Effect of robotic-assisted gait training program on spatiotemporal gait parameters for ambulatory children with cerebral palsy: A randomized control trial

NeuroRehabilitation. 2024;55(1):127-136. doi: 10.3233/NRE-240156.

Abstract

Background: Gait training programs are commonly used to improve gait in children with cerebral palsy (CP).

Objective: To compared the effects of robotic-gait assistant training (RAGT) and conventional body weight support treadmill training (CBWSTT) on gait parameters among ambulatory children with CP.

Methods: The study is a randomized controlled trial of 36 children (17 in the RAGT group and 19 in the CBWSTT group) aged 5 to 14. Gait training involved 30-to 35-minute sessions three times per week over eight weeks.

Results: Mixed ANCOVA showed no main effect of time or group on all gait parameters (P > .05). Gross motor function measure dimensions D (GMFM D) and E (GMFM E) show main effects on step width. Stride length, step length, speed, swing phase, and double support phase interacted with GMFM D and E. There was a negative correlation between motor function level and the change from baseline. Children with lower motor function show a greater change from baseline.

Conclusion: There were no significant differences between CBWSTT and RAGT for children with CP; however, with gait training interventions, the level of motor function should be considered.

Keywords: Robotic; cerebral palsy; child; gait; rehabilitation; treadmill.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adolescent
  • Cerebral Palsy* / physiopathology
  • Cerebral Palsy* / rehabilitation
  • Child
  • Child, Preschool
  • Exercise Therapy* / methods
  • Female
  • Gait / physiology
  • Gait Disorders, Neurologic* / etiology
  • Gait Disorders, Neurologic* / rehabilitation
  • Humans
  • Male
  • Robotics* / methods
  • Treatment Outcome