Sage Journals: Discover world-class research

Abstract

Objective:

To estimate the effectiveness of MOTOmed^® movement therapy in increasing mobility and activities of daily living in stroke patients with hemiplegia.

Design:

Systematic review.

Data sources:

English- and Chinese-language articles published from the start of database coverage through 20 June 2018 were retrieved from the Embase, Web of Science, PubMed, OVID, Cochrane Central Register of Controlled Trials, Cochrane Systematic Reviews, Wanfang, Chinese National Knowledge Infrastructure, VIP, and Chinese Biomedicine databases. Articles were also retrieved by manual searches of Rehabilitation Medicine and Chinese journals.

Methods:

Randomized control trials examining MOTOmed movement therapy interventions for patients with post-stroke hemiplegia were included in this review. The risk of bias assessment tool was utilized in accordance with Cochrane Handbook 5.1.0. All included studies reported mobility effects as primary outcomes. Standardized mean differences or mean differences with the corresponding 95% confidence intervals (CIs) were calculated. Review Manager 5.3 was utilized for meta-analysis.

Results:

In total, 19 trials involving a total of 1099 patients were included in the analysis. All studies were of moderate quality, based on the Cochrane Handbook for Systematic Reviews of Intervention: Part 2:8.5. MOTOmed movement therapy resulted in a merged mean difference in the Fugl-Meyer Assessment score of 5.51 (95% CI: 4.03 to 6.98). Comparison of groups treated with and without MOTOmed movement therapy yielded the following mean differences: Modified Ashworth Scale, −1.13 (95% CI: −1.37 to −0.89); Berg Balance Scale, 13.66 (95% CI: 10.47–16.85); Functional Ambulation Category Scale, 0.85 (95% CI: 0.68–1.03); 10-m walk test, 10.15 (95% CI: 5.72–14.58); Barthel Index, 14.82 (95% CI: 12.96–16.68); and Modified Barthel Index, 11.49 (95% CI: 8.96–14.03).

Conclusion:

MOTOmed movement therapy combined with standard rehabilitation improves mobility and activities of daily living in stroke patients with hemiplegia.

Keywords

Activities of daily living hemiplegia mobility MOTOmed movement therapy meta-analysis systematic review stroke

Get full access to this article

View all access options for this article.

References

Feigin

Forouzanfar

Krishnamurthi

et al . Global and regional burden of stroke during 1990–2010: findings from the Global Burden of Disease Study 2010. Lancet 2014; 383: 245–254.

Sun

Guo

Wang

et al . mHealth for aging China: opportunities and challenges. Aging Dis 2016; 7: 53–67.

Lazoura

Papadaki

Antoniadou

et al . Skeletal and body composition changes in hemiplegic patients. J Clin Densitom 2010; 13: 175–180.

Langhorne

Bernhardt

Kwakkel

Stroke rehabilitation. Lancet 2011; 377: 1693–1702.

Pollock

Farmer

Brady

et al . Interventions to improve arm and hand function in people after stroke. The Cochrane Library, 2014, http://www.cochrane.org/CD010820/STROKE_interventions-to-improve-arm-and-hand-function-in-people-after-stroke

Bowden

Woodbury

Duncan

PW.

Promoting neuroplasticity and recovery after stroke: future directions for rehabilitation clinical trials. Curr Opin Neurol 2013; 26: 37–42.

Diehl

Schüle

Kaiser

Use of an assistive movement training apparatus in the rehabilitation of geriatric patients. NeuroGeriatrie 2008; 5: 3–12.

Sun

Xie

The effects of MOTOmed intelligent motor training system on the function of lower limb function in stroke patients with hemiplegia. Chinese J Rehabil Med 2011; 26: 977–979.

Bai

Yang

WX.

The effect of MOTOmed movement therapy on lower limb function and standing stability in hemiplegic patients after stroke. Chinese J Rehabil Med 2011; 26: 734–737.

