Feasibility of robotic-assisted locomotor training in children with central gait impairment
Feasibility of robotic-assisted locomotor training in children with central gait impairment
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DOI：
10.1111/j.1469-8749.2007.00900.x
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发表时间：
2007-12-01
影响因子：
3.8
通讯作者：
Heinen, F.
中科院分区：
文献类型：
--
作者：
Meyer-Heim, A.;Borggraefe, I.;Heinen, F.
由驱动步态矫形器 (DGO) 实现的强化、针对特定任务的训练可能是提高儿童步行表现的一种经济有效的方法。最近开发了一种儿科 DGO。本研究是第一项儿科试验，旨在确定机器人辅助跑步机训练对中枢步态障碍儿童的可行性（n=26；11 名女性，15 名男性；平均年龄 10 岁 1 个月 [SD 4 岁]；范围 5 岁 2 个月至 19 岁 5 个月）。研究组的诊断包括脑瘫（n=19；粗大运动功能分类系统I-IV级）、创伤性脑损伤（n=1）、格林-巴利综合征（n=2）、不完全性截瘫（n=2）、失血性休克（n=1）和脑病（n=1）。 16 名儿童住院，10 名门诊儿童。 26 名患者中有 24 名完成了培训，其中住院组平均 19 次（SD 2.2；范围 13-21），门诊组 12 次（SD 1.0；范围 10-13）。步态速度和 6 分钟步行测试显着增加 (p < 0.01)。粗大运动功能测量的功能性步行类别和站立尺寸（住院组 p < 0.01；门诊组 p < 0.05）显着改善。 DGO 培训已成功融入康复计划，研究结果表明运动表现有所改善。
Intensive, task-specific training enabled by a driven gait orthosis (DGO) may be a cost-effective means of improving walking performance in children. A paediatric DGO has recently been developed. This study was the first paediatric trial aimed to determine the feasibility of robotic-assisted treadmill training in children with central gait impairment (n=26; 11 females, 15 males; mean age 10y 1mo [SD 4y]; range 5y 2mo-19y 5mo). Diagnoses of the study group included cerebral palsy (n=19; Gross Motor Function Classification System Levels I-IV), traumatic brain injury (n=1), Guillain-Barre syndrome (n=2), incomplete paraplegia (n=2), and haemorrhagic shock (n=1), and encephalopathy (n=1). Sixteen children were in-patients and 10 were outpatients. Twenty-four of the 26 patients completed the training which consisted of a mean of 19 sessions (SD 2.2; range 13-21) in the in-patient group and 12 sessions (SD 1.0; range 10-13) in the outpatient group. Gait speed and 6-Minute Walking Test increased significantly (p < 0.01). Functional Ambulation Categories and Standing dimension (in-patient group p < 0.01; outpatient group p < 0.05) of the Gross Motor Function Measure improved significantly. DGO training was successfully integrated into the rehabilitation programme and findings suggest an improvement of locomotor performance.