Department of Physical Medicine and Rehabilitation, Harvard Medical School, Spaulding Rehabilitation Hospital, Boston, MA 02114-1198, USA.
PM R. 2010 Jan;2(1):71-5. doi: 10.1016/j.pmrj.2009.10.012.
Improved treatments and rehabilitation for cerebral palsy (CP) have led to an increased number of children with CP surviving into adulthood. Adults with CP show an increased prevalence of pain, fatigue, and musculoskeletal dysfunction, leading to a decrease in ambulatory function. Recent work has demonstrated the potential benefits of intensive task-specific gait training, including the use of robotic-driven gait orthoses, on motor recovery in children with CP. In contrast, reports of interventions aimed at improving motor function in adults with CP are lacking. This case study reports on the outcomes of a 6-week intervention of robotic-assisted gait training administered to a 52-year-old woman with right hemiplegia attributable to CP. Improvements were noted in balance, walking speed, and time to negotiate stairs at posttraining and follow-up. Gait analysis showed an increase in step length and a reduction in the period of double support. In conclusion, robotic-assisted gait training may be beneficial in enhancing locomotor function in adults with CP.
脑瘫（CP）的治疗和康复方法的改进，导致越来越多的 CP 患儿能够存活到成年。成年 CP 患者疼痛、疲劳和肌肉骨骼功能障碍的发生率增加，导致步行功能下降。最近的研究表明，强化任务特异性步态训练（包括使用机器人驱动的步态矫形器）对 CP 患儿的运动恢复有潜在益处。相比之下，关于旨在改善 CP 成年患者运动功能的干预措施的报告却很少。本病例研究报告了对一名 52 岁女性进行为期 6 周的机器人辅助步态训练干预的结果，该患者因 CP 导致右侧偏瘫。在训练后和随访时，平衡、行走速度和上下楼梯的时间都有改善。步态分析显示步长增加，双支撑期缩短。总之，机器人辅助步态训练可能有益于增强 CP 成年患者的运动功能。