10.

Chen

Sun

Zhang

et al . The effect of MOTOmed movement therapy on ability in the activities of daily living in the lower limb of advanced age patients with hemiplegia after stroke. Chinese Manip Rehabil Med 2012; 3: 3–4.

11.

Chen

Effect of MOTOmed movement therapy system on balance function and activities of daily living in patients with hemiplegia after stroke. Hefei, China: Anhui Medical University, 2010.

12.

et al . Effect of intelligent exercise training system on balance function of hemiplegia patients with intracerebral hemorrhage. China Rural Health 2017; pp. 73.

13.

Gao

Huang

et al . Effect of MOTOmed intelligent training system on balance and lower limb motor function in stroke patients. Chinese J Rehabil Theory Pract 2013; 19: 725–728.

14.

Tian

Zhang

FF.

The effects of MOTOmed intelligent motor training system on lower extremity motor function in patients with cerebral hemorrhagic hemiplegia. J Nantong Univ 2012; 32: 563–564.

15.

Huang

Pan

Wan

et al . Improvement of hemiplegic lower limb function of patients with cerebral infarction by repetitive training. Chinese J Rehabil 2009; 24: 167–168.

16.

Jiang

Feng

Zhang

XF.

Effect of MOTOmed movement training on hemiplegic patients after stroke. Contemp Med Symp 2017; 15: 95–96.

17.

Long

YB.

The effect of MOTOmed intelligent motion training system on gait improvement in stroke patients with hemiplegia. Chinese J Rehabil 2012; 27: 363–364.

18.

Wan

Gao

et al . The effect of MOTOmed training system on lower extremity motor function in patients with cerebral infarction hemiplegia. Chinese J Phys Med Rehabil 2009; 31: 503–504.

19.

Wang

. The observation of MOTOmed intelligent movement was applied in patients with post-stroke hemiplegia. In: Proceedings of the ninth national conference on physical medicine and rehabilitation medicine, Nanjing, China, May 7, 2007. Beijing, China: Chinese Medical Association.

20.

Wang

Zhang

The effect of early stage treadmill training on the prognosis of patients with subacute stroke. Chinese J Trauma Disab Med 2011; 19: 128–129.

21.

Wang

JH.

The effect of exercise training on lower limb function in patients with hemiplegia of early cerebral infarction. Chinese J Rehabil 2014; 29: 355.

22.

Yan

Kong

YR.

MOTOmed exercise training to improve the function of lower extremity of stroke patients with hemiplegia. Chinese Med J Metall Ind 2013; 30: 486–487.

23.

Yang

et al . Effect of MOTOmed rehabilitation training instrument on motor functions and activities of daily living in hemiplegic stroke patients. J Nanchang Univ 2013; 53: 55–57.

24.

Yang

Lee

Lin

et al . Effect of biofeedback cycling training on functional recovery and walking ability of lower extremity in patients with stroke. Kaohsiung J Med Sci 2014; 30: 35–42.

25.

Zhang

Wang

Hou

et al . Effect of early intervention repetitive training on lower limbs’ mobility and walking ability in patients with cerebral infarction. Chinese J Rehabil Med 2017; 32: 1285–1287.

26.

Zhao

Zheng

YJ.

The influence of MOTOmed intelligent motor training system on the walking ability with stroke patients. Med J Liaoning 2012; 26: 82–83.

27.

Wang

Pang

et al . Effect of MOTOmed intelligent sports training on recovery of lower limb motor function and balance ability in patients with acute cerebral infarction. Chinese J Rehabil 2014; 29: 105–106.

28.

Hatem

Saussez

Della

et al . Rehabilitation of motor function after stroke: a multiple systematic review focused on techniques to stimulate upper extremity recovery. Front Human Neurosci 2016; 10: 442.

29.

Auriat

Neva

Peters

et al . Review of transcranial magnetic stimulation and multimodal neuroimaging to characterize post-stroke neuroplasticity. Front Neurol 2015; 6: 226.

