza, Italy

[13] IRCCS A Gemelli Univ Polyclin Fdn, Rome, Italy

[14] Univ Pisa, Dept Translat Res & New Technol Med & Surg, Sect Neurorehabil, Pisa, Italy

[15] Montecatone Rehabil Inst, Bologna, Italy

[16] Montescano Inst, Unit Neurophysiopathol, ICS Maugeri, Pavia, Italy

[17] Ist Nazl Assicuraz Infortuni Lavoro INAIL, Ctr Protesi Vigorso Budrio, Bologna, Italy

[18] Univ Milano Bicocca, Sch Phys & Rehabil Med, Milan, Italy

[19] Elias Neuroriabilitaz, Parma, Italy

[20] Univ Hosp Pisa, Unit Spinal Cord, Pisa, Italy

[21] Italian Soc Phys & Rehabil Med SIMFER, Rome, Italy

[22] Polytech Bari, Dept Elect & Informat Engn, Bari, Italy

[23] ASL12, Dept Rehabil, Viareggio, Lucca, Italy

[24] Pontifical Gregorian Univ, Rome, Italy

[25] Bambino Gesu Pediat Hosp, Pediat Neurorehabil, Rome, Italy

[26] INAIL, Dept Occupat & Environm Med, Epidemiol & Hyg, Rome, Italy

[27] Italian Federat Persons Spinal Cord Injuries FAIP, Rome, Italy

[28] Fdn Don Carlo Gnocchi Onlus, Milan, Italy

[29] Luigi Vanvitelli Univ Campania, Dept Mental & Phys Hlth & Prevent Med, Naples, Italy

[30] Italian Natl Inst Hlth, Natl Ctr Innovat Technol Publ Hlth, Rome, Italy

[31] Camposampiero Hosp, Unit Rehabil, ULSS Local Hlth Author Euganea, Padua, Italy

[32] Valduce Hosp, Villa Beretta Rehabil Ctr, Costa Masnaga, Lecco, Italy

[33] Santa Lucia Fdn IRCCS, Rome, Italy

[34] Bambino Gesu Pediat Hosp, Movement Anal & Robot Lab, Rome, Italy

[35] Univ Verona, Dept Neurosci Biomed & Movement Sci, Verona, Italy

[36] Assoc Italiana Terapisti Occupazionali AITO, Rome, Italy

[37] St Anna High Sch, Inst Management, Pisa, Italy

[38] Piero Redaelli Geriatr Inst, Milan, Italy

来源：

EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE | 2021年 / 57卷 / 03期

关键词：

Stroke; Lower extremity; Gait; Systematic review; SPINAL-CORD; DEVICES; BURDEN; INJURY;

D O I：

10.23736/S1973-9087.21.06887-8

中图分类号：

R49 [康复医学];

学科分类号：

100215 ;

摘要：

INTRODUCTION: Stroke is the third leading cause of adult disability worldwide, and lower extremity motor impairment is one of the major determinants of long-term disability. Although robotic therapy is becoming more and more utilized in research protocols for lower limb stroke rehabilitation, the gap between research evidence and its use in clinical practice is still significant. The aim of this study was to determine the scope, quality, and consistency of guidelines for robotic lower limb rehabilitation after stroke, in order to provide clinical recommendations. EVIDENCE ACQUISITION: We systematically reviewed stroke rehabilitation guideline recommendations between January 1, 2010 and October 31, 2020. We explored electronic databases (N.=4), guideline repositories and professional rehabilitation networks (N.=12). Two independent reviewers used the Appraisal of Guidelines for Research and Evaluation (AGREE) II instrument, and brief syntheses were used to evaluate and compare the different recommendations, considering only the most recent version. EVIDENCE SYNTHESIS: From the 1219 papers screened, ten eligible guidelines were identified from seven different regions/countries. Four of the included guidelines focused on stroke management, the other six on stroke rehabilitation. Robotic rehabilitation is generally recommended to improve lower limb motor function, including gait and strength. Unfortunately, there is still no consensus about the timing, frequency, training session duration and the exact characteristics of subjects who could benefit from robotics. CONCLUSIONS: Our systematic review shows that the introduction of robotic rehabilitation in standard treatment protocols seems to be the future of stroke rehabilitation. However, robot assisted gait training (RAGT) for stroke needs to be improved with new solutions and in clinical practice guidelines, especially in terms of applicability.

引用

页码：460 / 471

页数：12

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