Robot-assisted gait training; depression; neuromuscular disorders; quality of life; robotic devices; Rehabilitation; Physical Therapy, Sports Therapy and Rehabilitation
Abstract :
[en] ("[en] OBJECTIVE: Robot-assisted gait training (RAGT) is often used as a rehabilitation tool for neurological impairments. The purpose of this study is to investigate the effects of rehabilitation with robotic devices on quality of life and depression.
DATA SOURCES: Two electronic databases (MEDLINE and Scopus) were searched for studies from inception up to December 2022.
REVIEW METHODS: Randomized controlled trials (RCTs) and non-RCTs were pooled separately for analyses, studying each one's mental and physical health and depression. Random effect meta-analyses were run using standardized mean difference and 95% confidence interval (CI).
RESULTS: A total of 853 studies were identified from the literature search. 31 studies (17 RCTs and 14 non-RCTs) including 1151 subjects met the inclusion criteria. 31 studies were selected for the systematic review and 27 studies for the meta-analysis. The outcome measure of mental health significantly improved in favor of the RAGT group in RCTs and non-RCTs (adjusted Hedges'g 0.72, 95% CI: 0.34-1.10, adjusted Hedges g = 0.80, 95% CI 0.21-1.39, respectively). We observed a significant effect of RAGT on physical health in RCTs and non-RCTs (adjusted Hedges'g 0.58, 95% CI 0.28, 0.88, adjusted Hedges g = 0.73, 95% CI 0.12, 1.33). After realizing a sensitivity analysis in RCTs, a positive impact on depression is observed (Hedges' g of -0.66, 95% CI -1.08 to -0.24).
CONCLUSION: This study suggests that RAGT could improve the quality of life of patients with neurological impairments. A positive impact on depression is also observed in the short term. Further studies are needed to differentiate grounded and overgrounded exoskeletons as well as RCT comparing overground exoskeletons with a control group.","[en] ","")
Disciplines :
Orthopedics, rehabilitation & sports medicine Neurology
Author, co-author :
Den Brave, Meike ; Centre Hospitalier Universitaire de Liège - CHU > > Service de médecine de l'appareil locomoteur
Beaudart, Charlotte ; Centre Hospitalier Universitaire de Liège - CHU > > Service de médecine de l'appareil locomoteur
de Noordhout, Benoit Maertens; Department of Physical and Rehabilitation Medicine, 26658University of Liège, CNRF Fraiture, Liège, Belgium
Gillot, Vincent; CHR, Liège, Belgium
Kaux, Jean-François ; Centre Hospitalier Universitaire de Liège - CHU > > Service de médecine de l'appareil locomoteur
Language :
English
Title :
Effect of robot-assisted gait training on quality of life and depression in neurological impairment: A systematic review and meta-analysis.
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