Effects of Artificial Intelligence Rehabilitation on Motor ability and Daily living ability of Hemiplegic Patients with Stroke—Meta-Analysis of Randomized Controlled Trials (Preprint)
Ziwen Chen,
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Hou Guanhua,
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Lili Yang
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et al.
Published: Feb. 10, 2025
BACKGROUND
A
large
number
of
hemiplegic
stroke
patients
worldwide
require
rehabilitation.
Artificial
intelligence
(AI)
has
the
potential
to
conserve
human
resources
and
offers
broad
application
prospects.
With
advancements
in
medicine
technology,
AI
begun
integrating
into
rehabilitation,
providing
personalized
rehabilitation
plans.
However,
effects
on
motor
daily
living
abilities
remain
unclear.
OBJECTIVE
Evaluate
patients.
METHODS
The
Cochrane
Library,
Web
Science,
PubMed,
Embase,
CINAHL,
CNKI,
VIP,
Wanfang
databases
were
systematically
searched
for
randomized
controlled
trials
(RCTs)
with
stroke.
search
timeframe
was
from
construction
database
January
1,
2025.
literature
screened
according
nerfing
criteria,
relevant
information
extracted,
Meta-analysis
performed
using
RevMan5.3
software.
RESULTS
16
studies
involving
565
hemiplegia
included.
showed
that,
compared
conventional
more
effective
improving
ability
[MD=3.35,
95%CI
(1.39,
5.32),
P<0.001],
balance
[MD=7.26,
(6.37,
8.14),
muscle
strength
grip
[SMD=0.65,
(0.25,
1.04),
P=0.001],
perform
activities
[SMD=1.71,
(0.73,
2.69),
P<0.001].
improvements
limb
function
[MD=0.11,
(-0.06,
0.28),
P=0.210],
tone
[MD=-0.28,
(-0.57,
0.02),
P=0.060],
[MD=-0.04,
(-0.49,
0.41),
P=0.860],
hand
dexterity
[MD=9.31,
(-7.48,
26.09),
P=0.280]
not
statistically
significant.
Subgroup
analyses
revealed
no
statistical
difference
between
machines
[MD=1.80,
(-1.37,
4.97),
P=0.270].
In
contrast,
virtual
reality
[MD=5.07,
(4.23,
5.91),
brain-computer
interface
[MD=6.99,
(3.06,
10.92),
telerehabilitation
[MD=0.96,
(0.23,
1.68),
P=0.010]
all
significantly
improved
performance.
Additionally,
interventions
a
total
frequency
≥20
[MD=4.29,
(2.21,
6.36),
P<0.001]
duration
≥6
weeks
[MD=3.73,
(1.22,
6.24),
P=0.004]
effective.
intervention
≥10
hours
[MD=5.71,
(3.02,
8.40),
also
had
better
effect
improvement.
that
>10
[SMD=3.18,
(1.44,
4.93),
ability.
CONCLUSIONS
can
improve
hemiplegia.
Using
reality,
interface,
is
recommended,
,with
interventions,
hours.
activities,
recommended
enhance
function,
strength,
strength.
it
does
function.
be
More
high-quality
are
needed
validate
these
findings
further.
CLINICALTRIAL
PROSPERO
CRD42025636225;https://tinyurl.com/2uc3eac2.
Language: Английский