2020年至2025年足踝软体外骨骼机器人改善脑卒中患者步行功能的Scoping综述OA

Objective To explore effect of the ankle soft robotic exosuits(ASRE)on gait function in stroke patients. Methods Databases including PubMed,Embase,Scopus,Web of Science,CNKI,Wanfang and VIP were searched for re-searches evaluating the impact of ASRE on gait function in stroke patients with hemiplegia,covering the period from January 1st,2020 to May 1st,2025.The PEDro scale and the Risk of Bias in Non-randomized Studies of In-terventions tool were used to assess the quality of the included researches,and data were extracted for a scoping review. Results A total of twelve researches were finally included,consisting of three randomized controlled trials(RCT),three cross-over controlled trials and six pre-post controlled trials,which came from three countries of China,the Unit-ed States and South Korea,involving 256 patients.The three RCT were rated as high-quality,while the remaining researches were presented moderate to serious risk of bias.Five researches employed a single-session interven-tion;and seven used multiple-session intervention,with 30 to 60 minutes a session,two to five sessions a week,for five to 20 sessions.ASRE was effective on walking speed,walking distance,propulsive force of the hemiple-gic side,gait parameters and spatiotemporal symmetry,joint range of motion,as well as the scores of scales relat-ed to lower limb motor function,balance and gait,with favorable safety and reliability. Conclusion ASRE may improve the gait function in stroke patients.