The Influence of Robot–assisted Training on Motor Functions of the Patients with Children Palsy in Relation to the Severity of the Defects
Authors:
S. Klobucká 1; M. Kováč 2; E. Žiaková 1,3; R. Klobucký 4
Authors‘ workplace:
Rehabilitačné centrum Harmony, Bratislava
primárka MUDr. S. Klobucká, Ph. D.
1; Klinika neurológie, FNsP Nové Zámky
prednosta prof. MUDr. M. Kováč, CSc.
2; Slovenská zdravotnícka univerzita, FO a ZOŠ, Bratislava
vedúca katedry fyzioterapie PhDr. E. Žiaková, Ph. D.
3; Sociologický ústav, Slovenská akadémia vied, Bratislava
Mgr. R. Klobucký, Ph. D.
4
Published in:
Rehabil. fyz. Lék., 20, 2013, No. 3, pp. 150-160.
Category:
Original Papers
Overview
The aim of study was to assess impact of RATT (robot-assisted treadmill training) on motor functions in outpatient and inpatient patients with bilateral spastic cerebral palsy (CP) depending on the severity of motor impairment. 51 patients with bilateral spastic CP, aged 4-27 years underwent 20 sessions of RATT during 4-6 week period using Lokomat® therapy. Patients were divided into two groups according to severity of motor impairment determined by the Gross Motor Function Classification Scale (GMFCS).
After completing 20 sessions we recorded an objective improvement in functional gait parameters and motor functions in mildly, as well as severely affected patients with bilateral spastic CP. The severity of motor impairment affects the amount of the achieved improvement.
Keywords:
robot-assisted treadmill training, cerebral palsy, gross motor function measure
Sources
1. Beckung, E., Carlsson, G., Carlsdotter, S., Uvebrant, P.: The natural history of gross motor development in children with cerebral palsy aged 1 to 15 years. Dev. Med. Child. Neurol., roč. 49, 2007, č. 10, s. 751-756.
2. Beer, S., Aschbacher, B., Manoglou, D., Gamper, E., Kool, J., Kesselring, J.: Robot-assisted gait training in multiple sclerosis: a pilot randomized trial. Mult. Scler, roč. 14, 2008, č. 2, s. 231-236.
3. Begnoche, D. M., Pitetti, K. H.: Effects of traditional treatment and partial body weight treadmill training on the motor skills of children with spastic cerebral palsy: A pilot study. Pediatr. Phys. Ther., roč. 19, 2007, č. 1,s. 11-19.
4. Borggraefe, I., Meyer-Heim, A., Kumar, A., Schaefer, J. S., Berweck, S., Heinen, F.: Improved gait parameters after Robotic-Assisted Locomotor treadmill therapy in a 6-year-old child with cerebral palsy. Movement Disord., roč. 23, 2008, č. 2, s. 280-283.
5. Borggraefe, I., Schaefer, J. S., Klaiber, M., Dabrowski, E. et al.: Robotic-assisted treadmill therapy improves walking and standing performance in children and adolescents with cerebral palsy. Eur J. Pediatr. Neurol., roč. 14, 2010, č. 6, s. 496-502.
6. Borggraefe, I., Kiwull, L., Schaefer, J. S., Koerte, I. et al.: Sustainability of motor performance after robotic-assisted treadmill therapy in children: an open, non randomized baseline-treatment study. Eur J. Phys. Rehabil. Med., roč. 46, 2010, č. 2, s.125-131.
7. Borggraefe, I., Klaiber, M., Schuler, T., Warken, B. et al.: Safety of robotic-assisted treadmill therapy in children and adolescents with gait impairment: A bi-centre survey. Dev. Neurorehabil., roč. 13, 2010, č. 2, s. 114-119.
8. Cazalets, J. R., Borde, M., Clarac, F.: Localization and organization of the central pattern generator for hindlimb Locomotion in newborn Rat. J. Neurosci, roč. 15, 1995, č. 7, s. 4943-4951.
9. Day, J. A., Fox, E. J., Lowe, J., Swales, H. B., Behrman, A. L.: Locomotor training with partial body weight support on a treadmill in a nonambulatory child with spastic tetraplegic cerebral palsy: A case report. Pediatr. Phys. Ther., roč. 16, 2004, č. 2, s. 106-113.
