Therapeutic effects of an anti-gravity locomotor training (AlterG) on postural balance and cerebellum structure in children with Cerebral Palsy.
Identifieur interne : 000495 ( Main/Curation ); précédent : 000494; suivant : 000496Therapeutic effects of an anti-gravity locomotor training (AlterG) on postural balance and cerebellum structure in children with Cerebral Palsy.
Auteurs : A H Rasooli ; P M Birgani ; Sh Azizi ; A. Shahrokhi ; M M MirbagheriSource :
- IEEE ... International Conference on Rehabilitation Robotics : [proceedings] [ 1945-7901 ] ; 2017.
Descripteurs français
- KwdFr :
- Cervelet (anatomie et histologie), Cervelet (imagerie diagnostique), Cervelet (physiologie), Enfant (MeSH), Femelle (MeSH), Gravitation (MeSH), Humains (MeSH), Imagerie par tenseur de diffusion (MeSH), Marche à pied (physiologie), Mâle (MeSH), Paralysie cérébrale (rééducation et réadaptation), Plasticité neuronale (physiologie), Techniques de physiothérapie (MeSH), Traitement du signal assisté par ordinateur (MeSH), Équilibre postural (MeSH).
- MESH :
- anatomie et histologie : Cervelet.
- imagerie diagnostique : Cervelet.
- physiologie : Cervelet, Marche à pied, Plasticité neuronale.
- rééducation et réadaptation : Paralysie cérébrale.
- Enfant, Femelle, Gravitation, Humains, Imagerie par tenseur de diffusion, Mâle, Techniques de physiothérapie, Traitement du signal assisté par ordinateur, Équilibre postural.
English descriptors
- KwdEn :
- Cerebellum (anatomy & histology), Cerebellum (diagnostic imaging), Cerebellum (physiology), Cerebral Palsy (rehabilitation), Child (MeSH), Diffusion Tensor Imaging (MeSH), Female (MeSH), Gravitation (MeSH), Humans (MeSH), Male (MeSH), Neuronal Plasticity (physiology), Physical Therapy Modalities (MeSH), Postural Balance (MeSH), Signal Processing, Computer-Assisted (MeSH), Walking (physiology).
- MESH :
- anatomy & histology : Cerebellum.
- diagnostic imaging : Cerebellum.
- physiology : Cerebellum, Neuronal Plasticity, Walking.
- rehabilitation : Cerebral Palsy.
- Child, Diffusion Tensor Imaging, Female, Gravitation, Humans, Male, Physical Therapy Modalities, Postural Balance, Signal Processing, Computer-Assisted.
Abstract
We evaluated the therapeutic effects of anti-gravity locomotor treadmill (AlterG) training on postural stability in children with Cerebral Palsy (CP) and spasticity, particularly in the lower extremity. AlterG can facilitate walking by reducing the weight of CP children by up to 80%; it can also help subjects maintain an appropriate posture during the locomotor AlterG training. Thus, we hypothesized that AlterG training, for a sufficient period of time, has a potential to produce cerebellum neuroplasticity, and consequently result in an effective permanent postural stability. AlterG training was given for 45 minutes, three times a week for two months. Postural balance was evaluated using posturography. The parameters of the Romberg based posturography were extracted to quantify the Center of Balance (CoP). The neuroplasticity of Cerebellum was evaluated using a Diffusion Tensor Imaging (DTI). The evaluations were done pre- and post-training. The Fractional Anisotropy (FA) feature was used for quantifying structural changes in the cerebellum. The results showed that AlterG training resulted in an increase in average FA value of the cerebellum white matter following the training. The results of the posturography evaluations showed a consistent improvement in postural stability. These results were consistent in all subjects. Our findings indicated that the improvement in the posture was accompanied with the enhancement of the cerebellum white matter structure. The clinical implication is that AlterG training can be considered a therapeutic tool for an effective and permanent improvement of postural stability in CP children.
DOI: 10.1109/ICORR.2017.8009229
PubMed: 28813801
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Shahrokhi</name></author><author><name sortKey="Mirbagheri, M M" sort="Mirbagheri, M M" uniqKey="Mirbagheri M" first="M M" last="Mirbagheri">M M Mirbagheri</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:28813801</idno><idno type="pmid">28813801</idno><idno type="doi">10.1109/ICORR.2017.8009229</idno><idno type="wicri:Area/Main/Corpus">000495</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000495</idno><idno type="wicri:Area/Main/Curation">000495</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000495</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Therapeutic effects of an anti-gravity locomotor training (AlterG) on postural balance and cerebellum structure in children with Cerebral Palsy.</title><author><name sortKey="Rasooli, A H" sort="Rasooli, A H" uniqKey="Rasooli A" first="A H" last="Rasooli">A H Rasooli</name></author><author><name sortKey="Birgani, P M" sort="Birgani, P M" uniqKey="Birgani P" first="P M" last="Birgani">P M Birgani</name></author><author><name sortKey="Azizi, Sh" sort="Azizi, Sh" uniqKey="Azizi S" first="Sh" last="Azizi">Sh Azizi</name></author><author><name sortKey="Shahrokhi, A" sort="Shahrokhi, A" uniqKey="Shahrokhi A" first="A" last="Shahrokhi">A. Shahrokhi</name></author><author><name sortKey="Mirbagheri, M M" sort="Mirbagheri, M M" uniqKey="Mirbagheri M" first="M M" last="Mirbagheri">M M Mirbagheri</name></author></analytic><series><title level="j">IEEE ... International Conference on Rehabilitation Robotics : [proceedings]</title><idno type="eISSN">1945-7901</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Cerebellum (anatomy & histology)</term><term>Cerebellum (diagnostic imaging)</term><term>Cerebellum (physiology)</term><term>Cerebral Palsy (rehabilitation)</term><term>Child (MeSH)</term><term>Diffusion Tensor Imaging (MeSH)</term><term>Female (MeSH)</term><term>Gravitation (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Neuronal Plasticity (physiology)</term><term>Physical Therapy Modalities (MeSH)</term><term>Postural Balance (MeSH)</term><term>Signal Processing, Computer-Assisted (MeSH)</term><term>Walking (physiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Cervelet (anatomie et histologie)</term><term>Cervelet (imagerie diagnostique)</term><term>Cervelet (physiologie)</term><term>Enfant (MeSH)</term><term>Femelle (MeSH)</term><term>Gravitation (MeSH)</term><term>Humains (MeSH)</term><term>Imagerie par tenseur de diffusion (MeSH)</term><term>Marche à pied (physiologie)</term><term>Mâle (MeSH)</term><term>Paralysie cérébrale (rééducation et réadaptation)</term><term>Plasticité neuronale (physiologie)</term><term>Techniques de physiothérapie (MeSH)</term><term>Traitement du signal assisté par ordinateur (MeSH)</term><term>Équilibre postural (MeSH)</term></keywords><keywords scheme="MESH" qualifier="anatomie et histologie" xml:lang="fr"><term>Cervelet</term></keywords><keywords scheme="MESH" qualifier="anatomy & histology" xml:lang="en"><term>Cerebellum</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Cerebellum</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Cervelet</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Cervelet</term><term>Marche à pied</term><term>Plasticité neuronale</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Cerebellum</term><term>Neuronal Plasticity</term><term>Walking</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Cerebral Palsy</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Paralysie cérébrale</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Child</term><term>Diffusion Tensor Imaging</term><term>Female</term><term>Gravitation</term><term>Humans</term><term>Male</term><term>Physical Therapy Modalities</term><term>Postural Balance</term><term>Signal Processing, Computer-Assisted</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Enfant</term><term>Femelle</term><term>Gravitation</term><term>Humains</term><term>Imagerie par tenseur de diffusion</term><term>Mâle</term><term>Techniques de physiothérapie</term><term>Traitement du signal assisté par ordinateur</term><term>Équilibre postural</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">We evaluated the therapeutic effects of anti-gravity locomotor treadmill (AlterG) training on postural stability in children with Cerebral Palsy (CP) and spasticity, particularly in the lower extremity. AlterG can facilitate walking by reducing the weight of CP children by up to 80%; it can also help subjects maintain an appropriate posture during the locomotor AlterG training. Thus, we hypothesized that AlterG training, for a sufficient period of time, has a potential to produce cerebellum neuroplasticity, and consequently result in an effective permanent postural stability. AlterG training was given for 45 minutes, three times a week for two months. Postural balance was evaluated using posturography. The parameters of the Romberg based posturography were extracted to quantify the Center of Balance (CoP). The neuroplasticity of Cerebellum was evaluated using a Diffusion Tensor Imaging (DTI). The evaluations were done pre- and post-training. The Fractional Anisotropy (FA) feature was used for quantifying structural changes in the cerebellum. The results showed that AlterG training resulted in an increase in average FA value of the cerebellum white matter following the training. The results of the posturography evaluations showed a consistent improvement in postural stability. These results were consistent in all subjects. Our findings indicated that the improvement in the posture was accompanied with the enhancement of the cerebellum white matter structure. The clinical implication is that AlterG training can be considered a therapeutic tool for an effective and permanent improvement of postural stability in CP children.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">28813801</PMID><DateCompleted><Year>2018</Year><Month>02</Month><Day>02</Day></DateCompleted><DateRevised><Year>2018</Year><Month>02</Month><Day>08</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1945-7901</ISSN><JournalIssue CitedMedium="Internet"><Volume>2017</Volume><PubDate><Year>2017</Year><Month>07</Month></PubDate></JournalIssue><Title>IEEE ... International Conference on Rehabilitation Robotics : [proceedings]</Title><ISOAbbreviation>IEEE Int Conf Rehabil Robot</ISOAbbreviation></Journal><ArticleTitle>Therapeutic effects of an anti-gravity locomotor training (AlterG) on postural balance and cerebellum structure in children with Cerebral Palsy.</ArticleTitle><Pagination><MedlinePgn>101-105</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1109/ICORR.2017.8009229</ELocationID><Abstract><AbstractText>We evaluated the therapeutic effects of anti-gravity locomotor treadmill (AlterG) training on postural stability in children with Cerebral Palsy (CP) and spasticity, particularly in the lower extremity. AlterG can facilitate walking by reducing the weight of CP children by up to 80%; it can also help subjects maintain an appropriate posture during the locomotor AlterG training. Thus, we hypothesized that AlterG training, for a sufficient period of time, has a potential to produce cerebellum neuroplasticity, and consequently result in an effective permanent postural stability. AlterG training was given for 45 minutes, three times a week for two months. Postural balance was evaluated using posturography. The parameters of the Romberg based posturography were extracted to quantify the Center of Balance (CoP). The neuroplasticity of Cerebellum was evaluated using a Diffusion Tensor Imaging (DTI). The evaluations were done pre- and post-training. The Fractional Anisotropy (FA) feature was used for quantifying structural changes in the cerebellum. The results showed that AlterG training resulted in an increase in average FA value of the cerebellum white matter following the training. The results of the posturography evaluations showed a consistent improvement in postural stability. These results were consistent in all subjects. Our findings indicated that the improvement in the posture was accompanied with the enhancement of the cerebellum white matter structure. 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