Clinical Application of a Robotic Ankle Training Program for Cerebral Palsy Compared to the Research Laboratory Application: Does It Translate to Practice?
Clinical Application of a Robotic Ankle Training Program for Cerebral Palsy Compared to the Research Laboratory Application: Does It Translate to Practice?
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DOI：
10.1016/j.apmr.2014.04.010
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发表时间：
2014-08-01
影响因子：
4.3
通讯作者：
Gaebler-Spira, Deborah
中科院分区：
文献类型：
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作者：
Sukal-Moulton, Theresa;Clancy, Theresa;Gaebler-Spira, Deborah
目的：确定踝关节机器人康复方案对脑瘫患者的临床疗效。设计：通过干预前后试验设计中的回顾性图表审查确定临床队列，并与先前发表的前瞻性研究队列进行比较。设置：康复医院。参与者：儿童（N=28;平均年龄，8.2 ± 3.62岁），粗大运动功能分类系统I级、II级或ifi级，在临床环境中使用机器人踝关节器械进行踝关节伸展和强化。将临床结果与先前发表的参与者队列（N=12;平均年龄，7.8 ± 2.91岁）进行比较，这些参与者在基于研究实验室的干预protocol.Interventions：临床队列中的患者每周2次，每次75分钟，共6周。前30分钟使用机器人踝关节设备进行踝关节伸展和加强，其余45分钟用于功能性运动活动。主要结果测量：我们比较了干预前后的跖屈肌和背屈肌活动范围、力量、痉挛、活动度（计时起身行走试验、6分钟步行试验、10米步行试验）、平衡（儿科平衡量表）、选择性控制性下肢功能评估（SCALE）和粗大运动功能测量（GMFM）。除GMFM外，临床队列的所有主要结局指标均有显著改善。这些改进相当于在研究队列中报告的，除了较大的SCALE测试的变化，在researchcohol.Conclusions：这些研究结果表明，翻译的重复，目标导向的生物反馈训练到临床设置是可行的，有益的脑瘫患者。(C)2014年美国康复医学大会
Objective: To determine the clinical efficacy of an ankle robotic rehabilitation protocol for patients with cerebral palsy.Design: The clinic cohort was identified from a retrospective chart review in a before-after intervention trial design and compared with a previously published prospective research cohort.Setting: Rehabilitation hospital.Participants: Children (N=28; mean age, 8.2 +/- 3.62y) with Gross Motor Function Classification System levels I, II, or ifi who were referred for ankle stretching and strengthening used a robotic ankle device in a clinic setting. Clinic results were compared with a previously published cohort of participants (N=12; mean age, 7.8 +/- 2.91y) seen in a research laboratory-based intervention protocol.Interventions: Patients in the clinic cohort were seen 2 times per week for 75-minute sessions for a total of 6 weeks. The first 30 minutes of the session were spent using the robotic ankle device for ankle stretching and strengthening, and the remaining 45 minutes were spent on functional movement activities. There was no control group.Main Outcome Measures: We compared pre- and postintervention measures of plantarflexor and dorsiflexor range of motion, strength, spasticity, mobility (Timed Up and Go test, 6-minute walk test, 10-m walk test), balance (Pediatric Balance Scale), Selective Control Assessment of the Lower Extremity (SCALE), and gross motor function measure (GMFM).Results: Significant improvements were found for the clinic cohort in all main outcome measures except for the GMFM. These improvements were equivalent to those reported in the research cohort, except for larger SCALE test changes in the research cohort.Conclusions: These findings suggest that translation of repetitive, goal-directed biofeedback training into the clinic setting is both feasible and beneficial for patients with cerebral palsy. (C) 2014 by the American Congress of Rehabilitation Medicine