Improvement of motor performance in children with cerebral palsy treated with exoskeleton robotic training: A retrospective explorative analysis.

Abstract:

BACKGROUND:Robot-assisted gait training (RAGT) is widely used in children with cerebral palsy (CP), but information about optimal intervention frequency and duration is still lacking and the current evidence about effect of RAGT on motor endurance and fitness is very preliminary. OBJECTIVE:To investigate the effect of RAGT on motor performance and endurance in children affected by CP. METHODS:Data from 14 consecutive children (6 females, age range: 4.6-15.8 years) affected by CP, who underwent a multidisciplinary rehabilitation program during a 18-24 month period, were retrospectively collected. Rehabilitation program included conventional physical therapy and RAGT (60/60 minutes, 20 daily sessions, 5 days/week). CP severity was stratified according to the Gross Motor Function Classification System. Clinical evaluation was performed by means of the six-minute walking test, the modified Ashworth scale, and RAGT measures (total distance, mean distance for session and speed). RESULTS:Clinical outcomes and speed did not improve after treatment, while total distance (p = 0.006) and mean distance for session (p = 0.007) significantly improved. CONCLUSIONS:Our preliminary study suggests that RAGT combined with conventional treatment may improve motor performance and endurance in children with CP. Future randomized controlled trials comparing RAGT to conventional treatment are needed.

journal_name

Restor Neurol Neurosci

authors

Digiacomo F,Tamburin S,Tebaldi S,Pezzani M,Tagliafierro M,Casale R,Bartolo M

doi

10.3233/RNN-180897

subject

Has Abstract

pub_date

2019-01-01 00:00:00

pages

239-244

issue

3

eissn

0922-6028

issn

1878-3627

pii

RNN180897

journal_volume

37

pub_type

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