000K  utf8
1100  2022$c2022-12-16
1500  eng
2050  urn:nbn:de:hbz:465-20230627-142426-7
2051  10.3390/s22249946
3000  Moll, Fabian
3010  Adermann, Jens
3010  Bonetto, Anna
3010  Dudda, Marcel
3010  Herten, Monika
3010  Kessel, Axel
3010  Stresow, Johanna
4000  Use of Robot-Assisted Gait Training in Pediatric Patients with Cerebral Palsy in an Inpatient Setting$dA Randomized Controlled Trial  [Moll, Fabian]
4209  Robot-assisted gait training (RAGT) provides a task-based support of walking using exoskeletons. Evidence shows moderate, but positive effects in the therapy of patients with cerebral palsy (CP). This study investigates the impact of RAGT on walking speed and gait parameters in pediatric CP patients. Thirty subjects (male = 23; female = 7), with a mean age of 13.0 ± 2.5 (9–17) years, and with spastic CP, were recruited. The intervention group (n = 15) underwent six 20-minute RAGT sessions with the Hybrid Assistive Limb (HAL) during an 11-day hospital stay. Additionally, a therapy concept including physiotherapy, physician-performed manual medicine, massage and exercise therapy was provided. The control group (n = 15) was treated with the therapy concept only. The outcome was based on a 10-Metre Walking Test (10MWT), 6-Minute Walking Test (6MWT), Gross Motor Function Measure (GMFM-88) and lower extremities passive range of motion. The intervention group achieved a mean increase in walking speed in the 10MWT (self-selected walking speed SSW) of 5.5 s (p = 0.378). There were no significant differences between the groups in the 10MWT (max) (p = 0.123) and the 6MWT (p = 0.8). Changes in the GMFM (total) and in the dimension standing and walking, running and jumping (D + E) showed clinically relevant significant results (p = 0.002 and p = 0.046). RAGT as a supplement to an inpatient therapy stay appears to have a positive, yet not significant impact on the gait parameters of pediatric CP patients as well as motivating them to practice walking. Further studies with adapted study designs are needed to evaluate different influencing factors.
4950  https://doi.org/10.3390/s22249946$xR$3Volltext$534
4950  https://nbn-resolving.org/urn:nbn:de:hbz:465-20230627-142426-7$xR$3Volltext$534
4961  https://duepublico2.uni-due.de/receive/duepublico_mods_00078146
5051  610
5550  cerebral palsy
5550  exoskeleton device
5550  gait disorders neurologic
5550  hybrid assistive limb
5550  pediatrics
5550  robot-assisted gait training
5550  walking
5550  walk test