Effect of robotic-assisted gait training program on spatiotemporal gait parameters for ambulatory children with cerebral palsy: A randomized control trial.

IF 1.7 4区医学 Q3 CLINICAL NEUROLOGY NeuroRehabilitation Pub Date : 2024-01-01 DOI:10.3233/NRE-240156

Maha F Algabbani, Jaber Mohammed Fagehi, Muzaynah Aljosh, Manal Bawazeer, Mishal M Aldaihan, Tariq A Abdulrahman, Adel A Alhusaini

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Abstract

Background: Gait training programs are commonly used to improve gait in children with cerebral palsy (CP).

Objective: To compared the effects of robotic-gait assistant training (RAGT) and conventional body weight support treadmill training (CBWSTT) on gait parameters among ambulatory children with CP.

Methods: The study is a randomized controlled trial of 36 children (17 in the RAGT group and 19 in the CBWSTT group) aged 5 to 14. Gait training involved 30-to 35-minute sessions three times per week over eight weeks.

Results: Mixed ANCOVA showed no main effect of time or group on all gait parameters (P > .05). Gross motor function measure dimensions D (GMFM D) and E (GMFM E) show main effects on step width. Stride length, step length, speed, swing phase, and double support phase interacted with GMFM D and E. There was a negative correlation between motor function level and the change from baseline. Children with lower motor function show a greater change from baseline.

Conclusion: There were no significant differences between CBWSTT and RAGT for children with CP; however, with gait training interventions, the level of motor function should be considered.

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机器人辅助步态训练计划对行走不便的脑瘫儿童时空步态参数的影响：随机对照试验

背景：步态训练是改善脑瘫儿童步态的常用方法：步态训练是改善脑瘫儿童步态的常用方法：比较机器人步态辅助训练（RAGT）和传统体重支撑跑步机训练（CBWSTT）对可活动的 CP 儿童步态参数的影响：该研究是一项随机对照试验，共有 36 名 5 至 14 岁的儿童参加（机器人步态辅助训练组 17 人，CBWSTT 组 19 人）。步态训练包括 30 至 35 分钟的课程，每周三次，为期八周：混合方差分析显示，时间或组别对所有步态参数均无主效应（P > .05）。粗大运动功能测量维度 D（GMFM D）和 E（GMFM E）显示了对步幅的主效应。步长、步幅、速度、摆动阶段和双支撑阶段与 GMFM D 和 E 相互影响。运动功能较低的儿童与基线相比变化更大：结论：CBWSTT 和 RAGT 对 CP 儿童没有明显差异；但是，在进行步态训练干预时，应考虑运动功能水平。

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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来源期刊

NeuroRehabilitation CLINICAL NEUROLOGY-REHABILITATION

CiteScore

3.20

自引率

0.00%

发文量

178

审稿时长

6-12 weeks

期刊介绍： NeuroRehabilitation, an international, interdisciplinary, peer-reviewed journal, publishes manuscripts focused on scientifically based, practical information relevant to all aspects of neurologic rehabilitation. We publish unsolicited papers detailing original work/research that covers the full life span and range of neurological disabilities including stroke, spinal cord injury, traumatic brain injury, neuromuscular disease and other neurological disorders. We also publish thematically organized issues that focus on specific clinical disorders, types of therapy and age groups. Proposals for thematic issues and suggestions for issue editors are welcomed.