Effect of Robot-Assisted Training on Unilateral Spatial Neglect After Stroke: Systematic Review and Meta-Analysis of Randomized Controlled Trials

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dc.contributor.authorBazan, Rodrigo [UNESP]
dc.contributor.authorFonseca, Bruno Henrique de Souza
dc.contributor.authorMiranda, Jessica Mariana de Aquino
dc.contributor.authorNunes, Hélio Rubens de Carvalho [UNESP]
dc.contributor.authorBazan, Silméia Garcia Zanati [UNESP]
dc.contributor.authorLuvizutto, Gustavo José
dc.contributor.institutionUniversidade Estadual Paulista (UNESP)
dc.date.accessioned2023-03-01T21:02:47Z
dc.date.available2023-03-01T21:02:47Z
dc.date.issued2022-08-01
dc.description.abstractBackground: Several studies have shown that robotic devices can effectively improve motor function in stroke patients through limb activation. However, the effects of robot-assisted therapy on perceptual deficits after stroke is unclear. Objective: This review aimed to evaluate the effectiveness of robotic limb activation in patients with unilateral spatial neglect (USN) after stroke. Methods: In this systematic review, a literature search was performed using MEDLINE, EMBASE, CENTRAL, CINAHL, and LILACS databases without language restrictions. Randomized controlled trials (RCTs) and quasi-RCTs of robot-assisted therapy for USN after stroke were selected. Two reviewers independently assessed the risk of bias and certainty of the evidence of the included studies. Results: A total of 630 studies were identified, including five studies for qualitative synthesis and four meta-analyses. The results of RCTs comparing robotic limb activation with a control group suggested an improvement in the degree of USN measured by the line bisection test (standardized mean difference [SMD], −0.64; 95% confidence interval [CI], −1.13 to −0.15; P =.01). There were no differences between the groups in the motor-free visual perception test 3rd edition (SMD, 0.27; 95% CI, −0.25–0.79; P =.31), star cancellation test (SMD, 0.26; 95% CI, −0.42−0.94; P =.54), Albert’s test (SMD, −0.67; 95% CI, −2.01−0.66; P =.32), and Catherine Bergego Scale (SMD, −0.81; 95% CI, −2.07−0.45; P =.21). Conclusion: The study demonstrated that limb activation through robotic therapy can improve midline perception. However, there was no impact on tasks assessing visual scanning, functionality, or activities of daily living.en
dc.description.affiliationDepartment of Neurology Psychology and Psychiatry at Botucatu Medical School (UNESP) Botucatu
dc.description.affiliationDepartment of Applied Physical Therapy—Federal University of Triângulo Mineiro, Uberaba
dc.description.affiliationDepartment of Public Health Botucatu Medical School (UNESP) Botucatu
dc.description.affiliationDepartment of Internal Medicine Botucatu Medical School (UNESP)
dc.description.affiliationUnespDepartment of Neurology Psychology and Psychiatry at Botucatu Medical School (UNESP) Botucatu
dc.description.affiliationUnespDepartment of Public Health Botucatu Medical School (UNESP) Botucatu
dc.description.affiliationUnespDepartment of Internal Medicine Botucatu Medical School (UNESP)
dc.format.extent545-556
dc.identifierhttp://dx.doi.org/10.1177/15459683221110894
dc.identifier.citationNeurorehabilitation and Neural Repair, v. 36, n. 8, p. 545-556, 2022.
dc.identifier.doi10.1177/15459683221110894
dc.identifier.issn1552-6844
dc.identifier.issn1545-9683
dc.identifier.scopus2-s2.0-85135061022
dc.identifier.urihttp://hdl.handle.net/11449/241430
dc.language.isoeng
dc.relation.ispartofNeurorehabilitation and Neural Repair
dc.sourceScopus
dc.subjectlimb activation
dc.subjectrobot-assisted therapy
dc.subjectstroke
dc.subjectunilateral spatial neglect
dc.titleEffect of Robot-Assisted Training on Unilateral Spatial Neglect After Stroke: Systematic Review and Meta-Analysis of Randomized Controlled Trialsen
dc.typeResenha
unesp.author.orcid0000-0002-6914-7225[6]

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