Effects of soft robotic exosuit on ambulation ability in stroke patients: a systematic review

BioMedical Engineering OnLine

Review

Liang-Jun Ou-Yang¹  Chuan-Ching Liu²  Tony Tung-Liang Lin²  Yu-Lin Tsai²  Ya-Chi Chuang²  Yu-Chun Lee³  Chun-Sheng Hsu⁴  Yuan-Yang Cheng⁵ 

[1] Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, 333423, Linkou, Taoyuan, Taiwan, ROC;Department of Physical Medicine and Rehabilitation, Taichung Veterans General Hospital, No. 1650 Taiwan Boulevard Sect. 4, 407219, Taichung, Taiwan, ROC;Department of Physical Medicine and Rehabilitation, Taichung Veterans General Hospital, No. 1650 Taiwan Boulevard Sect. 4, 407219, Taichung, Taiwan, ROC;Department of Exercise Health Science, National Taiwan University of Sport, 404401, Taichung, Taiwan, ROC;Department of Industrial Engineering and Enterprise Information, Tunghai University, 407224, Taichung, Taiwan, ROC;Department of Physical Medicine and Rehabilitation, Taichung Veterans General Hospital, No. 1650 Taiwan Boulevard Sect. 4, 407219, Taichung, Taiwan, ROC;Department of Post-Baccalaureate Medicine, College of Medicine, National Chung Hsing University, 402202, Taichung, Taiwan;Department of Physical Medicine and Rehabilitation, Taichung Veterans General Hospital, No. 1650 Taiwan Boulevard Sect. 4, 407219, Taichung, Taiwan, ROC;Department of Post-Baccalaureate Medicine, College of Medicine, National Chung Hsing University, 402202, Taichung, Taiwan;School of Medicine, National Yang Ming Chiao Tung University, 112202, Taipei, Taiwan;

关键词: Soft robotic exosuit;    Gait;    Ambulation;    Stroke;    Post-stroke hemiparesis;   

DOI  :  10.1186/s12938-023-01150-7

 received in 2023-01-10, accepted in 2023-08-28,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundRobot-assisted gait training is incorporated into guidelines for stroke rehabilitation. It is a promising tool combined with conventional therapy for low ambulatory patients. The heavy weight and bulky appearance of a robotic exoskeleton limits its practicality. On the other hand, soft robotic exosuit (SRE) based on its light weight and inconspicuous property, is better tolerated by patients in daily life. The aim of this study is to review the efficacy of the SRE with regard to walking ability and biomechanical properties in stroke patients.MethodsElectronic searches were carried out in PubMed, Embase, Cochrane Library, Web of Science, and the Physiotherapy Evidence Database. Clinical trials that investigated the effectiveness of SREs on ambulation ability in patients with post-stroke hemiparesis were eligible. Qualitative data synthesis was subsequently performed.ResultsNine studies were identified as relevant, involving a total of 83 patients. For the assessment of SRE efficacy, outcome measures were walking ability and biomechanical properties. In terms of both immediate effect and training effect, SREs improved the walking speed, walking distance, peak ankle dorsiflexion angle during swing phase, peak paretic propulsion, stride length and compensated gait in stroke patients.ConclusionsSRE improved the ambulation ability of stroke patients in terms of walking ability and biomechanical properties. The small number of studies limits the generalizability of interpretation. More controlled studies with better quality are required to reach a more solid conclusion on this issue.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

【 图 表 】

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