Upper Limb Robot-Assisted Therapy in Cerebral Palsy
| العنوان: | Upper Limb Robot-Assisted Therapy in Cerebral Palsy |
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| المؤلفون: | Anne Renders, Bruno Dehez, Delphine Dispa, Gaëtan Stoquart, Maxime Gilliaux, Thierry Lejeune, Julien Sapin, Christine Detrembleur, D Holvoet |
| المساهمون: | UCL - - SST/Louvain Bionics, UCL - SSS/IONS/COSY - Systems & cognitive Neuroscience, UCL - (SLuc) Service de médecine physique et de réadaptation motrice, UCL - SSS/IREC/CARS - Computer Assisted Robotic Surgery |
| المصدر: | Neurorehabilitation and Neural Repair, Vol. 29, no. 2, p. 183-192 (2015) |
| بيانات النشر: | SAGE Publications, 2014. |
| سنة النشر: | 2014 |
| مصطلحات موضوعية: | medicine.medical_specialty, pediatrics, medicine.medical_treatment, International Classification of Functioning, rehabilitation, law.invention, Cerebral palsy, Upper Extremity, Disability Evaluation, Physical medicine and rehabilitation, International Classification of Functioning, Disability and Health, Randomized controlled trial, law, medicine, Humans, Learning, Single-Blind Method, Spasticity, Child, Assisted therapy, robotics, cerebral palsy, Rehabilitation, business.industry, Cerebral Palsy, Robotics, General Medicine, medicine.disease, Biomechanical Phenomena, Treatment Outcome, medicine.anatomical_structure, kinematics, Physical therapy, Upper limb, Disability and Health, medicine.symptom, Motor learning, business, motor learning, Psychomotor Performance |
| الوصف: | Background. Several pilot studies have evoked interest in robot-assisted therapy (RAT) in children with cerebral palsy (CP). Objective. To assess the effectiveness of RAT in children with CP through a single-blind randomized controlled trial. Patients and Methods. Sixteen children with CP were randomized into 2 groups. Eight children performed 5 conventional therapy sessions per week over 8 weeks (control group). Eight children completed 3 conventional therapy sessions and 2 robot-assisted sessions per week over 8 weeks (robotic group). For both groups, each therapy session lasted 45 minutes. Throughout each RAT session, the patient attempted to reach several targets consecutively with the REAPlan. The REAPlan is a distal effector robot that allows for displacements of the upper limb in the horizontal plane. A blinded assessment was performed before and after the intervention with respect to the International Classification of Functioning framework: body structure and function (upper limb kinematics, Box and Block test, Quality of Upper Extremity Skills Test, strength, and spasticity), activities (Abilhand-Kids, Pediatric Evaluation of Disability Inventory), and participation (Life Habits). Results. During each RAT session, patients performed 744 movements on average with the REAPlan. Among the variables assessed, the smoothness of movement ( P < .01) and manual dexterity assessed by the Box and Block test ( P = .04) improved significantly more in the robotic group than in the control group. Conclusions. This single-blind randomized controlled trial provides the first evidence that RAT is effective in children with CP. Future studies should investigate the long-term effects of this therapy. |
| تدمد: | 1552-6844 1545-9683 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e59b08023af8f3c2c057e48db37a5ec6Test https://doi.org/10.1177/1545968314541172Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....e59b08023af8f3c2c057e48db37a5ec6 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15526844 15459683 |
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