Abstract Details

Title Robotic-Based Devices on Stroke Rehabilitation Across Different Phases: A Systematic Review and Updated Meta-Analysis

Topic Neuro-rehabilitation

Presentation(s) N5 - Neuroscience in the Clinic: Neuromodulation Tools in Stroke Acute Treatment, Prevention, and Recovery (1:15 PM-1:30 PM)

Poster/Presentation
Number 002

Objective This meta-analysis aims to evaluate the effects of robot-assisted rehabilitation on balance, mobility, motor recovery, and walking speed in stroke patients, while also assessing heterogeneity among included studies.

Background Robot-assisted rehabilitation has gained increasing attention for its potential to improve key rehabilitation outcomes such as the Berg Balance Scale (BBS), Timed Up and Go (TUG), Fugl-Meyer Assessment (FMA), 10-Meter Walk Test (10MW) to assess balance, mobility, and motor function in stroke patients. However, its effectiveness across different phases of recovery remains unclear.

Design/Methods We performed a random-effects meta-analysis on clinical trials reporting mean differences (MD) and 95% confidence intervals (CI) for BBS, TUG, FMA, and 10MW outcomes. Heterogeneity was assessed using the I² statistic.

Results This meta-analysis including 37 studies comprising 1296 patients (678 intervention, 618 control), robot-assisted rehabilitation showed a small but significant improvement in balance (BBS: MD -0.99, 95% CI: -1.80 to -0.18, p < 0.01). Mobility also had significant improvement (TUG: MD -1.84, 95% CI: -3.78 to 0.10, p = 0.03), while no significant effect was found for motor recovery (FMA: MD 1.05, 95% CI: -0.43 to 2.52, p = 0.13) or walking speed (10MW: MD 0.02, 95% CI: -1.04 to 0.09, p = 0.02).

Conclusions Robot-assisted rehabilitation significantly improves mobility (TUG) and provides a modest benefit in balance (BBS), though it shows no significant effect on motor recovery (FMA) or walking speed (10MW). Further studies are needed to explore long-term outcomes and optimize rehabilitation protocols, potentially enhancing stroke recovery.

Authors/Disclosures
Marianna Leite PRESENTER	Miss Leite has nothing to disclose.
Alexandre Y. Fujimura Júnior, Jr., MS	Mr. Fujimura Júnior has received personal compensation for serving as an employee of Marília Of Faculty.
Gabriela M. Minotte, MD	Mrs. Minotte has nothing to disclose.
Lucca M. Lopes, MD	Dr. Lopes has nothing to disclose.

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