Promoting Functional Neck Motion in Patients with Cerebral Palsy using a Robotic Neck Brace

项目摘要 脑性瘫痪(CP)是胎儿或发育中的大脑的一种非进行性损害，导致运动 和姿势障碍。粗大电机功能分类系统(GMFCS)用于确定 CP对I-V的功能独立性水平。涉及更严重的被归类为GMFCS-V 严重的运动障碍，控制头部和躯干的坐姿。他们需要辅助技术， 广泛的个人和环境适应能力，能够参与社区活动。磁头控制是 CpGMFCS-IV也是一种重要的姿势缺陷。 我们的机器人和康复(Roar)实验室最近开发了一种机器人颈部支架，地址为 哥伦比亚大学。我们对健康人的试验数据证实，这种机器人支架可以用于这两种情况 援助和培训。这些结果非常令人鼓舞，并为这项提议奠定了基础。我们相信 这项技术创新可以用来显著改善脑瘫患者的头颈控制。 在这个为期两年的项目中，我们将在一组患有CP GMFCS IV-V的人群中进行单次会议研究 描述他们的头颈控制。然后我们将测试一项旨在最大限度地 这一CP亚群中的职能负责人控制。具体目标是： 目的1：研究GMFCS IV-V脑瘫患儿使用机器人颈托时头部控制功能障碍的特征。 目的2：测试使用机器人颈支架进行多阶段运动训练以促进姿势训练的可行性。 脑性瘫痪儿童的头部控制，GMFCS IV-V

Project Summary Cerebral Palsy (CP) is a non-progressive damage in the fetal or developing brain that causes movement and posture disorders. The Gross Motor Functional Classification System (GMFCS) is used to determine the level of functional independence in CP from I-V. Those more severely involved are classified as GMFCS-V with severe motor deficits to control the head and trunk in sitting position. They require assistive technology, with extensive personal and environmental adaptations, to be able to participate in the community. Head control is also an important postural deficit in people with CP GMFCS-IV. A robotic neck brace has been recently developed by our Robotics and Rehabilitation (ROAR) Laboratory at Columbia University. Our pilot data with healthy individuals confirms that this robotic brace can be used for both assistance and training. These results are highly encouraging and set the stage for this proposal. We believe that this technological innovation can be adapted to significantly improve head-neck control of those with CP. In this 2-year project, we will perform single-session studies in a cohort of people with CP GMFCS IV-V to characterize their head-neck control. We will then test a multi-session training program designed to maximize functional head control in this CP sub-population. The specific aims are: Aim 1: To characterize head control impairments in children with CP, GMFCS IV-V, with a robotic neck brace. Aim 2: To test the feasibility of a multi-session motor training with a robotic neck brace to promote postural head control in children with CP, GMFCS IV-V.