Meyer-Heim A, Ammann-Reiffer C, Schmartz A, Schäfer J, Sennhauser F H, Heinen F, Knecht B, Dabrowski E, Borggraefe I
Rehabilitation Centre, 8910 Affoltern am Albis, University Children's Hospital Zurich, Switzerland.
Arch Dis Child. 2009 Aug;94(8):615-20. doi: 10.1136/adc.2008.145458. Epub 2009 Feb 10.
To measure functional gait improvements of robotic-assisted locomotion training in children with cerebral palsy (CP).
Single-case experimental A-B design.
Rehabilitation Centre Affoltern am Albis, Children's University Hospital Zurich, Switzerland (inpatient group) and Neurology Department of the Dr von Haunersches Children's Hospital Munich, Germany (outpatient group).
22 children (mean age 8.6 years, range 4.6-11.7) with CP and a Gross Motor Function Classification System level II to IV.
3 to 5 sessions of 45-60 minutes/week during a 3-5-week period of driven gait orthosis training.
10-metre walk test (10MWT), 6-minute walk test (6MinWT), Gross Motor Function Measure (GMFM-66) dimension D (standing) and dimension E (walking), and Functional Ambulation Categories (FAC).
The mean (SD) maximum gait speed (0.78 (0.57) to 0.91 (0.61) m/s; p<0.01) as well as the mean (SD) dimension D of the GMFM-66 (40.3% (31.3%) to 46.6% (28.7%); p<0.05) improved significantly after the intervention period. The mean (SD) 6MinWT (176.3 (141.8) to 199.5 (157.7) m), the mean FAC (2.6 (1.7) to 3.0 (1.6)) and the mean (SD) dimension E of the GMFM-66 (29.5% (30.3%) to 31.6% (29.2%)) also showed an increase, but did not reach a statistically significant level.
These results suggest that children with CP benefit from robotic-assisted gait training in improving functional gait parameters.
评估机器人辅助运动训练对脑瘫（CP）患儿功能性步态的改善情况。
单病例实验性A - B设计。
瑞士苏黎世儿童大学医院阿尔比斯河畔阿弗尔特恩康复中心（住院组）以及德国慕尼黑冯·哈纳ersch儿童医院神经科（门诊组）。
22名脑瘫患儿（平均年龄8.6岁，范围4.6 - 11.7岁），粗大运动功能分类系统为二级至四级。
在为期3 - 5周的驱动步态矫形器训练期间，每周进行3至5次，每次45 - 60分钟的训练。
10米步行测试（10MWT）、6分钟步行测试（6MinWT）、粗大运动功能测量（GMFM - 66）维度D（站立）和维度E（行走）以及功能性步行分类（FAC）。
干预期后，平均（标准差）最大步态速度显著提高（从0.78（0.57）米/秒提高到0.91（0.61）米/秒；p<0.01），GMFM - 66的平均（标准差）维度D也显著提高（从40.3%（31.3%）提高到46.6%（28.7%）；p<0.05）。平均（标准差）6MinWT（从176.3（141.8）米提高到199.5（157.7）米）、平均FAC（从2.6（1.7）提高到3.0（1.6））以及GMFM - 66的平均（标准差）维度E（从29.5%（30.3%）提高到31.6%（29.2%））也有所增加，但未达到统计学显著水平。
这些结果表明，脑瘫患儿可从机器人辅助步态训练中受益，以改善功能性步态参数。
