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image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Developmental Medici...arrow_drop_down
image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao
Developmental Medicine & Child Neurology
Article . 2020 . Peer-reviewed
License: Wiley Online Library User Agreement
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Locomotor and robotic assistive gait training for children with cerebral palsy

Authors: Dayna Pool; Jane Valentine; Nicholas F Taylor; Natasha Bear; Catherine Elliott;

Locomotor and robotic assistive gait training for children with cerebral palsy

Abstract

AimTo determine if robotic assisted gait training (RAGT) using surface muscle electrical stimulation and locomotor training enhances mobility outcomes when compared to locomotor training alone in children with cerebral palsy (CP).MethodForty children (18 females, 22 males; mean age 8y 1mo, SD 2y 1mo; range 5y 1mo–12y 11mo) with CP in Gross Motor Function Classification System levels (GMFCS) III, IV, and V were randomly assigned to the RAGT and locomotor training (RAGT+LT) group or locomotor training only group (dosage for both: three 1‐hour sessions a week for 6 weeks). Outcomes were assessed at baseline T1 (week 0), post‐treatment T2 (week 6), and retention T3 (week 26). The primary outcome measure was the Goal Attainment Scale. Secondary outcome measures included the 10‐metre walk test, children's functional independence measure mobility and self‐care domain, the Canadian Occupational Performance Measure, and the Gross Motor Function Measure.ResultsThere were no significant differences between the groups for both the primary and secondary outcome measures. All participants completed the intervention in their original group allocation. There were no reported adverse events.InterpretationThe addition of RAGT to locomotor training does not significantly improve motor outcomes in children with CP in GMFCS levels III, IV, and V. Future studies could investigate health and well‐being outcomes after locomotor training.What this paper adds Marginally ambulant and non‐ambulant children with cerebral palsy can participate in locomotor training. Robotic assisted gait training when added to locomotor training does not appear to be any more effective than locomotor training alone.

Keywords

Male, Treatment Outcome, Cerebral Palsy, Child, Preschool, Humans, Female, Robotics, Child, Gait, Physical Therapy Modalities, Exercise Therapy

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
33
Top 10%
Top 10%
Top 10%
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