康复机器人辅助治疗对脑性瘫痪运动功能影响的系统评价及Meta分析  

Effects of Robot-assisted Rehabilitation on Motor Function in Patients with Cerebral Palsy:a Systematic Review and Meta-analysis

作　　者：崔萌林 任俊彬 梁琼琼 袁俊英[1] CUI Menglin;REN Junbin;LIANG Qiongqiong;YUAN Junying(Department of Pediatric Rehabilitation,The Third Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第三附属医院儿童康复科,郑州450052

出　　处：《神经损伤与功能重建》2024年第5期276-281,共6页Neural Injury and Functional Reconstruction

摘　　要：目的:系统评价康复机器人辅助治疗对脑性瘫痪患者运动功能和平衡功能以及基本日常生活能力的影响。方法:使用计算机全面检索各大中外文数据库,纳入康复机器人辅助治疗脑性瘫痪的随机对照试验,对符合纳入标准的文献进行数据提取,采用Cochrane系统评价员手册5.0版进行质量评价,采用Revman 5.4统计软件进行Meta分析。结果:共纳入12项随机对照试验,合计797例患者。Meta分析结果显示,与传统康复治疗方法相比,康复机器人辅助治疗能显著提高脑性瘫痪的平衡功能(SMD=0.67,95%CI0.16~1.18,P=0.010),并能显著提高脑瘫患者粗大运动功能测试量表-D区评分(SMD=0.70,95%CI 0.28~1.12,P=0.001)和E区评分(SMD=0.50,95%CI 0.26~0.75,P<0.0001),以及基本日常生活能力(MD=8.77,95%CI 2.64~14.89,P=0.005)。结论:康复机器人辅助治疗同传统的康复治疗方法相比,能显著提高脑性瘫痪患者的平衡性评分、运动功能评分及基本日常生活能力。Objective:To systematically evaluate the effects of robot-assisted rehabilitation on motor and balance functions,and basic activities of daily living in patients with cerebral palsy.Methods:A comprehensive computerized search of Chinese and foreign language databases was performed to identify randomized controlled trials(RCTs)of robot-assisted rehabilitation for cerebral palsy.Data were extracted from clinical studies that met the inclusion criteria.Quality evaluation was performed using the Cochrane Handbook for Systematic Reviews of Interventions version 5.0,and meta-analysis was performed using RevMan 5.4 statistical software.Results:A total of 12 RCTs with 797 patients were included.The meta-analysis results showed that,compared with traditional rehabilitation methods,robot-assisted rehabilitation significantly improved the balance function score[standard mean difference(SMD)=0.67,95%CI 0.16~1.18),P=0.010],the gross motor function measure-D area score(GMFM-D)[SMD=0.70,95%CI 0.28~1.12,P=0.001],gross motor function measure-E area score(GMFM-E)[SMD=0.50,95%CI 0.26~0.75,P<0.0001],and the basic activities of daily living[MD=8.77,95%CI 2.64~14.89,P=0.005]in patients with cerebral palsy.Conclusion:Compared with traditional rehabilitation methods,robot-assisted rehabilitation can significantly improve motor and balance function scores,and basic activities of daily living in patients with cerebral palsy.

关 键 词：脑性瘫痪 康复机器人 平衡性评分 粗大运动功能 基本日常生活能力 META分析 

分 类 号：R741[医药卫生—神经病学与精神病学] R493[医药卫生—临床医学]