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Can we improve selective voluntary motor control in cerebral palsied children?

Publication at First Faculty of Medicine, Faculty of Physical Education and Sport |
2017

Abstract

Objectives Robotic - assisted gait train ing is coming to the fore of the neurorehabilitation field and represents a supportive frame in the neuro rehabilitation process in cerebral palsied ( CP) children. We aimed to investigate the effect of the r obotic - assisted gait train ing device Lokomat on the selective voluntary motor control (S VMC) in CP children.

Methods 12 children with spastic diparesis/diple gia underwent a 4 - week gait training program with Lokomat. Selective Control Assessment of the Lower Extremity (SCALE) , assessment of spastici ty, passive range of motion (ROM) of the lower lim b s and clinical gait analysis (CGA) were used to compare SVMC pre - , post - treatment and during a 3 - month follow - up.

Results SCALE showed significant improvement of the SVMC in the hip, knee, ankl e joint due to the increased p assive ROM an d decreased spasticity. These results were maintained during 3 - month follow - up.

CGA analysis did not show statistically significant difference pre - and post - treatment (p = 0.05) .