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Brain Sciences
Volume 12
Issue 6
10.3390/brainsci12060713
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Review

Efficacy of Overground Robotic Gait Training on Balance in Stroke Survivors: A Systematic Review and Meta-Analysis

by
Matteo Lorusso
1,
Marco Tramontano
1,2,*,
Matteo Casciello
1,
Andrea Pece
3,
Nicola Smania
4,
Giovanni Morone
5 and
Federica Tamburella
1
1
Santa Lucia Foundation, Via Ardeatina 306, 00179 Rome, Italy
2
Department of Movement, Human and Health Sciences, University of Rome “Foro Italico”, 00185 Rome, Italy
3
Ospedale Israelitico di Roma, Via Fulda 14, 00148 Rome, Italy
4
Neurorehabilitation Unit, University Hospital of Verona, 37124 Verona, Italy
5
Department of Life, Health and Environmental Sciences, University of L’Aquila, 67100 L’Aquila, Italy
*
Author to whom correspondence should be addressed.
Brain Sci. 2022, 12(6), 713; https://doi.org/10.3390/brainsci12060713
Submission received: 15 April 2022 / Revised: 23 May 2022 / Accepted: 30 May 2022 / Published: 31 May 2022
(This article belongs to the Special Issue Robot-, Virtual Reality- and Sensor-Based Therapies Boosting Neuroplasticity in the Context of Motor and Cognitive Neurorehabilitation: Current State of the Art and Applications)
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Abstract

Strokes often lead to a deficit in motor control that contributes to a reduced balance function. Impairments in the balance function severely limit the activities of daily living (ADL) in stroke survivors. The present systematic review and meta-analysis primarily aims to explore the efficacy of overground robot-assisted gait training (o-RAGT) on balance recovery in individuals with stroke. In addition, the efficacy on ADL is also investigated. This systematic review identified nine articles investigating the effects of o-RAGT on balance, four of which also assessed ADL. The results of the meta-analysis suggest that o-RAGT does not increase balance and ADL outcomes more than conventional therapy in individuals after stroke. The data should not be overestimated due to the low number of studies included in the meta-analysis and the wide confidence intervals. Subgroup analyses to investigate the influence of participant’s characteristics and training dosage were not performed due to lack of data availability. Further well-designed randomized controlled trials are needed to investigate the efficacy of o-RAGT on balance in individuals with stroke.
Keywords: stroke; balance function; overground exoskeleton; overground robot-assisted gait training stroke; balance function; overground exoskeleton; overground robot-assisted gait training

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MDPI and ACS Style

Lorusso, M.; Tramontano, M.; Casciello, M.; Pece, A.; Smania, N.; Morone, G.; Tamburella, F. Efficacy of Overground Robotic Gait Training on Balance in Stroke Survivors: A Systematic Review and Meta-Analysis. Brain Sci. 2022, 12, 713. https://doi.org/10.3390/brainsci12060713

AMA Style

Lorusso M, Tramontano M, Casciello M, Pece A, Smania N, Morone G, Tamburella F. Efficacy of Overground Robotic Gait Training on Balance in Stroke Survivors: A Systematic Review and Meta-Analysis. Brain Sciences. 2022; 12(6):713. https://doi.org/10.3390/brainsci12060713

Chicago/Turabian Style

Lorusso, Matteo, Marco Tramontano, Matteo Casciello, Andrea Pece, Nicola Smania, Giovanni Morone, and Federica Tamburella. 2022. "Efficacy of Overground Robotic Gait Training on Balance in Stroke Survivors: A Systematic Review and Meta-Analysis" Brain Sciences 12, no. 6: 713. https://doi.org/10.3390/brainsci12060713

APA Style

Lorusso, M., Tramontano, M., Casciello, M., Pece, A., Smania, N., Morone, G., & Tamburella, F. (2022). Efficacy of Overground Robotic Gait Training on Balance in Stroke Survivors: A Systematic Review and Meta-Analysis. Brain Sciences, 12(6), 713. https://doi.org/10.3390/brainsci12060713

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