Effects of lower limb exoskeleton robot gait training on walking function and gait in children with spas-tic diplegia cerebral palsy
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,gen-der,and functional status.Both groups underwent 8 weeks of conventional motor rehabilitation training(includ-ing 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 pa-rameters 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 bi-lateral 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-treat-ment 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 dif-ference(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 im-prove walking function and gait in children with spastic cerebral palsy.
万方数据
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