The Effect of Robot-Assisted Gait Training on Locomotor Function and Functional Capability for Daily Activities in Children with Cerebral Palsy: A Single-Blinded, Randomized Cross-Over Trial
Abstract
:1. Introduction
2. Methods/Design
2.1. Participants
2.2. Study Design
2.3. Intervention
2.4. Outcome Measures
2.4.1. Gross Motor Function Measure-88 (GMFM-88)
2.4.2. Pediatric Functional Independence Measure (WeeFIM)
2.4.3. Canadian Occupational Performance Measure (COPM)
2.4.4. Energy Expenditure
2.4.5. Body Composition
2.5. Statistical Analysis
3. Results
3.1. GMFM-88
3.2. WeeFIM
3.3. COPM
3.4. Energy Expenditure
3.5. Body Composition
3.6. Factors Associated with Functional Outcome
4. Discussion
5. Study Limitations
6. Conclusions
Author Contributions
Funding
Conflicts of Interest
References
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Group | Total | RS (n = 10) | SRS (n = 10) | p-Value * |
---|---|---|---|---|
Age (years) | 6.75 (2.15) | 6.0 (2.21) | 7.5 (1.90) | 0.121 |
Sex, n | ||||
Female | 7 | 3 | 4 | 1.000 |
Male | 13 | 7 | 6 | |
Height (cm) | 113.91 (13.67) | 110.92 (12.34) | 116.89 (14.91) | 0.342 |
Weight (kg) | 22.23 (8.81) | 21.10 (9.24) | 23.36 (8.69) | 0.545 |
GMFCS level, n | ||||
II | 5 | 4 | 1 | 0.284 |
II | 9 | 3 | 6 | |
IV | 6 | 3 | 3 | |
Tone abnormality | ||||
Spastic | 17 | 8 | 9 | 1.000 |
Dyskinetic | 1 | 1 | 0 | |
Mixed | 2 | 1 | 1 | |
Body involvement | ||||
Unilateral | 1 | 1 | 0 | 1.000 |
Bilateral | 19 | 9 | 10 |
Total | RS Group | SRS Group | p-Value * | |
---|---|---|---|---|
Gait Speed (km/h) | 1.28 (0.16) | 1.30 (0.17) | 1.25 (0.14) | 0.507 |
Body-weight support (%) | 49.0 (7.18) | 49.0 (7.38) | 49.0 (7.38) | 1.000 |
Total sessions | 16.10 (1.17) | 16.50 (1.08) | 15.70 (1.16) | 0.092 |
Total distance (km) | 11.16 (2.26) | 11.51 (2.07) | 10.80 (2.48) | 0.494 |
RS Group | SRS Group | p-Value * | ||
---|---|---|---|---|
GMFM-88 | ||||
C (%) | 77.86 (19.54) | 70.60 (26.94) | 0.544 | |
D (%) | 41.28 (31.58) | 26.27 (19.99) | 0.250 | |
E (%) | 30.77 (27.96) | 12.81 (11.66) | 0.172 | |
WeeFIM | ||||
Self-care | 25.80 (6.25) | 27.60 (10.27) | 0.641 | |
Mobility | 14.10 (4.72) | 15.80 (6.94) | 0.530 | |
COPM | ||||
Performance | 4.88 (1.48) | 4.00 (0.89) | 0.125 | |
Satisfaction | 4.88 (1.54) | 3.98 (0.94) | 0.133 |
Pre RAGT | Post RAGT | p-Value | |
---|---|---|---|
Energy expenditure | (n = 14) | (n = 14) | |
Oxygen uptakemean (mL/min/kg) | 17.25 (6.02) | 16.01 (3.66) | 0.485 |
Speed (m/min) | 20.61 (7.35) | 21.68 (7.18) | 0.223 |
RERmean | 0.99 (0.15) | 0.96 (0.10) | 0.531 |
ECSgross (J/kg/min) | 359.21 (118.34) | 332.89 (76.98) | 0.311 |
ECgross (J/kg/m) | 20.34 (11.35) | 17.17 (7.03) | 0.041 * |
Body composition | (n = 19) | (n = 19) | |
MMskeletal (kg) | 8.75 (4.67) | 9.01 (4.63) | 0.014 * |
MMleg (kg) | 4.20 (2.66) | 4.34 (2.75) | 0.103 |
PBF (%) | 26.04 (9.87) | 23.24 (12.64) | 0.085 |
Age | GMFCS Level | |||||
---|---|---|---|---|---|---|
Age 6 (n = 9) | Age > 6 (n = 11) | p-Value | Level II-III (n = 14) | Level IV (n = 6) | p-Value | |
GMFM | ||||||
D | 2.79 (3.51) | 3.26 (2.83) | 0.871 | 3.81 (2.82) | 1.28 (3.14) | 0.038 * |
E | 1.35 (1.97) | 1.82 (1.76) | 0.508 | 2.06 (1.96) | 0.57 (0.90) | 0.108 |
WeeFIM | ||||||
Mobility | 1.00 (1.00) | 1.18 (0.75) | 0.491 | 7.80 (4.96) | 3.14 (3.02) | 0.135 |
COPM | ||||||
Performance | 1.69 (1.08) | 1.73 (0.66) | 0.909 | 1.80 (0.76) | 1.50 (1.08) | 0.360 |
Satisfaction | 1.91 (1.03) | 1.96 (0.84) | 0.939 | 1.93 (0.88) | 1.97 (1.05) | 0.934 |
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Jin, L.H.; Yang, S.-s.; Choi, J.Y.; Sohn, M.K. The Effect of Robot-Assisted Gait Training on Locomotor Function and Functional Capability for Daily Activities in Children with Cerebral Palsy: A Single-Blinded, Randomized Cross-Over Trial. Brain Sci. 2020, 10, 801. https://0-doi-org.brum.beds.ac.uk/10.3390/brainsci10110801
Jin LH, Yang S-s, Choi JY, Sohn MK. The Effect of Robot-Assisted Gait Training on Locomotor Function and Functional Capability for Daily Activities in Children with Cerebral Palsy: A Single-Blinded, Randomized Cross-Over Trial. Brain Sciences. 2020; 10(11):801. https://0-doi-org.brum.beds.ac.uk/10.3390/brainsci10110801
Chicago/Turabian StyleJin, Li Hua, Shin-seung Yang, Ja Young Choi, and Min Kyun Sohn. 2020. "The Effect of Robot-Assisted Gait Training on Locomotor Function and Functional Capability for Daily Activities in Children with Cerebral Palsy: A Single-Blinded, Randomized Cross-Over Trial" Brain Sciences 10, no. 11: 801. https://0-doi-org.brum.beds.ac.uk/10.3390/brainsci10110801