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Assistive Technology Involving Postural Control and Gait Performance for Adults with Stroke: A Systematic Review and
Sujin Hwang1,2, Chiang-Soon Song3
1Department of Physical Therapy, Division of Health Science, Baekseok University, Cheonan 31065, Republic of Korea.
Healthcare (Basel, Switzerland)
|August 12, 2023
Summary
Robot-assistive devices improve postural stability in stroke patients. This technology shows superiority over regular therapy for both subacute and chronic patients, aiding in rehabilitation.
Area of Science:
- Neurorehabilitation
- Biomedical Engineering
- Physical Therapy
Background:
- Stroke frequently impairs postural control and gait.
- Assistive technologies are crucial for stroke recovery.
- Robot-assistive devices are increasingly used in rehabilitation.
Purpose of the Study:
- To systematically review assistive technology for stroke patient postural control and gait.
- To evaluate the efficacy of robot-assistive devices through meta-analysis.
Main Methods:
- Searched four databases for randomized controlled trials (RCTs) published until December 31, 2022.
- Included 30 RCTs (12 subacute, 18 chronic) and performed meta-analysis on 10 RCTs.
- Analyzed Berg Balance Scale (BBS) and Functional Ambulation Category (FAC) data.
Main Results:
- Robot-assistive technology was the most common device used.
- Meta-analysis showed significant improvements in BBS for subacute and chronic stroke patients.
- Significant improvements in FAC were observed for chronic stroke patients.
Conclusions:
- Robot-assistive training significantly enhances postural stability in subacute and chronic stroke patients.
- While effective for stability, it did not significantly improve gait function compared to regular therapy.
- Robot-assistive devices are recommended for rehabilitative strategies targeting postural control and gait in stroke survivors.