10. Dietz, V., Müller, R., Colombo, G.: Locomotor activity in spinal man: significance of afferent input from joint and load receptors. Brain, roč. 125, 2002, č. 12, s. 2626-2634.
11. Dodd, K. J., Foley, S.: Partial body-weight-supported treadmill training can improve walking in children with cerebral palsy: a clinical controlled trial. Dev. Med. Child.Neurol., roč. 49, 2007, č. 2, s. 101-105.
12. Duysens, J., Van de Crommert, H.: Neural control of locomotion, Part 1: The central pattern generator from cats to humans. Gait Posture, roč. 7, 1998, s. 131-141.
13. Hanna, S. E., Bartlett, D. J., Rivard, L. M., Russel, D. J.: Reference curves for the gross motor function measure: percentiles for clinical description and tracking over time among children with cerebral palsy. Phys. Ther., roč. 88, 2008, č. 5, s. 596-607.
14. Holden, M. K., Gill, K. M., Magliozzi, M. R. et al.: Clinical gait assessment in the neurologically: reliability and meaningfulness. Phys. Ther., roč. 64, 1984, č. 1, s. 35-40.
15. Hornby, T. G., Zemon, D. H., Campbell, D.: Robotic assisted, body-weight-supported treadmill training in individuals following motor incomplete spinal cord injury. Phys. Ther., roč. 85, 2005, č. 1, s. 52-66.
16. Husemann, B., Müller, F., Krewer, C., Heller, S., Koenig, E.: Effects of locomotion training with assistance of Robot-driven gait orthosis in hemiparetic patients after stroke. Stroke, roč. 38, 2007, č. 2, s. 349-354.
17. Cherng, R. J., Liu, C. F., Lau, T. W., Hong, R. B.: Effect of treadmill training with body weight support on gait and gross motor function in children with spastic cerebral palsy. Am. J. Phys. Med. Rehabil., roč. 86, 2007, č. 7, s. 548-555.
18. Knox, V., Evans, A. L.: Evaluation of the functional effects of a course of Bobath therapy in children with cerebral palsy: a preliminary study. Dev. Med. Child. Neurol., roč. 44, 2002, č. 7, s. 447-460.
19. Koenig, A., Brütsch, K., Zimmerli, L., Guidali, M., Duschau-Wicke, A.: Virtual environments increase participation of children with cerebral palsy in robot-aided treadmill training. Virtual Rehabilitation. [online], 2008, s. 121-126. http://ecollection.ethbib.ethz.ch/eserv.php?pid=eth:1513&dsID=eth-1513-01.pdf [accessed:2010-10-10]
20. Kokavec, M., Žiaková, E.: Vývojová dysplázia bedrového kĺbu. Diagnostika a liečba na princípoch vývojovej kineziológie. Bratislava, Herba, 2008. 116 s., ISBN 978-80- 89171-54-5.
21. KOLÁŘ, P. et al.: Rehabilitace v klinické praxi. 1. vyd., Praha, Galén, 2010. 713 s., ISBN 978-80-7262-657-1.
22. KŘÍŽ, J. el al.: Trénink lokomoce v závěsu u pacientů po poranění míchy. Cesk Slov Neurol., roč. 73/106, 2010, č. 2, s. 124-130.
23. Mac Kay-Lyons, M.: Central pattern generation of locomotion: a review of evidence. Phys. Ther., roč. 82, 2002, č. 1, s. 69-83.
24. Mattern-Baxter, K.: Effects of partial body weight supported treadmill training on children with cerebral palsy. Pediatr. Phys. Ther., roč. 21, 2009, č. 1, s. 12-21.
25. Mayr, A., Kofler, M., Quirbach, E., Matzak, H., Fröhlich, K., Saltuari, L.: Prospective, blinded, randomized crossover study of gait rehabilitation in stroke patients using the lokomat gait orthosis. Neurorehab. Neural. Repair., roč. 21, 2007, č. 4, s. 307-314.
26. Meyer-Heim, A., Borggraefe, I., Ammann-Reiffer, C. et al.: Feasibility of robotic assisted locomotor training in children with central gait impairment. Dev. Med. Child. Neurol., roč. 49, 2007, č. 12, s. 900-906.
