Overground Robotic Exoskeleton Training for Patients With Stroke on Walking-Related Outcomes: A Systematic Review and Meta-analysis of Randomized Controlled Trials

LEOW, Xi Rong Gladys; NG, Si Li Annalyn; Lau, Ying

doi:10.1016/j.apmr.2023.03.006

Cited by 5 publications

(3 citation statements)

References 65 publications

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“…Highly cited papers often include reviews and systematic reviews, likely because research related to RE mainly consists of comparative studies. However, due to constraints related to research subjects, intervention measures, ethics, etc., initial studies tend to have smaller sample sizes (Leow et al, 2023). Meta-analyses increase the sample size by pooling study results, thereby offering a more holistic and comprehensive analysis of intervention effects, leading to a higher citation count.…”

Section: Distribution Of Countries Institutions Authors and Co-citati...mentioning

confidence: 99%

Robotic exoskeleton-assisted walking rehabilitation for stroke patients: a bibliometric and visual analysis

Wen,

Huang,

Liu

et al. 2024

Front. Bioeng. Biotechnol.

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Objective:This study aimed to conduct a bibliometric analysis of the literature on exoskeleton robot assisted walking rehabilitation for stroke patients in the Web of Science Core Collection over the past decade.Method:Retrieved literature on exoskeleton robot assisted gait training for stroke hemiplegic patients from the Web of Science Core Collection from 1 January 2014 to 31 January 2024. The search method was topic search, and the types of documents were “article, meeting abstract, review article, early access.” CiteSpace was used to analyze the search results from countries, institutions, keywords, cited references and cited authors.Result:A total of 1,349 articles were retrieved, and 1,034 were ultimately included for visualization analysis. The annual publication volume showed an upward trend, with countries, institutions, and authors from Europe and America in a leading position. The core literature was also published by authors from European and American countries. The keywords were divided into 8 clusters: # 0 soft robotic exit, # 1 robot assisted gain training, # 2 multiple scales, # 3 magnetic rheological brake, # 4 test retest reliability, # 5 electromechanical assisted training, # 6 cerebra salary, and # 7 slow gain. The early research direction focused on the development of exoskeleton robots, verifying their reliability and feasibility. Later, the focus was on the combination of exoskeleton robot with machine learning and other technologies, rehabilitation costs, and patient quality of life.Conclusion:This study provides a visual display of the research status, development trends, and research hotspots, which helps researchers in this field to grasp the research hotspots and choose future research directions.

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Section: Distribution Of Countries Institutions Authors and Co-citati...mentioning

confidence: 99%

Robotic exoskeleton-assisted walking rehabilitation for stroke patients: a bibliometric and visual analysis

Wen,

Huang,

Liu

et al. 2024

Front. Bioeng. Biotechnol.

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“…Among people with stroke, two meta-analyses (one of 13 studies with 492 participants and another of 20 trials with 758 participants) show small to moderate effects of exoskeleton training on walking and balance compared to conventional training [7,8] (See Table 1 and Table S1). The length of chronicity of stroke varied from 1.2 months to 6.5 years.…”

Section: Efficacymentioning

confidence: 99%

“…Rehabilitation technologies such as robotic exoskeletons, virtual and augmented reality systems, and remote monitoring systems have seen unprecedented growth and advancements in rehabilitation research over the past decade. Robotic exoskeletons are mechanical devices that can augment the functioning of the human body by supplementing existing movement, fully replacing non-existent movement [5], or improving balance and gait impairments [6][7][8]. Virtual reality (VR), a "technology that simulates a 3D virtual world and allows users to interact with a virtual world through computer simulation which senses the user's state and operation and replaces or augments sensory feedback information to one or more senses in a way that the user gets a sense of being immersed in the simulation" [9], could be a tool for balance and fall prevention [10][11][12].…”

Section: Introductionmentioning

confidence: 99%

Rehabilitation Technologies for Chronic Conditions: Will We Sink or Swim?

LaMarca,

Tse,

Keysor

2023

Healthcare

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Introduction: Chronic conditions such as stroke, Parkinson’s disease, spinal cord injury, multiple sclerosis, vestibular disorders, chronic pain, arthritis, diabetes, chronic obstructive pulmonary disease (COPD), and heart disease are leading causes of disability among middle-aged and older adults. While evidence-based treatment can optimize clinical outcomes, few people with chronic conditions engage in the recommended levels of exercise for clinical improvement and successful management of their condition. Rehabilitation technologies that can augment therapeutic care—i.e., exoskeletons, virtual/augmented reality, and remote monitoring—offer the opportunity to bring evidence-based rehabilitation into homes. Successful integration of rehabilitation techniques at home could help recovery and access and foster long term self-management. However, widespread uptake of technology in rehabilitation is still limited, leaving many technologies developed but not adopted. Methods: In this narrative review, clinical need, efficacy, and obstacles and suggestions for implementation are discussed. The use of three technologies is reviewed in the management of the most prevalent chronic diseases that utilize rehabilitation services, including common neurological, musculoskeletal, metabolic, pulmonary, and cardiac conditions. The technologies are (i) exoskeletons, (ii) virtual and augmented reality, and (iii) remote monitoring. Results: Effectiveness evidence backing the use of technology in rehabilitation is growing but remains limited by high heterogeneity, lack of long-term outcomes, and lack of adoption outcomes. Conclusion: While rehabilitation technologies bring opportunities to bridge the gap between clinics and homes, there are many challenges with adoption. Hybrid effectiveness and implementation trials are a possible path to successful technology development and adoption.

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What attributes of digital devices are important to clinicians in rehabilitation? A cross-cultural best-worst scaling study

Michelle Nettleton Pearce,

Howell,

Parma Yamato

et al. 2024

International Journal of Medical Informatics

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Overground Robotic Exoskeleton Training for Patients With Stroke on Walking-Related Outcomes: A Systematic Review and Meta-analysis of Randomized Controlled Trials

Cited by 5 publications

References 65 publications

Robotic exoskeleton-assisted walking rehabilitation for stroke patients: a bibliometric and visual analysis

Robotic exoskeleton-assisted walking rehabilitation for stroke patients: a bibliometric and visual analysis

Rehabilitation Technologies for Chronic Conditions: Will We Sink or Swim?

What attributes of digital devices are important to clinicians in rehabilitation? A cross-cultural best-worst scaling study

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