A systematic review of 10 studies involving 218 patients with stroke evaluated the effects of robot-assisted therapy on upper limb recovery. The review found no significant overall effect of robot-assisted therapy on functional ability (ADL), but a significant homogeneous effect on upper limb motor recovery when considering only shoulder-elbow robotics. The analysis showed that robot-assisted therapy improved motor recovery, particularly for upper arm robotics, but the ADL scales used in the studies did not adequately reflect upper limb recovery. The review highlighted the need for future research to focus on kinematic analysis to differentiate between genuine motor recovery and compensation strategies. The study also noted that the effectiveness of robot-assisted therapy may depend on the type of robotic device used, with proximal arm robotics showing better results than distal arm robotics. The review emphasized the importance of using valid instruments to measure upper limb dexterity and the need for high-quality randomized controlled trials to assess the cost-effectiveness of robot-assisted therapy. The findings suggest that robot-assisted therapy can enhance motor recovery in stroke patients, but further research is needed to fully understand its benefits and to improve the measurement of functional outcomes.A systematic review of 10 studies involving 218 patients with stroke evaluated the effects of robot-assisted therapy on upper limb recovery. The review found no significant overall effect of robot-assisted therapy on functional ability (ADL), but a significant homogeneous effect on upper limb motor recovery when considering only shoulder-elbow robotics. The analysis showed that robot-assisted therapy improved motor recovery, particularly for upper arm robotics, but the ADL scales used in the studies did not adequately reflect upper limb recovery. The review highlighted the need for future research to focus on kinematic analysis to differentiate between genuine motor recovery and compensation strategies. The study also noted that the effectiveness of robot-assisted therapy may depend on the type of robotic device used, with proximal arm robotics showing better results than distal arm robotics. The review emphasized the importance of using valid instruments to measure upper limb dexterity and the need for high-quality randomized controlled trials to assess the cost-effectiveness of robot-assisted therapy. The findings suggest that robot-assisted therapy can enhance motor recovery in stroke patients, but further research is needed to fully understand its benefits and to improve the measurement of functional outcomes.