Clinical application of a robotic ankle training program for cerebral palsy compared to the research laboratory application: Does it translate to practice?
Identifieur interne : 001380 ( Main/Merge ); précédent : 001379; suivant : 001381Clinical application of a robotic ankle training program for cerebral palsy compared to the research laboratory application: Does it translate to practice?
Auteurs : Theresa Sukal-Moulton ; Theresa Clancy ; Li-Qun Zhang ; Deborah Gaebler-SpiraSource :
- Archives of physical medicine and rehabilitation [ 0003-9993 ] ; 2014.
Abstract
To determine the clinical efficacy of an ankle robotic rehabilitation protocol for patients with cerebral palsy.
The clinic cohort was identified from a retrospective chart review in a before-after intervention trial design and compared to a previously published prospective research cohort.
Urban rehabilitation hospital outpatient clinic.
Children (n=28, 8.2 ± 3.62 years) with Gross Motor Function Classification System level I, II or III who were referred for ankle stretching and strengthening used an ankle rehabilitation robot in the clinic setting. Clinic results were compared to a previously published cohort of 12 participants (7.8 ± 2.91 years) seen in a research laboratory-based intervention protocol.
Patients in the clinic cohort were seen 2 times per week for 75 minute sessions for a total of 6 weeks. The first 30 minutes of the session was spent using the robotic ankle device for ankle stretching and strengthening and the remaining 45 minutes were spent on functional movement activities. There was no control group.
We compared pre- and post-intervention measures of plantarflexor and dorsiflexor range of motion, strength, spasticity, mobility (timed up and go, 6-minute walk, 10-meter walk), balance (Pediatric Balance Scale), Selective Motor Control Assessment of the Lower Extremity (SCALE), and the Gross Motor Function Measure (GMFM).
Significant improvements were found for the clinic cohort in all main outcome measures except for the GMFM. These improvements were equivalent to those reported in the research cohort, except for larger SCALE test changes in the research cohort.
These findings suggest that translation of repetitive, goal directed biofeedback training into the clinic setting is both feasible and beneficial for patients with cerebral palsy.
Url:
DOI: 10.1016/j.apmr.2014.04.010
PubMed: 24792141
PubMed Central: 4112152
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Clinic results were compared to a previously published cohort of 12 participants (7.8 ± 2.91 years) seen in a research laboratory-based intervention protocol.</p></sec><sec id="S5"><title>Interventions</title><p id="P6">Patients in the clinic cohort were seen 2 times per week for 75 minute sessions for a total of 6 weeks. The first 30 minutes of the session was spent using the robotic ankle device for ankle stretching and strengthening and the remaining 45 minutes were spent on functional movement activities. There was no control group.</p></sec><sec id="S6"><title>Main Outcome Measures</title><p id="P7">We compared pre- and post-intervention measures of plantarflexor and dorsiflexor range of motion, strength, spasticity, mobility (timed up and go, 6-minute walk, 10-meter walk), balance (Pediatric Balance Scale), Selective Motor Control Assessment of the Lower Extremity (SCALE), and the Gross Motor Function Measure (GMFM).</p></sec><sec id="S7"><title>Results</title><p id="P8">Significant improvements were found for the clinic cohort in all main outcome measures except for the GMFM. These improvements were equivalent to those reported in the research cohort, except for larger SCALE test changes in the research cohort.</p></sec><sec id="S8"><title>Conclusion</title><p id="P9">These findings suggest that translation of repetitive, goal directed biofeedback training into the clinic setting is both feasible and beneficial for patients with cerebral palsy.</p></sec></div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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