Effect of robot assisted gait training on motor performance in cerebral palsy: a pilot study

Öz

Purpose: Children with Cerebral Palsy (CP) have significantly impaired motor performance. There are various rehabilitation methods in rehabilitation in CP. Robot Assisted Gait Training (RAGT) is an alternative rehabilitation system in addition to ether therapies. This study aims to investigate effects of RAGT in children with CP.

Methods: 17 patients with spastic type CP, mean age 12.83±5.41 years, participated in this study. Muscles’ tone were assessed with “Modified Ashworth Scale”, motor developmental level was analysed by “Gross Motor Function Scale (GMFM)”, motor performance was assessed by “Gross Motor Performance Measure (GMPM)” balance and coordination was assessed with “Paediatric Balance Scale (PBS)”. GEO robotic systems designed by Reha- Technology was used in treatment for 10 weeks (45 minutes-3 days a week), which was composed of treadmill and stair training.

Results: The level of motor development, motor performance and balance has been detected to chance positively at the end of RAGT (p<0.05)

Discussion: Robotic rehabilitation method such as walking, climbing stairs has a positive effect on the motor performance and the balance parameters in patients with CP. However, there is not a certain protocol in which to define the level and duration of application of RAGT for these patients.

Anahtar Kelimeler

• Cerebral palsy,Robotics,Motor Performance,Gait

Robot yardımlı yürüme eğitiminin serebral palside motor performans üzerine etkisi: pilot çalışma

Öz

Amaç: Serebral palsili (SP) çocukların motor performansları ciddi derecede bozulmuştur. Sp rehabilitasyonunda pek çok rehabilitasyon metodu kullanılmaktadır. Robot yardımlı yürüyüş eğitimi konvansiyonel rehabilitasyonlara ek olarak uygulanan alternatif bir rehabilitasyon sistemidir. Çalışmanın amacı Robot Yardımlı Yürüyüş Eğitiminin (RYYE) SP’li çocuklarda motor performans üzerine etkisini araştırmaktır.

Yöntem: Spastik tip tanılı, 12.83±5.41 yıl yaş ortalamasında olan 17 hasta çalışmaya dahil edildi. Kas tonusu “Modifiye Ashworth Skalası” ile, motor gelişim seviyesi “Kaba Motor Fonksiyon Ölçütü” ile değerlendirildi, Motor performansı değerlendirmek için “Kaba Motor Performans Ölçütü”, denge ve koordinasyonu değerlendirmek amacıyla “Pediatrik Denge Skalası” kullanıldı. Düz zeminde yürüme ve merdiven çıkma olarak iki ayrı modda 10 hafta süreyle haftada 3 gün 45 dk olarak tedavi protokolü uygulandı. Eğitimlerde GEO robotik sistemi (Reha-Technology) kullanıldı.

Bulgular: RYYE sonunda motor gelişim seviyesi, motor performans ve denge parametrelerinde anlamlı pozitif değişimler görüldü (p<0.05).

Sonuç: Yürüme ve merdiven çıkma gibi aktiviteleri içeren robot destekli rehabilitasyonun motor performans ve denge üzerine olumlu etkileri vardır. Bununla birlikte RYYE’nin serebral palside uygulanabilirliği açısından, uygulamanın seviyesi veya durasyonu ile ilgili olarak belirli bir protokol veya görüş birliği bulunmamaktadır.

Anahtar Kelimeler

• serebral palsi,robotik,motor performans,yürüme

Kaynakça

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