30.

Patricia

MD.

Steps to follow: the comprehensive treatment of patients with hemiplegia. Berlin: Springer, 2000.

31.

Zhang

XL.

Development of lower limbs rehabilitative training robot. Chinese J Rehabil Theory Pract 2012; 18: 728–730.

32.

Cheng

Guo

Feng

et al . Effects of MOTOmed intelligent exercise training system combined with core muscle training on exercise ability and balance ability of stroke patients. World Latest Med Inform 2017; 17: 63–65.

33.

Skvortsova

Ivanova

Rumiantseva

et al . Modern approach to gait restoration in patients in the acute period of cerebral stroke. Zh Nevrol Psikhiatr Im S S Korsakova 2010; 110: 25–30.

34.

Zhang

Tang

Xiong

YH.

Impacts on the lower limb motor function in children with spastic cerebral palsy treated by Jin three-needle therapy combined with MOTOmed intelligent motor training. Zhongguo Zhen Jiu 2014; 34: 657–660.

35.

Rocca

Pignat

Berney

et al . Sympathetic activity and early mobilization in patients in intensive and intermediate care with severe brain injuries: a preliminary prospective randomized study. BMC Neurol 2017; 16: 169.

36.

Laupheimer

Hartel

Schmidt

et al . Exercise training-effects of MOTOmed exercise on typical motor dysfunction in Parkinson’s disease. J Neurol Sci 2013; 333: e123.

37.

Ridgel

Fickes-Ryan

Wilson

KA.

Effects of active-assisted cycling on motor function and balance in Parkinson’s disease. J Neurol Sci 2013; 333: e91.

38.

Kho

Martin

Toonstra

et al . Le tour De ICU: feasibility and safety of routine use of in-bed cycling for physical rehabilitation in the intensive care unit (ICU). Am J Resp Crit Care Med 2013; 187: A3620.

39.

Seo

Park

Effects of diaphragm respiration exercise on pulmonary function of male smokers in their twenties. J Phys Ther Sci 2015; 27: 2313–2315.

40.

Zhang

Qiu

Pan

et al . Effect of MOTOmed intelligent movement training on walking ability in hemiplegic stroke patients. Pract Clin Med 2014; 15: 5–7.

41.

Zhang

Men

Ren

SW.

The effect of combining with MOTOmed movement therapy with exercise therapy on lower limb muscle spasticity after stroke. Chinese J Trauma Disabil Med 2013; 21: 18–20.

42.

Lennon

Denis

Grace

et al . Feasibility, criterion validity and retest reliability of exercise testing using the Astrand-Rhyming test protocol with an adaptive ergometer in stroke patients. Disabil Rehabil 2012; 34: 1149–1156.

43.

Damiano

Arnold

Steele

et al . Can strength training predictably improve gait kinematics? A pilot study on the effects of hip and knee extensor strengthening on lower-extremity alignment in cerebral palsy. Phys Therapy 2010; 90: 269–279.

44.

Skvortsova

Ivanova

Rumyantseva

et al . Current approaches to restoring walking in patients during the acute phase of cerebral stroke. Neurosci Behav Physiol 2011; 41: 536–541.

Supplementary Material

Please find the following supplemental material available below.

For Open Access articles published under a Creative Commons License, all supplemental material carries the same license as the article it is associated with.

For non-Open Access articles published, all supplemental material carries a non-exclusive license, and permission requests for re-use of supplemental material or any part of supplemental material shall be sent directly to the copyright owner as specified in the copyright notice associated with the article.

0.00 MB

0.12 MB

Effects of MOTOmed movement therapy on the mobility and activities of daily living of stroke patients with hemiplegia: a systematic review and meta-analysis

Abstract

Objective:

Design:

Data sources:

Methods:

Results:

Conclusion:

Keywords

Get full access to this article

References

Supplementary Material