Robotic gait training in patients with cerebral palsy: a retrospective analysis

Acta Fisiátrica Pub Date : 2023-06-30 DOI:10.11606/issn.2317-0190.v30i2a202428

A. V. Maglione, Maria Cristina dos Santos Galvão, Márcia Harumi Uema Ozu, M. Misao, Lisa Carla Narumia

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Abstract

Objective: The present study sought to retrospectively evaluate the efficacy of robotic gait training in children with cerebral palsy (CP) gross motor function classification system (GMFCS) levels II, III and IV. Method: The medical records from 69 patients with CP, who participated in the Lokomat® protocol, were analyzed using a retrospective approach. The results from the Gross Motor Function Measure (GMFM), 6-minute walk test (6MinWT), 10-meter walk test (10MWT) and Timed Up and Go (TUG) test were analyzed before and after the protocol was administered. Results: An improvement in GMFM was observed for all GMFCS levels. GMFCS level III patients showed a significant improvement in the 6MinWT (p= 0.01), and GMFCS level IV patients displayed a significant improvement in GMFM dimension B (p= 0.03). All tests showed a significant improvement when compared to their performance before the application of the protocol. Conclusion: The study suggests that all patients diagnosed with CP benefit from gait training, using the Lokomat® system, within their expected motor frame.

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脑瘫患者的机器人步态训练：回顾性分析

研究目的本研究旨在回顾性评估机器人步态训练对脑瘫（CP）儿童粗大运动功能分类系统（GMFCS）II、III和IV级的疗效。研究方法采用回顾性方法分析了 69 名参加 Lokomat® 方案的 CP 患者的医疗记录。对方案实施前后的粗大运动功能测量（GMFM）、6分钟步行测试（6MinWT）、10米步行测试（10MWT）和定时起立行走测试（TUG）结果进行了分析。结果显示所有 GMFCS 水平的 GMFM 均有改善。GMFCS III 级患者在 6 分钟步行测试中表现出显著改善（p= 0.01），GMFCS IV 级患者在 GMFM B 维度中表现出显著改善（p= 0.03）。与实施方案前的表现相比，所有测试均有明显改善。结论这项研究表明，所有被诊断为脊髓灰质炎的患者都能从使用 Lokomat® 系统进行的步态训练中获益，而且是在他们预期的运动范围内。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Acta Fisiátrica

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