Cioi Daniel, Kale Angad, Burdea Grigore, Engsberg Jack, Janes William, Ross Sandy
The Tele-Rehabilitation Institute, Rutgers University, Piscataway, NJ, USA.
IEEE Int Conf Rehabil Robot. 2011;2011:5975432. doi: 10.1109/ICORR.2011.5975432.
The purpose of the study described here was to develop and feasibility test the Rutgers Ankle CP, aimed at ankle strengthening and improved control for children with cerebral palsy (CP). The system was an upgrade in hardware (new foot attachment, new robot controller) and software (new games and programming language) of the earlier Rutgers Ankle in order to permit training of children with CP. The new Rutgers Ankle CP was used to train ankle strength and motor control in a 7 year old boy with CP during 36 rehabilitation sessions (12 weeks, 3 times/week). Assessments for impairment, function and quality of life were taken before and after training. Results indicated improvements in both strength and motor control. Gait function improved substantially in ankle kinematics, speed and endurance. Overall function (GMFM) indicated improvements that were typical of other ankle strength training programs. Quality of life increased beyond what would be considered a minimal clinical important difference. While these results are only for a single participant, they are very encouraging toward improving the function and quality of life of children with cerebral palsy. Further research with a larger number of participants is planned.
本文所述研究的目的是开发罗格斯踝关节CP并进行可行性测试，旨在增强脑瘫（CP）儿童的踝关节力量并改善其控制能力。该系统是早期罗格斯踝关节在硬件（新的足部附件、新的机器人控制器）和软件（新游戏和编程语言）方面的升级，以便对脑瘫儿童进行训练。使用新的罗格斯踝关节CP对一名7岁脑瘫男孩进行了36次康复训练（12周，每周3次），以训练其踝关节力量和运动控制能力。在训练前后进行了损伤、功能和生活质量评估。结果表明力量和运动控制能力均有改善。踝关节运动学、速度和耐力方面的步态功能有显著改善。整体功能（GMFM）显示出的改善与其他踝关节力量训练项目的典型情况相符。生活质量的提高超出了最小临床重要差异的范畴。虽然这些结果仅针对一名参与者，但对于改善脑瘫儿童的功能和生活质量非常鼓舞人心。计划开展更多参与者的进一步研究。
