Effect of robotic-assisted gait training as adjunct to traditional therapy on motor impairments in children with cerebral palsy

IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Acta Facultatis Medicae Naissensis Pub Date : 2023-01-01 DOI:10.5937/afmnai40-39301
Dragana M. Đurić, Snežana B. Ilić, Alameri Shaima, Almenhali Ameera, Alqutub A. Tariq
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Abstract

Aims. The aim of the study was to assess the effectiveness of robotic-assisted gait treadmill training (Lokomat) as an adjunct to traditional physiotherapy in improving the range of motion, muscle strength and decreasing spasticity in lower extremities in children with cerebral palsy. Materials and Methods. Twenty-six participants, with mean 7.69 ± 2.90 years, levels I-IV on Gross Motor Classification System (38.5% level I-II and 61.5% level III-IV) with a bilateral and unilateral form of cerebral palsy underwent intensive 20 Lokomat and 20 traditional physiotherapy sessions, each training session lasting 40 minutes. Preand post-testing was done using goniometer measure, manual muscle testing and modified Ashworth scale. Results. Positive effects were seen in participant who underwent a combination of Lokomat training and traditional therapy. An increase in the range of motion was minimal (2 - 4 degrees) in hip flexion, extension, and abduction. A significant improvement was achieved in ankle dorsiflexion on the right (p = 0.003) and left side (p = 0.006), while the values of knee extension for the left and right extremity were p = 0.062 left and p = 0.075, respectively. An increase in muscle strength of the lower limb was seen in 30.8% - 80% of participants. Reduction of spasticity in adductors, hamstrings and gastrocnemius were seen in 26.9% of participants. Conclusion. Lokomat training is an adjunct to conventional physiotherapy treatment. It has a negligible effect on the increase in the range of motion and muscle strength of the lower limb and reduction of spasticity in children with cerebral palsy.
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机器人辅助步态训练对脑瘫儿童运动障碍的辅助治疗效果
目标该研究的目的是评估机器人辅助步态跑步机训练(Lokomat)作为传统物理治疗的辅助手段,在改善脑瘫儿童的运动范围、肌肉力量和减少下肢痉挛方面的有效性。材料与方法。26例双侧和单侧脑瘫患者,平均年龄7.69±2.90岁,大运动分类系统I-IV级(38.5% I-II级,61.5% III-IV级),接受20次Lokomat强化训练和20次传统物理治疗,每次训练持续40分钟。前后测试采用测角仪测量、手工肌肉测试和改良Ashworth量表。结果。在接受Lokomat训练和传统治疗相结合的参与者中可以看到积极的效果。髋关节屈曲、伸展和外展的活动范围增加很小(2 - 4度)。右侧踝关节背屈(p = 0.003)和左侧踝关节背屈(p = 0.006)均有显著改善,而左侧和右侧的膝关节伸度分别为p = 0.062和p = 0.075。30.8% - 80%的参与者下肢肌肉力量有所增强。26.9%的参与者发现内收肌、腘绳肌和腓肠肌痉挛减轻。结论。Lokomat训练是传统物理治疗的辅助手段。它对脑瘫儿童运动范围和下肢肌肉力量的增加以及痉挛的减少的影响可以忽略不计。
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来源期刊
Acta Facultatis Medicae Naissensis
Acta Facultatis Medicae Naissensis MEDICINE, GENERAL & INTERNAL-
CiteScore
0.70
自引率
0.00%
发文量
13
审稿时长
12 weeks
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