BACKGROUND: In clinical practice, MOTOmed lower limb function trainer combined with conventional rehabilitation training has been shown to be effective in the treatment of lower limb dysfunction after stroke, but it lacks evidence-based evidence. OBJECTIVE(S): To estimate the clinical efficacy of MOTOmed lower limb function trainer in the treatment of lower limb dysfunction in stroke patients with hemiplegia. METHOD(S): A computer-based online search of CBM, CNKI, Wanfang database, VIP Chinese Science and Technology Periodicals Database, Embase, Web of Science, PubMed, Ovid, Cochrane Central Register of Controlled Trials, Cochrane Systematic Reviews for the randomized controlled studies of MOTOmed in the treatment of lower limb dysfunction in stroke patients with hemiplegia. Meta-analysis was performed using Revman5.3 software. RESULTS AND CONCLUSION(S): A total of 19 literatures were included, with a sample size of 1,099 cases. Patients in the experiment group received MOTOmed lower limb function exercise in combination with conventional rehabilitation treatment, and those in the control group only underwent conventional rehabilitation treatment. The results of meta-analysis showed that the Fugl-Meyer score of lower limb motor function in the experimental group was significantly higher than that in the control group (MD 5.55, 95%CI 4.08 to 7.03, z = 7.37, p < 0.01). The Modified Ashworth Scale score in the experiment group was significantly lower than that in the control group (MD -0.13, 95%CI -1.37 to -0.89, z = 9.19, p < 0.01). The score of the 10-meter walking test in the experiment group was higher than that of the control group (MD 10.15, 95%CI 5.72 to 14.58, z = 4.49, p < 0.01), The Berg Balance scale score in the experiment group was significantly higher than that in the control group (MD 13.66, 95%CI 10.47 to 16.85, z = 8.39, p < 0.01), The functional ambulation category scale score in the experiment group was significantly higher than that in the control group (MD 0.85, 95%CI 0.68 to 1.03, z = 9.48, p < 0.01). The Modified Barthel Index in the experiment group was significantly higher than that in the control group (MD 11.49, 95%CI 8.96 to 14.03, z = 8.89, p < 0.01). The results show that MOTOmed lower limb function trainer has a good clinical effect in the treatment of lower limb dysfunction in stroke patients with hemiplegia, but more high-quality clinical studies are needed to verily it.

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