目的：本研究旨在回顧機器輔助雙側上肢訓練於中風病人動作功能之成效。方法：系統性搜尋四線上資料庫：PubMed、MEDLINE、Cochrane 及Web of Science， 限2008 年1 月至2012 年12 月以英文發表之文獻，並使用美國職能治療學會(American Occupational Therapy Association, AOTA) 的證據力層級評估收錄文獻品質，本文呈現各篇文獻之研究設計、受試者基本資料、成效評量及介入內容。結果：本文共收錄八篇文獻（五篇臨床隨機試驗、兩篇單一受試者設計及一篇準實驗設計），其中四篇文獻於機器訓練後結合雙側功能性任務導向練習，一篇結合非侵入性經顱直流電刺激。四篇文獻結果顯示實驗組較控制組於上肢動作功能有較大成效。結論：本文支持機器輔助雙側上肢訓練於動作功能有正向成效，未來研究可進一步評估感覺功能或檢驗機器輔助雙側上肢訓練於日常生活功能及生活品質之成效。

Purpose: This study was to review effects of robot-assisted bilateral arm training on upper extremity motor functions in patients with stroke. Method: A systematic online literature search was conducted in PubMed, MEDLINE, Cochrane, and Web of Science. Studies published in English were collected from January 2008 to December 2012. Included articles were evaluated with the American Occupational Therapy Association levels of evidence. Data related to the study designs, descriptive characteristics of subjects, interventions, and outcome measures were extracted. Results: Eight articles were included: five studies were randomized controlled trials, two were single-subject design, and one was quasi-experimental study. Four studies on upper extremity incorporated bilateral functional tasks training after robotic training. One study combined non-invasive transcranial direct current stimulation to enhance additional gains. Four studies showed the experimental group had larger effects on upper extremity motor functions than the conventional therapy group. Conclusion: This review supports the positive effects of robot-assisted bilateral arm training on upper extremity motor functions. Future research is needed to evaluate sensory functions and to study the effects of robotassisted bilateral arm training on functional outcomes and quality of life.