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[Gait Training Using Robotic Devices in Subjects With Stroke: An Overview of Systematic Reviews and Meta-analysis].

Juan Antonio Chamorro-Hinojosa1, Francisco Molina-Rueda2, María Carratalá-Tejada2

  • 1Escuela Internacional de Doctorado, Universidad Rey Juan Carlos. Rectorado - Delegación Madrid, 28008 Madrid, España.

Revista De Neurologia
|March 31, 2026
PubMed
Summary

Robotic gait training aids stroke recovery, particularly with end-effector devices. However, benefits are not clinically significant, and accessibility is limited by cost and evidence quality.

Keywords:
gaitphysical therapy modalitiesrehabilitationrobotic devicesstroke

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Area of Science:

  • Neurorehabilitation
  • Robotics in Physical Therapy
  • Stroke Recovery Research

Background:

  • Robotic gait training is a key intervention for stroke patients.
  • Existing research presents heterogeneous findings requiring synthesis.
  • This study aims to consolidate and analyze evidence on robotic gait training for stroke survivors.

Purpose of the Study:

  • To synthesize and analyze scientific evidence on robotic devices for gait training in stroke patients.
  • To evaluate the effectiveness and quality of existing research in this field.

Main Methods:

  • An overview of systematic reviews and meta-analyses was conducted.
  • Searches included PubMed, Scopus, Web of Science, and Cochrane Library Plus.
  • Studies involving randomized controlled trials (RCTs) on robotic gait training for stroke were included.

Main Results:

  • Thirteen systematic reviews, encompassing 101 RCTs, were analyzed.
  • Evidence quality varied, with only one study rated as high certainty.
  • Robotic training improved walking speed, especially with end-effector devices.

Conclusions:

  • Robotic gait training with physiotherapy enhances post-stroke walking speed.
  • Clinical meaningfulness of benefits is limited.
  • Insufficient evidence, high costs, and accessibility issues restrict widespread application.