Delgado Elena, Cumplido Carlos, Ramos Jaime, Garcés Elena, Puyuelo Gonzalo, Plaza Alberto, Hernández Mar, Gutiérrez Alba, Taverner Thomas, Destarac Marie André, Martínez Mercedes, García Elena
Centre for Automation and Robotics, Spanish National Research Council (CSIC-UPM), Madrid, Spain.
Marsi Bionics S.L., Madrid, Spain.
Front Pediatr. 2021 Nov 24;9:753226. doi: 10.3389/fped.2021.753226. eCollection 2021.
Cerebral Palsy (CP), the most common motor disability in childhood, affects individual's motor skills, movement and posture. This results in limited activity and a low social participation. The ATLAS2030 exoskeleton is a pediatric device that enables gait rehabilitation for children with neurological or neuromuscular pathologies with gait pathology. To study changes in relation to range of motion (ROM), strength and spasticity in children with CP after using the ATLAS2030 gait exoskeleton. Three children (mean age 8.0 ± 2.0), two girls and one boy, two of them with GMFCS IV and one with GMFCS III, received robot-assisted gait training (RAGT) with ATLAS2030 for one month. The average time of exoskeleton use was 54.7 ± 10.4 min in all sessions, and all participants were able to perform all exercises. The strength of all muscle groups was increased after the 10 sessions for the participants assessed and the limited ROM in the sagittal plane (hip and knee extension and ankle dorsiflexion) decreased after the use of the exoskeleton compared to the initial state. Spasticity was reduced at the end of the sessions after the use of the exoskeleton compared to their initial state. The ROM, spasticity and strength were improved after RAGT with ATLAS2030 exoskeleton in these children with CP. However, further studies with larger samples should be carried out to confirm our findings.
脑性瘫痪（CP）是儿童期最常见的运动障碍，会影响个体的运动技能、运动和姿势。这导致活动受限和社会参与度较低。ATLAS2030外骨骼是一种儿科设备，可为患有步态病理学的神经或神经肌肉疾病的儿童提供步态康复治疗。为了研究使用ATLAS2030步态外骨骼后，脑性瘫痪儿童在关节活动范围（ROM）、力量和痉挛方面的变化。三名儿童（平均年龄8.0±2.0岁），两名女孩和一名男孩，其中两名患有GMFCS IV级，一名患有GMFCS III级，接受了使用ATLAS2030的机器人辅助步态训练（RAGT），为期一个月。在所有训练中，外骨骼的平均使用时间为54.7±10.4分钟，所有参与者都能够完成所有练习。在对参与者进行评估的10次训练后，所有肌肉群的力量均有所增加，与初始状态相比，使用外骨骼后矢状面（髋关节和膝关节伸展以及踝关节背屈）的关节活动范围受限有所减少。与初始状态相比，使用外骨骼后在训练结束时痉挛程度降低。在这些脑性瘫痪儿童中，使用ATLAS2030外骨骼进行机器人辅助步态训练后，关节活动范围、痉挛和力量均得到改善。然而，应进行更大样本量的进一步研究以证实我们的发现。
