Cited by 170Cerebral Palsy and Movement DisordersBotulinum Toxin and Related Neurological DisordersProsthetics and Rehabilitation Robotics

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Robotic-assisted treadmill therapy improves walking and standing performance in children and adolescents with cerebral palsy

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Borggraefe, Ingo, Schaefer, Jan Simon, Klaiber, Mirjam, Dabrowski, Edward, Ammann-Reiffer, Corinne, Knecht, Beat, Berweck, Steffen, Heinen, Florian, Meyer-Heim, Andreas·2010·European Journal of Paediatric Neurology

DOI 10.1016/j.ejpn.2010.01.002

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Abstract

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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Additional file 2 of Clustering trunk movements of children and adolescents with neurological gait disorders undergoing robot-assisted gait therapy: the functional ability determines if actuated pelvis movements are clinically useful
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Additional file 4 of Audiovisual biofeedback amplifies plantarflexor adaptation during walking among children with cerebral palsy
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Additional file 3 of Audiovisual biofeedback amplifies plantarflexor adaptation during walking among children with cerebral palsy
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Additional file 1 of Audiovisual biofeedback amplifies plantarflexor adaptation during walking among children with cerebral palsy
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(2010) · PubMed · Cited by 45

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)
ORCID: Borggraefe, Ingo
Heinen, Florian
Venue: European Journal of Paediatric Neurology
Publisher: Elsevier BV
Published: 2010-11
Volume: 14
Issue: 6
Pages: 496-502
ISSN: 1090-3798 (ISSN-L)
DOI: 10.1016/j.ejpn.2010.01.002
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
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
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 › Rehabilitation › Cerebral Palsy and Movement Disorders
Health Sciences › Medicine › Clinical 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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Robotic-assisted treadmill therapy improves walking and standing performance in children and adolescents with cerebral palsy

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