Perspective of robotic-assisted treadmill training effect in children with cerebral palsy on motor functions and gait

Abstract

Robotic-assisted treadmill training has been applied in the last two decades for children with cerebral palsy. The high technology of robotic devices enables an individualized approach, physiological gait pattern, intensive training through a large number of repetitions, while enhancing motivation with active attention that influence motor learning and neuro plasticity. The results of clinical studies are controversial regarding the effectiveness of robotic-assisted gait training on speed and endurance in walking, gross motor functions, postural control, and balance in children with cerebral palsy who are at different levels of motor functioning. Scientific evidence does not highlight the superiority of robotic gait rehabilitation over conventional therapies. The intensity, frequency, duration of therapy, and sustainability of effects are current research questions. Future studies should involve a larger number of participants, higher methodological quality, standardization of reporting robotic parameters, and the impact on the activity, participation, and quality of life of children with cerebral palsy.