Gait Changes Following Robot-Assisted Gait Training in Children With Cerebral Palsy

Author:

ŽARKOVIĆ D1,ŠORFOVÁ M1,TUFANO J2,KUTÍLEK P3,VÍTEČKOVÁ S4,RAVNIK D5,GROLEGER-SRŠEN K6,CIKAJLO I7,OTÁHAL J8

Affiliation:

1. epartment of Anatomy and Biomechanics, Faculty of Physical Education and Sport, Charles University, Prague, Czech Republic

2. Department of Physiology and Biochemistry, Faculty of Physical Education and Sport, Charles University, Prague, Czech Republic

3. Department of Natural Sciences, Faculty of Biomedical Engineering, Czech Technical University in Prague, Kladno, Czech Republic

4. Department of Biomedical Informatics, Faculty of Biomedical Engineering, Czech Technical University in Prague, Kladno, Czech Republic

5. Department of Physiotherapy, Faculty of Health Sciences, University of Primorska, Izola, Republic of Slovenia

6. Children’s Rehabilitation Department, University Rehabilitation Institute, Faculty of Medicine, University of Ljubljana, Ljubljana, Republic of Slovenia

7. Laboratory of Clinical Kinesiology, Faculty of Medicine, University Rehabilitation Institute, University of Ljubljana, Ljubljana, Republic of Slovenia,

8. Department of Developmental Epileptology, Institute of Physiology of the Czech Academy of Sciences, Prague, Czech Republic

Abstract

This study investigated changes of gait pattern induced by a 4-week robot-assisted gait training (RAGT) in twelve ambulatory spastic diparesis children with cerebral palsy (CP) aged 10.4±3.2 years old by using computerized gait analysis (CGA). Pre-post intervention CGA data of children with CP was contrasted to the normative data of typically developing children by using cross-correlation and statistically evaluated by a Wilcoxon test. Significant pre-post intervention changes (p<0.01) include: decreased muscle activity of biceps femoris, rectus femoris, and tibialis anterior; a decrease in range of internal hip joint rotation, higher cadence, step length, and increased stride time. This study suggests that RAGT can be used in muscle reeducation and improved hip joint motion range in ambulatory children with CP.

Publisher

Institute of Physiology of the Czech Academy of Sciences

Subject

General Medicine,Physiology

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