Using a NAO Robot to Enhance Occupational Therapy for Children With Cerebral Palsy
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 15
- 试验地点
- 1
- 主要终点
- Quality of Upper Extremity Skills Test (QUEST)
研究概览
简要总结
Cerebral Palsy (CP) is a non-progressive neurological disorder that affects movement and posture, often impairing upper extremity function and daily activity performance. Technological tools, such as social robots, have shown promise in supporting rehabilitation. This study investigated the effects of NAO robot-assisted therapy on functional performance, motivation, and emotional states in children with unilateral CP.
Sixteen children participated in a 14-week intervention, which included 12 weeks of task-oriented therapy. In six of those weeks, sessions incorporated the NAO robot, which simulated three daily activities identified using the Canadian Occupational Performance Measure (COPM) and offered motivational feedback. Emotional responses were tracked using the Empatica E4 wristband, measuring blood volume pulse (BVP), electrodermal activity (EDA), and skin temperature (ST).
详细描述
This single-group interventional study investigated the effect of adding the social humanoid robot NAO to occupational therapy sessions on upper extremity function, hand skills, and motivation in children with unilateral spastic cerebral palsy (CP). Sixteen children aged 5-15 years, classified as GMFCS I-III, MACS 1-3, CFCS 1-2, and MAS 0-2, participated.
The study consisted of two sequential 6-week phases:
Phase 1: Routine occupational therapy sessions (40 minutes each).
Phase 2: Routine occupational therapy supplemented with NAO robot-assisted activities (same duration).
Sessions targeted functional tasks identified using the Canadian Occupational Performance Measure (COPM), such as eating, throwing a ball, and brushing teeth. Upper extremity function was assessed with the Quality of Upper Extremity Skills Test (QUEST); functional abilities with PEDI; activity limitations and bimanual hand use with GMFCS and BFMF; and occupational performance and satisfaction with COPM.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Sequential
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 5 Years 至 15 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Children aged 5-15 years
- •Diagnosis of unilateral spastic cerebral palsy
- •Classified as Level I-III according to the Gross Motor Function Classification System (GMFCS)
- •Classified as Level 1-3 on the Manual Ability Classification System (MACS)
- •Level 0-2 on the Modified Ashworth Scale, indicating mild to moderate spasticity
排除标准
- •History of upper extremity orthopedic surgery within the past year
- •Presence of epileptic symptoms
- •Receipt of botulinum toxin treatment within the last six months
研究组 & 干预措施
Single Group - Occupational Therapy With and Without Social Robot Support
This single-group arm includes all participants, who receive two sequential phases of occupational therapy. In Phase 1, children receive routine occupational therapy sessions delivered by a licensed occupational therapist. After a 2-week interval, participants enter Phase 2, during which they receive the same occupational therapy activities supplemented with robot-assisted interaction using the NAO humanoid robot. All participants experience both phases in the same order, and no randomization or group allocation is performed.
干预措施: Occupational Therapy Intervention (Other)
Single Group - Occupational Therapy With and Without Social Robot Support
This single-group arm includes all participants, who receive two sequential phases of occupational therapy. In Phase 1, children receive routine occupational therapy sessions delivered by a licensed occupational therapist. After a 2-week interval, participants enter Phase 2, during which they receive the same occupational therapy activities supplemented with robot-assisted interaction using the NAO humanoid robot. All participants experience both phases in the same order, and no randomization or group allocation is performed.
干预措施: NAO Robot-Assisted Occupational Therapy (Other)
结局指标
主要结局
Quality of Upper Extremity Skills Test (QUEST)
时间窗: 20 minutes
Pediatric Evaluation of Disability Inventory (PEDI)
时间窗: 10 minutes
Bimanual Fine Motor Function
时间窗: 10 minutes
Canadian Occupational Performance Measure
时间窗: 10 minutes
次要结局
未报告次要终点
研究者
Hilal Bostancı Seçkin
LECTURER
Ankara Medipol University