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Effectiveness of robotic-assisted gait training on cardiopulmonary fitness and exercise capacity for incomplete spinal cord injury: A systematic review and meta-analysis of randomized controlled trials.
- Source :
-
Clinical Rehabilitation . Mar2023, Vol. 37 Issue 3, p312-329. 18p. - Publication Year :
- 2023
-
Abstract
- Objective: To determine the effects of robotic-assisted gait training on cardiopulmonary fitness and exercise capacity for people with incomplete spinal cord injury. Methods: PubMed, Embase, Web of Science, PEDro, CENTRAL and CINAHL were searched from inception until September 4, 2022. Randomized controlled trials that evaluated the effects of robotic-assisted gait training on cardiopulmonary fitness and exercise capacity for individuals with incomplete spinal cord injury were selected. Mean differences (MD) with 95% confidence interval (CI) were calculated. The methodological quality was evaluated by the Cochrane Risk of Bias 2.0 tool. Subgroup analyses were conducted according to the time since injury. Results: In total 19 studies involving 770 patients were eligible for analysis. Individuals with acute incomplete spinal cord injury in robotic-assisted gait training groups showed significantly greater improvements in 6-minute walking test (MD 53.32; 95% CI 33.49 to 73.15; P < 0.001), lower extremity motor scale (MD 5.22; 95% CI 3.63 to 6.80; P < 0.001) and walking index for spinal cord injury II (MD 3.18; 95% CI 1.34 to 5.02; P < 0.001). Robotic-assisted gait training improved peak oxygen consumption to a greater degree for chronic incomplete spinal cord injury patients (MD 4.90; 95% CI 0.96 to 8.84; P = 0.01). Conclusion: Robot-assisted gait training may be a feasible and effective intervention in terms of cardiopulmonary fitness and exercise capacity for individuals with incomplete spinal cord injury. [ABSTRACT FROM AUTHOR]
- Subjects :
- *ONLINE information services
*MEDICAL databases
*CINAHL database
*EXERCISE tests
*MEDICAL rehabilitation
*SPINAL cord injuries
*EXERCISE tolerance
*META-analysis
*MEDICAL information storage & retrieval systems
*CONFIDENCE intervals
*PHYSICAL therapy
*CARDIOPULMONARY fitness
*SYSTEMATIC reviews
*CARDIOPULMONARY system
*OXYGEN consumption
*PATIENTS
*GAIT disorders
*ROBOTICS
*TREATMENT effectiveness
*DESCRIPTIVE statistics
*RESEARCH funding
*REHABILITATION
*MEDLINE
*EVALUATION
Subjects
Details
- Language :
- English
- ISSN :
- 02692155
- Volume :
- 37
- Issue :
- 3
- Database :
- Academic Search Index
- Journal :
- Clinical Rehabilitation
- Publication Type :
- Academic Journal
- Accession number :
- 161786455
- Full Text :
- https://doi.org/10.1177/02692155221133474