Upper Limb Robotic Rehabilitation for Patients with Cervical Spinal Cord Injury: A Comprehensive Review
Rattachement africain : it. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
The upper extremities limitation represents one of the essential functional impairments in patients with cervical spinal cord injury. Electromechanics assisted devices and robots are increasingly used in neurorehabilitation to help functional improvement in patients with neurological diseases. This review aimed to systematically report the evidence-based, state-of-art on clinical applications and robotic-assisted arm training (RAT) in motor and functional recovery in subjects affected by cervical spinal cord injury. The present study has been carried out within the framework of the Italian Consensus Conference on "Rehabilitation assisted by robotic and electromechanical devices for persons with disability of neurological origin" (CICERONE). PubMed/MEDLINE, Cochrane Library, and Physiotherapy Evidence Database (PEDro) databases were systematically searched from inception to September 2021. The 10-item PEDro scale assessed the study quality for the RCT and the AMSTAR-2 for the systematic review. Two different authors rated the studies included in this review. If consensus was not achieved after discussion, a third reviewer was interrogated. The five-item Oxford CEBM scale was used to rate the level of evidence. A total of 11 studies were included. The selected studies were: two systematic reviews, two RCTs, one parallel-group controlled trial, one longitudinal intervention study and five case series. One RCT was scored as a high-quality study, while the systematic review was of low quality. RAT was reported as feasible and safe. Initial positive effects of RAT were found for arm function and quality of movement in addition to conventional therapy. The high clinical heterogeneity of treatment programs and the variety of robot devices could severely affect the generalizability of the study results. Therefore, future studies are warranted to standardize the type of intervention and evaluate the role of robotic-assisted training in subjects affected by cervical spinal cord injury.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Upper Limb Robotic Rehabilitation for Patients with Cervical Spinal Cord Injury: A Comprehensive Review
- Date Crossref
- 10/12/2021
- Éditeur
- MDPI AG
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Fondazione Santa Lucia pays non établi dans la noticeÉtablissement de santé
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Istituti di Ricovero e Cura a Carattere Scientifico pays non établi dans la noticeÉtablissement de santé
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Magna Graecia University pays non établi dans la noticeUniversité ou école supérieure
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Azienda Ospedaliera Nazionale SS. Antonio e Biagio e Cesare Arrigo pays non établi dans la noticeÉtablissement de santé
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Università degli Studi del Piemonte Orientale “Amedeo Avogadro” pays non établi dans la noticeUniversité ou école supérieure
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University of Padua pays non établi dans la noticeUniversité ou école supérieure
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Don Carlo Gnocchi Foundation pays non établi dans la noticeOrganisation à but non lucratif
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Istituto delle Scienze Neurologiche di Bologna pays non établi dans la noticeStructure de recherche
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Centro Neurolesi Bonino Pulejo pays non établi dans la noticeÉtablissement de santé
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Regione Siciliana pays non établi dans la noticeOrganisme public
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Università Campus Bio-Medico pays non établi dans la noticeUniversité ou école supérieure
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Campus Bio Medico University Hospital pays non établi dans la noticeÉtablissement de santé
Fondazione Santa Lucia, Istituti di Ricovero e Cura a Carattere Scientifico et Magna Graecia University, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.