PTOTSystematic ReviewJournal of neuroengineering and rehabilitation2021

Patient, carer, and staff perceptions of robotics in motor rehabilitation: a systematic review and qualitative meta-synthesis.

Despina Laparidou, Ffion Curtis, Joseph Akanuwe and 3 others

PMID 34953497

WHAT IT FOUND

Patients and therapists found robotic motor rehabilitation useful and motivating, but set-up, size, weight, technical faults, cost and need for help were major barriers.

Human support and tailored devices mattered.

Key findings

01Set-up was time-consuming, and device size and weight deterred use by patients and therapists.

02Participants found robotic devices useful, fun and interesting, and felt motivated to use them.

03Therapeutic relationships and family support were seen as important for engagement and recovery.

STILL TO COME

How it was doneWhat they foundWhat it means for PTsWhat it means for OTs

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What it does not show

This is a synthesis of experiences and perceptions, not a test of whether robotic devices improve motor outcomes. Only peer-reviewed English studies were included, so perspectives from non-English studies may be missing. The 30 studies varied in devices, conditions, ages, settings and participant groups, so the themes may not fit every clinic or patient. Low-quality studies were not excluded, and only 8 studies reported information about the researcher's role, potential bias and influence. Some included studies performed poorly on CASP questions because they did not report enough relevant information. Two studies did not report therapist numbers, so the participant count is approximate. The review could not analyse how UTAUT2 variables related to individual differences such as age, sex or experience.

The easy way to misread this

Do not read this as proof that robotic devices improve walking, arm function or daily activities. It summarises what patients, carers and staff perceived, and some participants reported no clear functional link or no improvement.

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