Effects of EMG-based robot for upper extremity rehabilitation on post-stroke patients: a systematic review and meta-analysis
Objective: A growing body of research shows the promise and efficacy of EMG-based robot interventions in improving the motor function in stroke survivors. However, it is still controversial whether the effect of EMG-based robot is more effective than conventional therapies. This study focused on the...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-05-01
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| Series: | Frontiers in Physiology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fphys.2023.1172958/full |
| _version_ | 1797826704237920256 |
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| author | Yunxia Huo Yunxia Huo Xiaohan Wang Xiaohan Wang Weihua Zhao Huijing Hu Le Li Le Li |
| author_facet | Yunxia Huo Yunxia Huo Xiaohan Wang Xiaohan Wang Weihua Zhao Huijing Hu Le Li Le Li |
| author_sort | Yunxia Huo |
| collection | DOAJ |
| description | Objective: A growing body of research shows the promise and efficacy of EMG-based robot interventions in improving the motor function in stroke survivors. However, it is still controversial whether the effect of EMG-based robot is more effective than conventional therapies. This study focused on the effects of EMG-based robot on upper limb motor control, spasticity and activity limitation in stroke survivors compared with conventional rehabilitation techniques.Methods: We searched electronic databases for relevant randomized controlled trials. Outcomes included Fugl-Meyer assessment scale (FMA), Modified Ashworth Scale (MAS), and activity level.Result: Thirteen studies with 330 subjects were included. The results showed that the outcomes post intervention was significantly improved in the EMG-based robot group. Results from subgroup analyses further revealed that the efficacy of the treatment was better in patients in the subacute stage, those who received a total treatment time of less than 1000 min, and those who received EMG-based robotic therapy combined with electrical stimulation (ES).Conclusion: The effect of EMG-based robot is superior to conventional therapies in terms of improving upper extremity motor control, spasticity and activity limitation. Further research should explore optimal parameters of EMG-based robot therapy and its long-term effects on upper limb function in post-stroke patients.Systematic Review Registration:https://www.crd.york.ac.uk/PROSPERO/; Identifier: 387070. |
| first_indexed | 2024-04-09T12:36:35Z |
| format | Article |
| id | doaj.art-889e89d7c7734b999152a735374faa8b |
| institution | Directory Open Access Journal |
| issn | 1664-042X |
| language | English |
| last_indexed | 2024-04-09T12:36:35Z |
| publishDate | 2023-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Physiology |
| spelling | doaj.art-889e89d7c7734b999152a735374faa8b2023-05-15T11:54:44ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2023-05-011410.3389/fphys.2023.11729581172958Effects of EMG-based robot for upper extremity rehabilitation on post-stroke patients: a systematic review and meta-analysisYunxia Huo0Yunxia Huo1Xiaohan Wang2Xiaohan Wang3Weihua Zhao4Huijing Hu5Le Li6Le Li7Institute of Medical Research, Northwestern Polytechnical University, Xi’an, ChinaResearch & Development Institute of Northwestern Polytechnical University in Shenzhen, Shenzhen, ChinaInstitute of Medical Research, Northwestern Polytechnical University, Xi’an, ChinaResearch & Development Institute of Northwestern Polytechnical University in Shenzhen, Shenzhen, ChinaNorthwestern Polytechnical University Hospital, Xi’an, ChinaInstitute of Medical Research, Northwestern Polytechnical University, Xi’an, ChinaInstitute of Medical Research, Northwestern Polytechnical University, Xi’an, ChinaResearch & Development Institute of Northwestern Polytechnical University in Shenzhen, Shenzhen, ChinaObjective: A growing body of research shows the promise and efficacy of EMG-based robot interventions in improving the motor function in stroke survivors. However, it is still controversial whether the effect of EMG-based robot is more effective than conventional therapies. This study focused on the effects of EMG-based robot on upper limb motor control, spasticity and activity limitation in stroke survivors compared with conventional rehabilitation techniques.Methods: We searched electronic databases for relevant randomized controlled trials. Outcomes included Fugl-Meyer assessment scale (FMA), Modified Ashworth Scale (MAS), and activity level.Result: Thirteen studies with 330 subjects were included. The results showed that the outcomes post intervention was significantly improved in the EMG-based robot group. Results from subgroup analyses further revealed that the efficacy of the treatment was better in patients in the subacute stage, those who received a total treatment time of less than 1000 min, and those who received EMG-based robotic therapy combined with electrical stimulation (ES).Conclusion: The effect of EMG-based robot is superior to conventional therapies in terms of improving upper extremity motor control, spasticity and activity limitation. Further research should explore optimal parameters of EMG-based robot therapy and its long-term effects on upper limb function in post-stroke patients.Systematic Review Registration:https://www.crd.york.ac.uk/PROSPERO/; Identifier: 387070.https://www.frontiersin.org/articles/10.3389/fphys.2023.1172958/fullEMG-based robotstrokeupper extremitymeta-analysisreview |
| spellingShingle | Yunxia Huo Yunxia Huo Xiaohan Wang Xiaohan Wang Weihua Zhao Huijing Hu Le Li Le Li Effects of EMG-based robot for upper extremity rehabilitation on post-stroke patients: a systematic review and meta-analysis Frontiers in Physiology EMG-based robot stroke upper extremity meta-analysis review |
| title | Effects of EMG-based robot for upper extremity rehabilitation on post-stroke patients: a systematic review and meta-analysis |
| title_full | Effects of EMG-based robot for upper extremity rehabilitation on post-stroke patients: a systematic review and meta-analysis |
| title_fullStr | Effects of EMG-based robot for upper extremity rehabilitation on post-stroke patients: a systematic review and meta-analysis |
| title_full_unstemmed | Effects of EMG-based robot for upper extremity rehabilitation on post-stroke patients: a systematic review and meta-analysis |
| title_short | Effects of EMG-based robot for upper extremity rehabilitation on post-stroke patients: a systematic review and meta-analysis |
| title_sort | effects of emg based robot for upper extremity rehabilitation on post stroke patients a systematic review and meta analysis |
| topic | EMG-based robot stroke upper extremity meta-analysis review |
| url | https://www.frontiersin.org/articles/10.3389/fphys.2023.1172958/full |
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