Effectiveness of a Treatment With the Robot - Assisted Gait Training System Walkbot in Patients With Cerebral Palsy
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Cerebral Palsy
- Sponsor
- Universidad de Murcia
- Enrollment
- 23
- Locations
- 1
- Primary Endpoint
- Ability and quality of walking.
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
The improvement of walking capacity is a key objective of the rehabilitation of children with PC. There are different approaches from physiotherapy to address this need, including walking on the ground and on treadmill with partial weight support. Currently, there are robotic technologies adapted to the functional rehabilitation of patients. Assisted gait training with robotic devices such as the Walkbot allows a longer duration of training, at more variable speeds, and with a constant gait pattern adapted to the patient. This training, based on the intensity and repetition of the movement, has beneficial effects on the recovery and improvement of the patient's postural and locomotor functions.
There are some studies that evaluate walking interventions on treadmill with partial weight support, on the ground and in assisted walking robot in patients with PC.
Currently, there are no studies conducted that report the effectiveness of interventions performed with robotic walking training device Walkbot K on PC. However, studies in adults with Walkbot S, affected with neurological injury, have reported good results.
Assisted gait training with robotic devices such as the Walkbot, based on the intensity and repetition of the movement, has beneficial effects on the recovery and improvement of the patient's postural and locomotor functions. However, due to the little evidence that exists, it is necessary to know the effectiveness of the Walkbot assisted walking robot in these patients by means of a clinical trial that allows to firmly establish the scope of its benefits.
Investigators
Raquel Olmos Gómez
Principal investigator
Universidad de Murcia
Eligibility Criteria
Inclusion Criteria
- •Cerebral palsy diagnosis (diplegia or tetraplegia)
- •Ability to communicate even if not verbal (yes/not; gestures; pictograms; sounds)
- •Levels II, III and IV in GMFCS
- •Unsupported seating capacity
- •Go on standing with or without help
- •Not receiving therapy with a walking robot and not having received it in at least one year
Exclusion Criteria
- •Serious psychiatric problems
- •Serious heart problems
- •Active tumors
- •Severe joint degenerative problems
- •Degenerative diseases of the nervous system
- •Mitochondrial diseases
- •Recent surgeries
- •Unbound fractures
- •Severe osteoporosis
- •Uncontrolled seizures
Outcomes
Primary Outcomes
Ability and quality of walking.
Time Frame: Baseline, immediately after the intervention, 1 month after the intervention, 3 months after the intervention
Changes in Gross Motor Function Measure-88 (dimensions IV y V)
Secondary Outcomes
- Muscle strength(Baseline, immediately after the intervention, 1 month after the intervention, 3 months after the intervention)
- Functionality and autonomy(Baseline, immediately after the intervention, 1 month after the intervention, 3 months after the intervention)
- Quality of walking: Edinburgh Visual Gait Scale(Baseline, immediately after the intervention, 1 month after the intervention, 3 months after the intervention)
- Range of motion(Baseline, immediately after the intervention, 1 month after the intervention, 3 months after the intervention)
- Spasticity(Baseline, immediately after the intervention, 1 month after the intervention, 3 months after the intervention)
- Gait endurance(Baseline, immediately after the intervention, 1 month after the intervention, 3 months after the intervention)