Effects of robot-assisted gait training alongside conventional therapy on the development of walking in children with cerebral palsy

2020 ◽  
Vol 13 (2) ◽  
pp. 127-135
Author(s):  
Hamza Sucuoglu
Keyword(s):  
Cerebral Palsy ◽  
Conventional Therapy ◽  
Gait Training ◽  
Robot Assisted ◽  
Children With Cerebral Palsy

Effects of robot-assisted gait training on walking abilities of children with cerebral palsy

2019 ◽  
Vol 49 (6) ◽  
pp. 421
Author(s):  
Yosra Cherni ◽  
Laurent Ballaz ◽  
Josiane Lemaire ◽  
Mickael Begon
Keyword(s):  
Cerebral Palsy ◽  
Gait Training ◽  
Robot Assisted ◽  
Children With Cerebral Palsy

scholarly journals The Effect of Robot-Assisted Gait Training on Locomotor Function and Functional Capability for Daily Activities in Children with Cerebral Palsy: A Single-Blinded, Randomized Cross-Over Trial

2020 ◽  
Vol 10 (11) ◽  
pp. 801
Author(s):  
Li Hua Jin ◽  
Shin-seung Yang ◽  
Ja Young Choi ◽  
Min Kyun Sohn
Keyword(s):  
Cerebral Palsy ◽  
Motor Function ◽  
Gait Training ◽  
Daily Activities ◽  
Robot Assisted ◽  
Functional Capability ◽  
Gross Motor ◽  
Children With Cerebral Palsy ◽  
Carry Over

Purpose: The effectiveness of robot-assisted gait training (RAGT) in children with cerebral palsy (CP), especially in terms of improving the performance of daily activities, remains unclear. Therefore, we aimed to investigate the effectiveness of RAGT in children with CP. Methods: In this single-center, single-blinded, randomized cross-over trial, we enrolled 20 children with CP with Gross Motor Function Classification System (GMFCS) levels II–IV (13 males; age range, 6.75 ± 2.15 years). The participants were randomized into the RAGT/standard care (SC) (n = 10) and SC/RAGT/SC sequence groups (n = 10). Using a Walkbot-K system, the RAGT program comprised 3 × 30-min sessions/week for 6 weeks with a continued SC program. The SC program comprised 2–4 conventional physiotherapy sessions/week for 6 weeks. The Gross Motor Function Measure-88 (GMFM-88), the pediatric functional independence measure (WeeFIM), and the Canadian occupational performance measure (COPM) scores were assessed pre- and post-RAGT or SC periods and treatment, period, follow-up, and carry-over effects were analyzed. Energy expenditure and body composition were measured pre- and post-RAGT. Results: Significant treatment effects were observed in dimensions D and E of the GMFM (D: p = 0.018; E: p = 0.021) scores, WeeFIM mobility subtotal (p = 0.007), and COPM performance (p < 0.001) and satisfaction (p = 0.001) measure scores. The period, follow-up, and carry-over effects were not statistically significant. The gross energy cost significantly decreased (p = 0.041) and the skeletal muscle mass increased (p = 0.014) at post-RAGT assessment. The factors associated with functional outcomes showed significant improvements in the GMFM D scores and were mainly observed in children with GMFCS levels II–III compared to those classified at level IV (p = 0.038). Conclusion: RAGT had training benefits for children with CP. Specifically, it improved locomotor function and functional capability for daily activities. These effects were better in ambulatory children with CP. However, as SC interventions continued during the RAGT period, these improvements may be also related to multiple treatment effects.

Effect of robot-assisted gait training on motor functions in adolescent and young adult patients with bilateral spastic cerebral palsy: A randomized controlled trial

2020 ◽  
Vol 47 (4) ◽  
pp. 495-508
Author(s):  
Stanislava Klobucká ◽  
Robert Klobucký ◽  
Branislav Kollár
Keyword(s):  
Cerebral Palsy ◽  
Motor Function ◽  
Conventional Therapy ◽  
Gait Training ◽  
Adult Patients ◽  
Robot Assisted ◽  
Gross Motor ◽  
Motor Functions ◽  
Gross Motor Function ◽  
Significant Difference

BACKGROUND: Robot-assisted gait training (RAGT) allows an intensive gait training in patients with cerebral palsy (CP). There are few evidences on the effectiveness of RAGT in adults with CP. OBJECTIVE: To assess the effect of RAGT on gross motor function in adolescent and adult patients with bilateral spastic CP and to compare the effect of RAGT with conventional kinesiotherapy. METHODS: Forty-seven patients (mean age 21.2±5.33 years) with bilateral spastic CP were divided into two groups. Twenty-one patients underwent 20 therapeutic units of RAGT and 26 patients underwent 20 therapeutic units of conventional therapy/training (CON). The following parameters were evaluated before (V1) and after the therapy (V2): dimension A (lying and rolling), B (sitting), C (crawling and kneeling), D (standing), E (walking, running and jumping) of the Gross Motor Function Measure (GMFM-88). In patients in the experimental RAGT group, these parameters were also evaluated 3–4 months later (V3). RESULTS: Comparing the mean improvements in endpoints in both groups (RAGT vs. CON) after 20 TUs, we observed the statistically significant difference (p < 0.001) and large effect size in all GMFM dimensions and total GMFM improvement in favour of the RAGT group. In RAGT patients, the improvement persisted even 3–4 months after RAGT (p < 0.001). CONCLUSION: We demonstrated that the intensive RAGT regimen is more effective than conventional therapy in terms of improvements in gross motor functions in adolescent and adult patients with bilateral spastic CP.

