Cochrane · systematic review · CD006876

Electromechanical and robot‐assisted arm training for improving activities of daily living, arm function, and arm muscle strength after stroke

Mehrholz, J, Pohl, M, Platz, T, et al. · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library

Stroke2 versionsAMSTAR 2: not assessed
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
6
current version
GRADE rated
6
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 0 · 0%Moderate 0 · 0%High 6 · 100%

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 only

Electromechanical and robotic assisted training versus all other intervention for improving activities of daily living, arm function, and arm muscle strength after stroke

Population: people with stroke
CD006876.PUB5 (current) · 6 questions
OutcomeEffectEvidenceStatus / GRADE
Activities of daily living at the end of intervention phase Measures of activities. Scale from: ‐infinity to infinity.
Electromechanical and robotic assisted training vs all other intervention
no estimate extracted24 studies · 957 participantsHigh
Activities of daily living at the end of intervention phase: subgroup analysis comparing acute and chronic phase ‐ Participants treated in the acute and subacute phase of their stroke (within 3 months) Measures of activities. Scale from: ‐infinity...
Electromechanical and robotic assisted training vs all other intervention
no estimate extracted13 studies · 532 participantsHigh
Activities of daily living at the end of intervention phase: subgroup analysis comparing acute and chronic phase ‐ Participants treated in the chronic phase (more than 3 months) Measures of activity. Scale from: ‐infinity to infinity.
Electromechanical and robotic assisted training vs all other intervention
no estimate extracted11 studies · 425 participantsHigh
Arm function at the end of intervention phase Upper Extremity Fugl‐Meyer Assessment (UE‐FM). Scale from: ‐infinity to infinity.
Electromechanical and robotic assisted training vs all other intervention
no estimate extracted41 studies · 1452 participantsHigh
Arm muscle strength at the end of intervention phase Measures of arm muscle strength. Scale from: ‐infinity to infinity.
Electromechanical and robotic assisted training vs all other intervention
no estimate extracted23 studies · 826 participantsHigh
Acceptability: drop‐outs during intervention period Numbers of dropouts and adverse events
Electromechanical and robotic assisted training vs all other intervention
no estimate extracted45 studies · 1619 participantsHigh

Electromechanical and robotic‐assisted training versus all other interventions for improving activities of daily living, arm function, and arm muscle strength after stroke

Population: people after stroke
CD006876.PUB4 · 6 questions
OutcomeEffectEvidenceStatus / GRADE
Activities of daily living at the end of intervention phase ‐ all studies Measures of activities. Scale from: 0 to inf
Electromechanical and robotic‐assisted training vs all other interventions
no estimate extracted18 studies · 717 participantsVery low
Downgraded: risk of bias, inconsistency
Activities of daily living at the end of intervention phase: subgroup analysis comparing acute and chronic phase ‐ particpants treated in the acute and subacute phase of their stroke (within 3 months) Measures of activities. Scale from: 0 to inf
Electromechanical and robotic‐assisted training vs all other interventions
no estimate extracted8 studies · 320 participantsLow
Downgraded: inconsistency
Activities of daily living at the end of intervention phase: subgroup analysis comparing acute and chronic phase ‐ participants treated in the chronic phase (more than 3 months) Measures of activities. Scale from: 0 to inf
Electromechanical and robotic‐assisted training vs all other interventions
no estimate extracted10 studies · 397 participantsLow
Downgraded: risk of bias, inconsistency
Arm function at the end of intervention phase Measures of arm function. Scale from: 0 to inf
Electromechanical and robotic‐assisted training vs all other interventions
no estimate extracted31 studies · 1078 participantsLow
Downgraded: risk of bias
Arm muscle strength at the end of intervention phase Measures of arm muscle strength. Scale from: 0 to inf
Electromechanical and robotic‐assisted training vs all other interventions
no estimate extracted16 studies · 568 participantsVery low
Downgraded: risk of bias, inconsistency
Acceptability: dropouts during intervention period Rate of dropouts and adverse events
Electromechanical and robotic‐assisted training vs all other interventions
no estimate extracted34 studies · 1160 participantsModerate
Downgraded: risk of bias