MedPath

The Effect of gait training using wearable robot in children with cerebral palsy

Not Applicable
Completed
Conditions
Diseases of the nervous system
Registration Number
KCT0006273
Lead Sponsor
Chungnam National University Hospital
Brief Summary

Question: Is robot-assisted gait training (RAGT) with wearable exoskeletal robots more effective than conventional physical therapy (PT) in children with CP (cerebral palsy)? Findings: Our multicenter, randomized controlled trial offers robust insights into the benefits of overground RAGT using an untethered torque-assisted wearable exoskeletal robot in children with CP. Our findings indicate significant improvements in gross motor function, gait asymmetry, and participation in daily living among the intervention group. Meaning: An untethered torque-assisted wearable exoskeletal robot, based on assist-as-needed control, is effective in children with CP.

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
90
Inclusion Criteria

Among patients who visited the Department of Rehabilitation Medicine up to 24 months after IRB approval
? Patients who have been diagnosed with spastic cerebral palsy for more than 1 year
? Children from 6 years old ~ under 18 years old
? Children with spastic cerebral palsy with GMFCS level II to IV
? Children who can wear walking assistance robot
? Children who have the cognitive function to carry out instructions
? When the person or care-giver has been informed of the study and consented to participate in the study

Exclusion Criteria

? Subjects with intellectual disabilities unable to perform simple instructions during gait training and assessment
? In the case of school-age children, if there is no intention to participate even with parental consent
? Cerebral palsy with dyskinetic or ataxic type
? Excessive lower extremity spasticity of grade 3 or higher on the Modified Ashworth Scale
? In the case of lower extremity botulinum toxin injection or lower extremity casting within 3 months from the first assessment date
? In the case of lower extremities orthopedic surgery within 6 months from the first assessment date
? In the case of skin abnormality or joint contracture that restrics wearing of the wearable gait robot
? Those who have been judged by the researcher as unsuitable for this research

Study & Design

Study Type
Interventional Study
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
GMFM: Gross motor function measure
Secondary Outcome Measures
NameTimeMethod
PBS: Pediatric balance scale;SCALE:Selective Control Assessment of theLower Extremity ;Pediatric Evaluation of Disability Inventory(PEDI)-CAT; 10MWT:10-meter walking test ;computer based 3D motion analysis;Body composition analysis ;Rate of Perceived Exertion:Borg scale ;Oxygen consumption;adverse event;User Satisfaction and safety survey
© Copyright 2025. All Rights Reserved by MedPath