Bilateral Spastic Cerebral Palsy, Cerebral Palsy, Gait Disorders, Neurologic, Spastic Hemiplegic Cerebral Palsy
Conditions
Brief summary
In children with cerebral palsy, the quality of walking decreases due to a decrease in the ability to control limbs, including walking, and coordination among various activities of daily living due to a decrease in functional independence and quality of life. Gait disorder is one of the important therapeutic goals of children with cerebral palsy, and recently robot-assisted gait training (RAGT) induces changes in brain plasticity, so it will help improve gross motor control and coordination control.
Interventions
RAGT, WALKBOT-G, is a walking training equipment that can reproduce natural motions by adjusting the leg length and adjusting the motion with the actuator of the ankle joint.
BEHAVIORALconventional locomotion therapy
locomotion exercise, postural control training, balance training, electrotherapy
Sponsors
Sahmyook University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
6 Years to 12 Years
Healthy volunteers
No
Inclusion criteria
* Patients aged 6-12 years or younger who have not received botulinum toxin or surgery within 3 months before the study * Patients diagnosed with Bilateral Spastic Cerebral Palsy * Patients diagnosed with Spastic Hemiplegic Cerebral Palsy
Exclusion criteria
* Children who cannot understand and follow orders * Children with stiffness in the lower limbs corresponding to the Modified Ashworth Scale (MAS)\> 3 * Patients who wear a robot and walk without affecting contractures, deformities, or skin problems * Infants with cardiovascular instability and mild scoliosis with a cobb's angle of 30 degrees or more
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| muscle activation | Change from baseline muscle activation at 4 weeks | Measure muscle activity of Sternocleidomastoid, C4 Cervical Paraspinals, L5 Paraspinals, Rectus Femoris, Medial Hamstring, and Soleus during functional reach test. Surface electromyograph(EMG)(Mini Wave Infinity Waterproof, Cometa Systems, Italy, 2017) was used to measure muscle activity, and analysis software(Myoresearch XP Master 1.07, Noraxon, USA, 2011) was used for EMG analysis. The sampling rate was set to 2000 Hz. The EMG raw data was quantified as 150 ms after applying full wave rectification, and filtering was performed in the range of 20 to 450 Hz using a digital band-pass filter (Lancosh FIR). do |
Countries
South Korea
Outcome results
None listed