1. 下肢外骨骼机器人步行训练对痉挛型双瘫的 脑性瘫痪患儿步行功能和步态的影响.
- Author
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杨安琪, 尹宏伟, 李海峰, 徐莉, 吕奕涛, and 余永林
- Abstract
Objective:To explore the effect of lower limb exoskeleton robot gait training on walking function and gait in children with spastic diplegia cerebral palsy. Method:A total of 21 cerebral palsy children with spastic diplegia who visited the Rehabilitation Department of the Children's Hospital Affiliated to Zhejiang University Medical College from August 2022 to January 2023 were recruited as the treatment group. A matched control group of 21 children was selected based on age, gender, and functional status. Both groups underwent 8 weeks of conventional motor rehabilitation training (including exercise therapy, suspension training, and isokinetic strength training) five times per week. The treatment group additionally received lower limb exoskeleton robot gait training. Before and after 8-week treatment, the 6-minute walk test (6MWT), the Gross Motor Function Measure (GMFM-88) in domains D and E, and gait parameters such as walking of the children such as gait speed, stride frequency, stride length, and support phase duration was evaluated using the IDEEA motion capture system. Result:There was no significant difference (P>0.05) between the two groups of children in terms of 6MWD, GMFM-88 D-zone score, E-zone score, stride speed, stride frequency, stride length, and the proportion of bilateral support phase before treatment. After treatment, both groups showed improvements in 6MWD, GMFM-88 domain D and E score, stride speed, stride frequency, and stride length, while the proportion of bilateral support phase decreased. However, there were no significant differences between the groups in these post-treatment parameters (P>0.05). There were significant differences between groups in 6MWD difference (P<0.01), GMFM-88 domain D score (P<0.01), domain E score (P<0.01), stride speed difference (P<0.05), stride length difference (P<0.05), and bilateral support ratio difference (P<0.01) before and after treatment. The improvement in the treatment group was better than that in the control group. Conclusion:The combination of exoskeleton robot training and routine rehabilitation therapy can effectively improve walking function and gait in children with spastic cerebral palsy. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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