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

The DOI matches its Crossref record; 34 of the 34 references it cites were found in a registry or an index.

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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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
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
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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