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  4. Synergic Effect of Robot-Assisted Rehabilitation and Antispasticity Therapy: A Narrative Review

Synergic Effect of Robot-Assisted Rehabilitation and Antispasticity Therapy: A Narrative Review

Life, 2023 · DOI: 10.3390/life13020252 · Published: January 17, 2023

Assistive TechnologyNeurologyRehabilitation

Simple Explanation

Stroke and spinal cord injury can cause disability. Robot-assisted training (RAT) is used in rehabilitation. This review looks at whether combining RAT with therapies that reduce spasticity improves functional recovery. The review looked at studies that used RAT and antispasticity therapy to help patients recover function and reduce spasticity. Five randomized controlled trials were reviewed. The review found that combined therapy can improve lower limb function but might not reduce spasticity in the upper or lower limbs. More research is needed to confirm these findings.

Study Duration
Not specified
Participants
Five randomized controlled trials (RCTs)
Evidence Level
Level 1: Narrative Review of RCTs

Key Findings

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    Combined therapy improves functional recovery in the lower limbs.
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    Combined therapy does not reduce spasticity in the upper or lower limbs.
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    There is a considerable risk of bias among the included studies.

Research Summary

This narrative review evaluated the combined effects of robot-assisted training (RAT) and antispasticity therapies on functional recovery and spasticity reduction in patients with upper motor neuron disorders, such as stroke and spinal cord injury. The review of five randomized controlled trials (RCTs) suggests that combined therapy improves functional recovery in the lower limbs but does not reduce spasticity in the upper or lower limbs. The authors conclude that the evidence supporting the benefits of combined therapy is limited by the risk of bias in the included studies and the delayed intervention relative to the onset of the neurological condition.

Practical Implications

Clinical Practice

Combined therapy (RAT and antispasticity) may be considered to improve lower limb function in patients with chronic stroke or SCI.

Future Research

Additional high-quality RCTs are required to confirm the benefits of combined therapy on functional recovery and spasticity reduction.

Study Design

Future studies should standardize the selection of robotic devices and training protocols, employ high-quality study designs, and enroll patients within the golden period of intervention.

Study Limitations

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