کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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3054196 | 1580044 | 2010 | 7 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Robotic-assisted treadmill therapy improves walking and standing performance in children and adolescents with cerebral palsy Robotic-assisted treadmill therapy improves walking and standing performance in children and adolescents with cerebral palsy](/preview/png/3054196.png)
ObjectiveTask-specific body-weight-supported treadmill therapy improves walking performance in children with central gait impairment. The aim of the study was to investigate the effect of robotic-assisted treadmill therapy on standing and walking performance in children and adolescents with cerebral palsy and to determine parameters influencing outcome.Methods20 Patients (mean age 11.0 ± 5.1, 10 males and 10 females) with cerebral palsy underwent 12 sessions of robotic-assisted treadmill therapy using the driven gait orthosis Lokomat. Outcome measures were the dimensions D (standing) and E (walking) of the Gross Motor Function Measure (GMFM).ResultsSignificant improvements in dimension D by 5.9% (±5.2, p = 0.001) and dimension E by 5.3% (±5.6, p < 0.001) of the GMFM were achieved. Improvements in the GMFM D and E were significantly greater in the mildly affected cohort (GMFCS I and II) compared to the more severely affected cohort (GMFCS III and IV). Improvement of the dimension E but not of D correlated positively with the total distance and time walked during the trial (rs = 0.748, p < 0.001).ConclusionsChildren and adolescents with bilateral spastic cerebral palsy showed improvements in the functional tasks of standing and walking after a 3-week trial of robotic-assisted treadmill therapy. The severity of motor impairment affects the amount of the achieved improvement.
Journal: European Journal of Paediatric Neurology - Volume 14, Issue 6, November 2010, Pages 496–502