27. Meyer-Heim, A., Ammann-Reiffer, C., Schmartz, A. et al.: Improvement of walking abilities after robotic-assisted locomotion training in children with cerebral palsy. Arch. Dis. Child; roč. 94, 2009, č. 8, s. 615-620.
28. Montinaro, A., Piccinini, L., Romei, M. et al.: Robotic-assisted locomotion training in children affected by cerebral palsy. Gait Posture, roč. 33, 2011, Suppl. 1, S55-S56.
29. Palisano, R., Rosenbaum, P., Walter, S., Russell, D., Wood, E., Galuppi, B.: Development and reliability of a system to classify gross motor function in children with cerebral palsy. Dev. Med. Child. Neurol., roč. 39, 1997, č. 4, s. 214-223.
30. Patritti, B., Sicari, M., Deming, M.: Enhancement and retention of locomotor function in children with cerebral palsy after robotic gait training. Gait Posture 2011, 30, 2009, Supplement 2, S9-S10.
31. Provost, B., Dieruf, K., Burtner, P. A. et al.: Endurance and gait in children with cerebral palsy after intensive body weight–supported treadmill training. Pediatr. Phys. Ther., roč. 19, 2007, č. 1, s. 2-10.
32. Russell, D. J., Rosenbaum, P. L., Cadman, D. T. et al.: The gross motor function measure: A means to evaluate the effects of physical therapy. Dev. Med. Child. Neurol., roč. 31, 1989, č. 3, s. 341-352.
33. Russell, D. J., Rosenbaum, P. L., Avery, L. M., Lane, M.: Gross motor function measure (GMFM-66 & GMFM-88) user’s manual. Clinics in Developmental Medicíně, č. 159. London, Mac Keith Press, 2002, ISBN 1 89868329 8.
34. Schindl, M. R., Forstner, C., Kern, H., Hesse, S.: Treadmill training with partial body weight support in nonambulantory patients with cerebral palsy. Arch. Phys. Med. Rehabil., roč. 81, 2000, č. 3, s. 301-306.
35. Sicari, M., Patritti, B., Deming, L. C. et al.: Robotic gait training in children with cerebral palsy: A case series. Gait Posture 2011, roč. 30, 2009, Supplement 1, S2.
36. Thompson, P., Beath, T., Bell, J. et al.: Test–retest reliability of the 10-metre fast walk test and 6-minute walk test in ambulatory school-aged children with cerebral palsy. Dev. Med. Child Neurol., roč. 50, 2008, č. 5, s. 370-376.
37. Ustinova, K., Chernikova, L., Bilimenko, A., Telenkov, A., Epstein, N.: Effect of robotic locomotor training in an individual with Parkinson's disease: a case report. Disabil. Rehabil. Assistive technology, roč. 6, 2011, č. 1, s. 77-85.
38. VOJTA, V.: Cerebrálne poruchy pohybového ústrojenstva. 1. vyd., Bratislava, MK 3, 1993, 266 s., ISBN 80-966983-0-3.
39. Westlake, K. P., Patten, C.: Pilot study of lokomat versus manual-assisted treadmill training for locomotor recovery post–stroke. J. NeuroEng. Rehabil., roč. 6, 2009, č. 18.
40. Wang, H., Yang, Y.: Evaluation the responsiveness of 2 versions of the gross motor function measure for children with cerebral palsy. Arch. Phys.Med. Rehabil., roč. 87, 2006, č. 1, s. 51-56.
41. Wirtz, M., Zemon, D. H., Rupp, R. et al.: Effectiveness of automated locomotor training in patients with chronic incomplete spinal cord injury: A multicenter trial. Arch. Phys. Med. Rehabil., roč. 86, 2005, č. 4, s. 672-680.
Labels
Physiotherapist, university degree Rehabilitation Sports medicineArticle was published in
Rehabilitation and Physical Medicine
2013 Issue 3
Most read in this issue
- Training of Knee Joint Rehabilitation Using the TRX Suspension Trainer
- Model of Chronic Back Pain Management Therapy in Pain Therapy Centers
- Work Rehabilitation – Method of the Isernhagen Work System (IWS)
- Possibilities of Using Active Video Games in Rehabilitation