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dc.contributor.authorYli-Ikkelä, Riku
dc.contributor.authorRintala, Aki
dc.contributor.authorKöyhäjoki, Anna
dc.contributor.authorHakonen, Harto
dc.contributor.authorKorpi, Hilkka
dc.contributor.authorKantola, Mirjami
dc.contributor.authorHonkanen, Sari
dc.contributor.authorIlves, Outi
dc.contributor.authorSjögren, Tuulikki
dc.contributor.authorKarvanen, Juha
dc.contributor.authorAartolahti, Eeva
dc.contributor.editorSärestöniemi, Mariella
dc.contributor.editorKeikhosrokiani, Pantea
dc.contributor.editorSingh, Daljeet
dc.contributor.editorHarjula, Erkki
dc.contributor.editorTiulpin, Aleksei
dc.contributor.editorJansson, Miia
dc.contributor.editorIsomursu, Minna
dc.contributor.editorvan Gils, Mark
dc.contributor.editorSaarakkala, Simo
dc.contributor.editorReponen, Jarmo
dc.date.accessioned2024-05-23T07:07:05Z
dc.date.available2024-05-23T07:07:05Z
dc.date.issued2024
dc.identifier.citationYli-Ikkelä, R., Rintala, A., Köyhäjoki, A., Hakonen, H., Korpi, H., Kantola, M., Honkanen, S., Ilves, O., Sjögren, T., Karvanen, J., & Aartolahti, E. (2024). Effectiveness of Robot-Assisted Lower Limb Rehabilitation on Balance in People with Stroke : A Systematic Review, Meta-analysis, and Meta-regression. In M. Särestöniemi, P. Keikhosrokiani, D. Singh, E. Harjula, A. Tiulpin, M. Jansson, M. Isomursu, M. van Gils, S. Saarakkala, & J. Reponen (Eds.), <i>Digital Health and Wireless Solutions : First Nordic Conference​, NCDHWS 2024, Oulu, Finland, May 7-8, 2024, Proceedings, Part I</i> (2083, pp. 101-116). Springer. Communications in Computer and Information Science. <a href="https://doi.org/10.1007/978-3-031-59091-7_7" target="_blank">https://doi.org/10.1007/978-3-031-59091-7_7</a>
dc.identifier.otherCONVID_213544096
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/95105
dc.description.abstractThe objective of this study was to evaluate the effectiveness of robot-assisted lower-limb rehabilitation on balance in stroke patients and to explore the covariates associated with these effects. A systematic literature search was carried out in four databases (MEDLINE (Ovid), CINAHL, PsycINFO, and ERIC) for studies published from inception to 25th of March 2022. Studies on robot-assisted lower-limb rehabilitation with a randomized controlled trial (RCT) design, participants with stroke, a comparison group with conventional training, and balance-related outcomes were included. Studies were assessed for Cochrane Risk of Bias 2 and quality of evidence. Meta-analysis and meta-regression were performed. A total of 48 (RCT) with 1472 participants were included. The overall risk of bias in the included studies was unclear (n = 32), high (n = 15) or low (n = 1). Compared to conventional rehabilitation, robot-assisted lower-limb rehabilitation interventions were more effective for balance improvement (Hedges’ g = 0.25, 95% CI: 0.10 0.41). In meta-regression, a relationship between the training effect was observed with the time since stroke, explaining 56% of the variance (p = 0.001), and with the ankle robots, explaining 16% of the variance (p = 0.048). No serious adverse events related to robot-assisted training were reported. Robot-assisted lower-limb rehabilitation may improve balance more than conventional training in people with stroke, especially in the acute stage. Robot-assisted lower-limb rehabilitation seems to be a safe rehabilitation method for patients with stroke. To strengthen the evidence, more high-quality RCTs with adequate sample sizes are needed.en
dc.format.extent433
dc.format.mimetypeapplication/pdf
dc.language.isoeng
dc.publisherSpringer
dc.relation.ispartofDigital Health and Wireless Solutions : First Nordic Conference​, NCDHWS 2024, Oulu, Finland, May 7-8, 2024, Proceedings, Part I
dc.relation.ispartofseriesCommunications in Computer and Information Science
dc.rightsCC BY 4.0
dc.subject.otherrobotics
dc.subject.otherlower extremity
dc.subject.otherexercise
dc.subject.otherstroke rehabilitation
dc.subject.otherpostural balance
dc.subject.othermeta-analysis
dc.titleEffectiveness of Robot-Assisted Lower Limb Rehabilitation on Balance in People with Stroke : A Systematic Review, Meta-analysis, and Meta-regression
dc.typeconferenceObject
dc.identifier.urnURN:NBN:fi:jyu-202405233869
dc.contributor.laitosMatematiikan ja tilastotieteen laitosfi
dc.contributor.laitosLiikuntatieteellinen tiedekuntafi
dc.contributor.laitosDepartment of Mathematics and Statisticsen
dc.contributor.laitosFaculty of Sport and Health Sciencesen
dc.type.urihttp://purl.org/eprint/type/ConferencePaper
dc.relation.isbn978-3-031-59090-0
dc.type.coarhttp://purl.org/coar/resource_type/c_5794
dc.description.reviewstatuspeerReviewed
dc.format.pagerange101-116
dc.relation.issn1865-0929
dc.relation.volume2083
dc.type.versionpublishedVersion
dc.rights.copyright© 2024 the Authors
dc.rights.accesslevelopenAccessfi
dc.relation.conferenceNordic Conference on Digital Health and Wireless Solutions​
dc.subject.ysometa-analyysi
dc.subject.ysorobotiikka
dc.subject.ysotasapaino
dc.subject.ysoharjoitukset
dc.subject.ysofysioterapia
dc.subject.ysokuntoutus
dc.format.contentfulltext
jyx.subject.urihttp://www.yso.fi/onto/yso/p27697
jyx.subject.urihttp://www.yso.fi/onto/yso/p2615
jyx.subject.urihttp://www.yso.fi/onto/yso/p7758
jyx.subject.urihttp://www.yso.fi/onto/yso/p13335
jyx.subject.urihttp://www.yso.fi/onto/yso/p10515
jyx.subject.urihttp://www.yso.fi/onto/yso/p3320
dc.rights.urlhttps://creativecommons.org/licenses/by/4.0/
dc.relation.doi10.1007/978-3-031-59091-7_7
dc.type.okmA4


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