Robot-assisted rehabilitation for children with neurological disabilities: Results of the Italian consensus conference CICERONE-Reference-Cited by-同舟云学术

Robot-assisted rehabilitation for children with neurological disabilities: Results of the Italian consensus conference CICERONE

Published:2022-12-27 Issue:4 Volume:51 Page:665-679
ISSN:1053-8135
Container-title:NeuroRehabilitation
language:
Short-container-title:NRE

Author:

Castelli Enrico¹,Beretta Elena²,De Tanti Antonio³,Arduini Francesca¹,Biffi Emilia²,Colazza Alessandra¹,Di Pede Chiara²,Guzzetta Andrea⁴⁵,Lucarini Ludovica⁶,Maghini Irene⁷,Mandalà Martina⁸,Nespoli Maurizio⁹,Pavarelli Claudia¹⁰,Policastro Francesca¹¹,Polverelli Marco¹²,Rossi Andrea¹³,Sgandurra Giuseppina⁴⁵,Boldrini Paolo¹⁴,Bonaiuti Donatella¹⁴,Mazzoleni Stefano¹⁵,Posteraro Federico¹⁶,Benanti Paolo¹⁷,Draicchio Francesco¹⁸,Falabella Vincenzo¹⁹,Galeri Silvia²⁰,Gimigliano Francesca²¹,Grigioni Mauro²²,Mazzon Stefano²³,Molteni Franco²⁴,Morone Giovanni²⁵,Petrarca Maurizio²⁶,Picelli Alessandro²⁷,Senatore Michele²⁸,Turchetti Giuseppe²⁹,Saviola Donatella³

Affiliation:

1. Bambino Gesù Children’s Hospital, Rome, Italy

2. IRCCS Eugenio Medea, La Nostra Famiglia, Ponte Lambro, Italy

3. KOS-CARE, Santo Stefano Rehabilitation, Cardinal Ferrari Center, Parma, Italy

4. Dipartimento di Medicina Clinica e Sperimentale, Università di Pisa, Pisa, Italy

5. Dipartimento di Neuroscienze dello Sviluppo, IRCCS Stella Maris, Pisa, Italy

6. USL Umbria 2, Terni, Italy

7. Department of Women’s and Children’s Health, Pediatric Pain and Palliative Care Service, University of Padua, Padua, Italy

8. IRCCS Santa Maria Nascente - Fondazione Don C. Gnocchi, Milan, Italy

9. AORN Santobono Pausilipon, Naples, Italy

10. Servizio di Neuropsichiatria Infanzia e dell’Adolescenza (NPIA), Vignola, Italy

11. Dipartimento Scienze Mediche e Chirurgiche, Università degli Studi di Trieste, Trieste, Italy

12. Dipartimento Riabilitazione, Azienda Ospedaliera Nazionale SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy

13. ASST Spedali Civili di Brescia, Ospedale dei Bambini, Brescia, Italy

14. Italian Society of Physical Medicine and Rehabilitation, (SIMFER), Rome, Italy

15. Department of Electrical and Information Engineering, Politecnico di Bari, Bari, Italy

16. Department of Rehabilitation, Versilia Hospital – AUSL12, Viareggio, Italy

17. Pontifical Gregorian University, Rome, Italy

18. Department of Occupational and Environmental Medicine, Epidemiology and Hygiene, INAIL, Rome, Italy

19. Italian Federation of Persons with Spinal Cord Injuries (FAIP Onlus), Rome, Italy

20. IRCCS Don Gnocchi Foundation Onlus, Milan, Italy

21. Department of Mental, Physical Health and Preventive Medicine, University of Campania “Luigi Vanvitelli”, Naples, Italy

22. National Center for Innovative Technologies in Public Health, Italian National Institute of Health, Rome, Italy

23. Rehabilitation Unit, ULSS (Local Health Autority) Euganea, Camposampietro Hospital, Padua, Italy

24. Department of Rehabilitation Medicine, Villa Beretta Rehabilitation Center, Valduce Hospital, Lecco, Italy

25. IRCCS Santa Lucia Foundation, Rome, Italy

26. Movement Analysis and Robotics Laboratory (MARlab), IRCCS Bambino Gesù Children’s Hospital, Rome, Italy

27. Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy

28. Associazione Italiana dei Terapisti Occupazionali (AITO), Rome, Italy

29. Insitute of Management, Scuola Superiore Sant’Anna, Pisa, Italy

Abstract

BACKGROUND: The use of robotic technologies in pediatric rehabilitation has seen a large increase, but with a lack of a comprehensive framework about their effectiveness. OBJECTIVE: An Italian Consensus Conference has been promoted to develop recommendations on these technologies: definitions and classification criteria of devices, indications and limits of their use in neurological diseases, theoretical models, ethical and legal implications. In this paper, we present the results for the pediatric age. METHODS: A systematic search on Cochrane Library, PEDro and PubMed was performed. Papers published up to March 1st, 2020, in English, were included and analyzed using the methodology of the Centre for Evidence-Based Medicine in Oxford, AMSTAR2 and PEDro scales for systematic reviews and RCT, respectively. RESULTS: Some positives aspects emerged in the area of gait: an increased number of children reaching the stance, an improvement in walking distance, speed and endurance. Critical aspects include the heterogeneity of the studied cases, measurements and training protocols. CONCLUSION: Many studies demonstrate the benefits of robotic training in developmental age. However, it is necessary to increase the number of trials to achieve greater homogeneity between protocols and to confirm the effectiveness of pediatric robotic rehabilitation.

Publisher

IOS Press

Subject

Neurology (clinical),Rehabilitation,Physical Therapy, Sports Therapy and Rehabilitation

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