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Manikowska F, Krzyżańska A, Chmara P, et al. Baseline Gross Motor Function Affects the Outcome of Robot-Assisted Therapy in Ambulatory Individuals with Spastic Cerebral Palsy. Brain Sci. 2021;11(12)doi: 10.3390/brainsci11121563.
Manikowska, F., Krzyżańska, A., Chmara, P., Chen, B. P., & Jóźwiak, M. (2021). Baseline Gross Motor Function Affects the Outcome of Robot-Assisted Therapy in Ambulatory Individuals with Spastic Cerebral Palsy. Brain sciences, 11(12), . https://doi.org/10.3390/brainsci11121563
Manikowska, Faustyna, et al. "Baseline Gross Motor Function Affects the Outcome of Robot-Assisted Therapy in Ambulatory Individuals with Spastic Cerebral Palsy." Brain sciences vol. 11,12 (2021). doi: https://doi.org/10.3390/brainsci11121563
Manikowska F, Krzyżańska A, Chmara P, Chen BP, Jóźwiak M. Baseline Gross Motor Function Affects the Outcome of Robot-Assisted Therapy in Ambulatory Individuals with Spastic Cerebral Palsy. Brain Sci. 2021 Nov 26;11(12). doi: 10.3390/brainsci11121563. PMID: 34942865.
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Brain Sci. 2021 Nov 26;11(12). doi: 10.3390/brainsci11121563.

Baseline Gross Motor Function Affects the Outcome of Robot-Assisted Therapy in Ambulatory Individuals with Spastic Cerebral Palsy.

Brain sciences

Faustyna Manikowska, Anna Krzyżańska, Paweł Chmara, Brian Po-Jung Chen, Marek Jóźwiak

Affiliations

  1. Gait and Motion Analysis Laboratory, Department of Pediatric Orthopedics and Traumatology, Pozna? University of Medical Sciences, 61-545 Pozna?, Poland.
  2. X-Rehab, Pozna? Rehabilitation Center, 61-545 Pozna?, Poland.
  3. Department of Pediatric Orthopedics, Chang Gung Memorial Hospital, Linkou, Taoyuan 33305, Taiwan.

PMID: 34942865 DOI: 10.3390/brainsci11121563

Abstract

Robotic-assisted therapy (RAT) is a task-specific approach for treating gait disorders in individuals with neurological impairments. However, the effectiveness of RAT is not clear for different severities of involvement, pathologies, and ages. This study aimed to assess the functional and clinical status outcomes after RAT in individuals with cerebral palsy (CP). Twenty-eight individuals with bilateral spastic CP were enrolled (female = 10; male = 18; age = 15.2 ± 2.0 years). The RAT program consisted of 30 sessions: five sessions weekly for six weeks. Gross Motor Function Measure (GMFM) and clinical physical examinations were evaluated before and after RAT. Our results suggested that the RAT program with the described protocol can improve the general gross motor functions of individuals with CP in Gross Motor Function Classification System (GMFCS) levels I and II, and primarily improves performance on less complex GMFM items for those in GMFCS levels III and IV. The lower baseline functional level was related to a greater functional improvement. Older individuals were noticed to improve more in GMFM dimension D. Regarding impairments evaluated by clinical examinations, no change was found after RAT intervention. It is worth mentioning that the strength of knee muscles was not affected either.

Keywords: cerebral palsy; gross motor function; robot-assisted therapy

Publication Types

Grant support