Robotic-assisted treadmill therapy improves walking and standing performance in children and adolescents with cerebral palsy
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Objective Task-specific body-weight-supported treadmill therapy improves walking performance in children with central gait impairment. The aim of the study was to investigate the effect of robotic-assisted treadmill therapy on standing and walking performance in children and adolescents with cerebral palsy and to determine parameters influencing outcome.Methods 20 Patients (mean age 11.0 ± 5.1, 10 males and 10 females) with cerebral palsy underwent 12 sessions of robotic-assisted treadmill therapy using the driven gait orthosis Lokomat. Outcome measures were the dimensions D (standing) and E (walking) of the Gross Motor Function Measure (GMFM).Results Significant improvements in dimension D by 5.9% (± 5.2, p=0.001) and dimension E by 5.3% (± 5.6, p<0.001) of the GMFM were achieved. Improvements in the GMFM D and E were significantly greater in the mildly affected cohort (GMFCS I and II) compared to the more severely affected cohort (GMFCS III and IV). Improvement of the dimension E but not of D correlated positively with the total distance and time walked during the trial (r(s)=0.748, p<0.001).Conclusions Children and adolescents with bilateral spastic cerebral palsy showed improvements in the functional tasks of standing and walking after a 3-week trial of robotic-assisted treadmill therapy. The severity of motor impairment affects the amount of the achieved improvement.
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The goal of treadmill training is to improve anticipatory and reactive postural adjustments, which are reduced when robotic support is present.
“This is not surprising given that the goal of treadmill training is to improve anticipatory and reactive postural adjustments, which are reduced when robotic support is present. 69”
From Exercise interventions improve postural control in children with cerebral palsy: a systematic review (2015) · cites this paper as [69]
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- Authors
- Borggraefe, I., Schaefer, J. S., Klaiber, M., Dabrowski, E., Ammann-Reiffer, C., Knecht, B., Berweck, S., Heinen, F., & Meyer-Heim, A.
- Affiliations
- Ludwig-Maximilians-Universität München (DE)
- Wayne State University (US)
- University Children's Hospital Zurich (CH)
- Venue
- European Journal of Paediatric Neurology
- Publisher
- Elsevier BV
- Published
- 2010-11
- Volume
- 14
- Issue
- 6
- Pages
- 496-502
- ISSN
- 1090-3798 (ISSN-L)
- OpenAlex
- W2062942116
- Cited by
- 169
- References
- 34
- Citations by year
- 2026: 4 · 2025: 9 · 2024: 10 · 2023: 9 · 2022: 6 · 2021: 12 · 2020: 15 · 2019: 13 · 2018: 14 · 2017: 18 · 2016: 11 · 2015: 8 · 2014: 8 · 2013: 12 · 2012: 10
- FWCI
- 6.76
- Type
- journal article
- Language
- en
- Open access
- green
- doi.org
- Locations
- European Journal of Paediatric Neurology (publishedVersion)
- PubMed (publishedVersion)
- Zurich Open Repository and Archive (University of Zurich) (acceptedVersion)
- Zurich Open Repository and Archive (University of Zurich) (submittedVersion)
- Zurich Open Repository and Archive (University of Zurich)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Cerebral Palsy and Movement Disorders
- Health Sciences › Medicine › Neurology › Botulinum Toxin and Related Neurological Disorders
- Physical Sciences › Engineering › Biomedical Engineering › Prosthetics and Rehabilitation Robotics
- Keywords
- cerebral palsy, robot-assisted gait training, Lokomat, spasticity, walking performance, Gross Motor Function Measure, motor impairment severity, children and adolescents
- MeSH terms
- Adolescent, Cerebral Palsy, Child, Exercise Test, Female, Humans, Male, Posture, Robotics, Walking, Gait Disorders, Neurologic, Young Adult
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