Cochrane · systematic review · CD006185
Electromechanical‐assisted training for walking after stroke
Mehrholz, J, Thomas, S, Kugler, J, et al. · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
5
current version
GRADE rated
5
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 1 · 20%Moderate 3 · 60%High 1 · 20%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Current version onlyElectromechanical‐ and robot‐assisted gait training plus physiotherapy versus physiotherapy (or usual care) for walking after stroke
Population: patients walking after stroke
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Independent walking (primary outcome) Electromechanical‐ and robot‐assisted gait training plus physiotherapy vs physiotherapy (or usual care) | OR 2.01 [1.51, 2.69] | 38 studies · 1572 participants | High |
Mean walking velocity (secondary outcome; metres per second) Electromechanical‐ and robot‐assisted gait training plus physiotherapy vs physiotherapy (or usual care) | no estimate extracted | 42 studies · 1600 participants | Low Downgraded: risk of bias, inconsistency |
Mean walking capacity (secondary outcome; metres walked in 6 minutes) Electromechanical‐ and robot‐assisted gait training plus physiotherapy vs physiotherapy (or usual care) | no estimate extracted | 24 studies · 983 participants | Moderate Downgraded: risk of bias |
Loss to study during intervention phase, dropouts (secondary outcome)Number of dropouts Electromechanical‐ and robot‐assisted gait training plus physiotherapy vs physiotherapy (or usual care) | no estimate extracted | 62 studies · 2440 participants | Moderate Downgraded: risk of bias |
Death from all causes until end of intervention phase (secondary outcome)Number of deaths (from all causes) Electromechanical‐ and robot‐assisted gait training plus physiotherapy vs physiotherapy (or usual care) | RR 0 | 62 studies · 2440 participants | Moderate Downgraded: risk of bias |
Electromechanical‐ and robotic‐assisted gait training plus physiotherapy compared to physiotherapy (or usual care) for walking after stroke
Population: walking after stroke
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Independent walking at the end of intervention phase, all electromechanical devices used Electromechanical‐ and robotic‐assisted gait training plus physiotherapy vs physiotherapy (or usual care) | OR 1.94 [1.39, 2.71] | 36 studies · 1472 participants | Moderate Downgraded: risk of bias |
Recovery of independent walking at Electromechanical‐ and robotic‐assisted gait training plus physiotherapy vs physiotherapy (or usual care) | OR 1.93 [0.72, 5.13] | 6 studies · 496 participants | Moderate Downgraded: risk of bias |
Walking velocity (metres per second) at the end of intervention phase Electromechanical‐ and robotic‐assisted gait training plus physiotherapy vs physiotherapy (or usual care) | no estimate extracted | 24 studies · 985 participants | Low Downgraded: risk of bias, inconsistency |
Walking velocity (metres per second) at Electromechanical‐ and robotic‐assisted gait training plus physiotherapy vs physiotherapy (or usual care) | no estimate extracted | 9 studies · 578 participants | Moderate Downgraded: risk of bias |
Walking capacity (metres walked in 6 minutes) at the end of intervention phase Electromechanical‐ and robotic‐assisted gait training plus physiotherapy vs physiotherapy (or usual care) | no estimate extracted | 12 studies · 594 participants | Very low Downgraded: risk of bias, publication bias |
Walking capacity (metres walked in 6 minutes) at Electromechanical‐ and robotic‐assisted gait training plus physiotherapy vs physiotherapy (or usual care) | no estimate extracted | 7 studies · 463 participants | Very low Downgraded: risk of bias, inconsistency, publication bias |
Acceptability of electromechanical‐assisted gait‐training devices during intervention phase Electromechanical‐ and robotic‐assisted gait training plus physiotherapy vs physiotherapy (or usual care) | OR 0.67 [0.43, 1.05] | 36 studies · 1472 participants | Low Downgraded: risk of bias |