❌

Reading view

Robot-Assisted Therapy for Upper Limb Rehabilitation After Stroke: Umbrella Review

Background: Stroke is a leading cause of long-term upper limb disability, severely impacting patients’ independence and quality of life. Robot-assisted therapy (RAT) has emerged as a promising, high-intensity rehabilitation alternative. However, conclusions from existing systematic reviews on its efficacy are inconsistent and often lack a holistic framework, limiting their use for guiding personalized clinical decisions. Objective: This study aims to systematically synthesize recent evidence on RAT for upper limb rehabilitation after stroke. Guided by the International Classification of Functioning, Disability and Health framework, it moves beyond singular outcomes to provide a multidimensional evaluation across body function, activity, and participation levels. The review aims to provide stratified guidance for clinical decision-making based on patient- and intervention-specific characteristics, thereby supporting evidence-based practice and informing future research. Methods: This study included systematic reviews and meta-analyses published from January 1, 2019, to December 26, 2025, comparing RAT with conventional therapy for upper limb rehabilitation after stroke. Overall, 6 databases, including PubMed, Web of Science, and Embase, were searched. Two reviewers (XZ and LZ) independently performed study selection, data extraction, and quality assessment using the AMSTAR 2 tool. The synthesis integrated outcome measures and subgroup analyses derived from the included studies. Results: This umbrella review included 21 meta-analyses encompassing 535 randomized controlled trials and 27,598 patients across acute, subacute, and chronic stroke stages. According to AMSTAR 2, 17 reviews were high quality, 3 moderate, and 1 critically low. The synthesis demonstrated that RAT was superior in improving upper limb motor function, but no statistically significant advantages were observed in activities of daily living compared to conventional therapy. Subgroup analyses revealed that treatment effects were influenced by stroke stage, upper limb motor impairment level, and robot type. Conclusions: RAT is an effective intervention for improving upper limb motor function after stroke. However, its benefits are primarily observed at the level of body function, with limited evidence for long-term maintenance. The current evidence is constrained by significant outcome heterogeneity and methodological limitations inherent to umbrella reviews. Future research should validate these findings in broader clinical practice, focus on translating functional gains into sustained improvements in daily activities and participation, and include cost-effectiveness evaluations. Trial Registration: PROSPERO CRD42024497183; https://www.crd.york.ac.uk/PROSPERO/view/CRD42024497183
  •  

Dynamic Fusion-Aware Graph Convolutional Neural Network for Multimodal Emotion Recognition in Conversations

arXiv:2603.22345v1 Announce Type: new Abstract: Multimodal emotion recognition in conversations (MERC) aims to identify and understand the emotions expressed by speakers during utterance interaction from multiple modalities (e.g., text, audio, images, etc.). Existing studies have shown that GCN can improve the performance of MERC by modeling dependencies between speakers. However, existing methods usually use fixed parameters to process multimodal features for different emotion types, ignoring the dynamics of fusion between different modalities, which forces the model to balance performance between multiple emotion categories, thus limiting the model's performance on some specific emotions. To this end, we propose a dynamic fusion-aware graph convolutional neural network (DF-GCN) for robust recognition of multimodal emotion features in conversations. Specifically, DF-GCN integrates ordinary differential equations into graph convolutional networks (GCNs) to {capture} the dynamic nature of emotional dependencies within utterance interaction networks and leverages the prompts generated by the global information vector (GIV) of the utterance to guide the dynamic fusion of multimodal features. This allows our model to dynamically change parameters when processing each utterance feature, so that different network parameters can be equipped for different emotion categories in the inference stage, thereby achieving more flexible emotion classification and enhancing the generalization ability of the model. Comprehensive experiments conducted on two public multimodal conversational datasets {confirm} that the proposed DF-GCN model delivers superior performance, benefiting significantly from the dynamic fusion mechanism introduced.
  •  

From Static Templates to Dynamic Runtime Graphs: A Survey of Workflow Optimization for LLM Agents

arXiv:2603.22386v1 Announce Type: new Abstract: Large language model (LLM)-based systems are becoming increasingly popular for solving tasks by constructing executable workflows that interleave LLM calls, information retrieval, tool use, code execution, memory updates, and verification. This survey reviews recent methods for designing and optimizing such workflows, which we treat as agentic computation graphs (ACGs). We organize the literature based on when workflow structure is determined, where structure refers to which components or agents are present, how they depend on each other, and how information flows between them. This lens distinguishes static methods, which fix a reusable workflow scaffold before deployment, from dynamic methods, which select, generate, or revise the workflow for a particular run before or during execution. We further organize prior work along three dimensions: when structure is determined, what part of the workflow is optimized, and which evaluation signals guide optimization (e.g., task metrics, verifier signals, preferences, or trace-derived feedback). We also distinguish reusable workflow templates, run-specific realized graphs, and execution traces, separating reusable design choices from the structures actually deployed in a given run and from realized runtime behavior. Finally, we outline a structure-aware evaluation perspective that complements downstream task metrics with graph-level properties, execution cost, robustness, and structural variation across inputs. Our goal is to provide a clear vocabulary, a unified framework for positioning new methods, a more comparable view of existing body of literature, and a more reproducible evaluation standard for future work in workflow optimizations for LLM agents.
  •  
❌