scholarly journals The Effects of Over-Ground Robot-Assisted Gait Training for Children with Ataxic Cerebral Palsy: A Case Report

Sensors ◽  
2021 ◽  
Vol 21 (23) ◽  
pp. 7875
Author(s):  
Myungeun Yoo ◽  
Jeong Hyeon Ahn ◽  
Eun Sook Park
Keyword(s):  
Cerebral Palsy ◽  
Conventional Therapy ◽  
Independent Living ◽  
Gait Training ◽  
Robot Assisted ◽  
Ataxic Gait ◽  
Timed Up And Go ◽  
Walking Capacity ◽  
Before And After ◽  
Gait Function

Poor balance and ataxic gait are major impediments to independent living in ataxic cerebral palsy (CP). Robot assisted-gait training (RAGT) has been shown to improve the postural balance and gait function in children with CP. However, there is no report on the application of RAGT for children with ataxic CP. Here, we report two cases of children with ataxic CP who underwent over-ground RAGT along with conventional therapy for 4 weeks. Outcome measures including the gross motor function measure (GMFM), pediatric balance scale, pediatric reach scale, one-minute walk test, and Timed Up and Go test were assessed before and after the 4-week intervention. Both cases were well adapted to the RAGT system without any significant adverse event. Improvements in the GMFM after RAGT, compared with that in the GMFM, after intensive conventional therapy have been reported previously. It is noteworthy that over-ground RAGT improved areas of the GMFM that did not improve with conventional therapy. In addition, over-ground RAGT with conventional therapy led to improvements in functional balance and walking capacity. These findings suggest that over-ground RAGT is feasible and may be a potential option for enhancing balance and functional walking capacity in children with ataxic CP.

Effectiveness of Robot-Assisted Gait Training on Functional Skills in Children with Cerebral Palsy

2021 ◽  
Author(s):  
Burak Yaşar ◽  
Emine Atıcı ◽  
Derya Azim Razaei ◽  
Tülay Çevik Saldıran
Keyword(s):  
Cerebral Palsy ◽  
Functional Independence Measure ◽  
Gait Training ◽  
Functional Independence ◽  
Rehabilitation Program ◽  
Robot Assisted ◽  
Timed Up And Go ◽  
Motor Functions ◽  
Significant Difference ◽  
Children With Cerebral Palsy

AbstractThis study was aimed to investigate the effects of robot-assisted gait training (RAGT) on motor functions, spasticity status, balance, and functionality in children with cerebral palsy (CP). A total of 26 patients who were diagnosed with CP (diplegic, with gross motor function classification system [GMFCS] levels of 2–5) and who regularly participated in a rehabilitation program were recruited in the study after obtaining approval from their parents. The patients were randomly assigned to two groups. Group 1 (n = 13) received conventional physical therapy (65 minutes, 2 days/week × 8) and group 2 (n = 13) received 25 minutes of RAGT (RoboGait) in addition to conventional therapy (CT; 40 minutes, 2 days/week × 8). GMFCS was used to evaluate motor functions and the Modified Ashworth Scale was used to evaluate spasticity. The pediatric Berg balance scale, pediatric functional independence measure, and timed up and go tests were employed to assess balance and functional status. The evaluations were performed at baseline and after 8 weeks of therapy. Both rehabilitation methods led to a statistically significant decrease in spasticity (p < 0.05); however, there was no difference in this improvement of spasticity between the groups (p > 0.05). Both groups exhibited significant improvements in functional independence, balance, and performance at the end of therapy (p < 0.05), and there was no significant difference between the groups (p > 0.05). The results of this study show that addition of RAGT to CT for 8 weeks is not superior to CT alone in children with CP.

scholarly journals Effect of Robot-Assisted Gait Training on Selective Voluntary Motor Control in Ambulatory Children with Cerebral Palsy

2020 ◽  
Vol 57 (10) ◽  
pp. 964-966
Author(s):  
Dragana Zarkovic ◽  
Monika Sorfova ◽  
James J Tufano ◽  
Patrik Kutilek ◽  
Slavka Viteckova ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Motor Control ◽  
Gait Training ◽  
Robot Assisted ◽  
Voluntary Motor ◽  
Children With Cerebral Palsy
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