| Beretta et al. (2015)
Italy
PCT
N=23 |
Population: ABI: TBI=11, Tumor=7, Ictus=4, Anoxia=1; Robotic-Aided Gait Training Group (RAGT; n=23): Mean Age=11.8 yr; Gender: Male=12, Female=11. Control Group (n=11): Mean Age=10.4 yr; Gender: Male=7, Female=4.
Intervention: Patients assigned to the RAGT group were provided with the use of an exoskeleton designed to perform a walking pattern on a treadmill, in addition to 20 sessions of physiotherapy. RAGT was performed for 45 min/d, 5 d/wk over 4 wk. The control group received physiotherapy only. Assessments were conducted at baseline and post-treatment.
Outcome Measure: 6-Minute Walk Test (6MWT), Gross Motor Function Measure (GMFM), Functional Assessment Questionnaire (FAQ), 3D Gait Analysis. |
- The RAGT group improved significantly in overall gross motor function on the GMFM (p<0.001). Specific improvements were found on the subscales of GMFM for lying/rolling and crawling/kneeling (both p<0.010), and standing and walking (both p<0.001).
- There were significant improvements in walking ability on the FAQ in the RAGT group (p<0.010).
- The control group improved significantly on the GMFM dimension C subscale (crawling and kneeling) only from baseline to post-treatment (p<0.010).
- Subgroup analyses of ambulant patients revealed that the RAGT group improved significantly on the FAQ (p=0.007), 6MWT (p<0.005), GMFW Dimension C (p=0.006) D and E (both p=0.001) whereas control patients only improved significantly on the GMFW Dimension C (p<0.050).
- 3D Gait Analysis of ambulant patients revealed that the RAGT group improved significantly in cadence, left-side step-length, velocity, ROM hip flex-extension during gait and swing, and maximum hip extension left-side stride length (all p<0.050) and right-side stride length (p<0.005) from baseline to post-treatment. The control group did not demonstrate any significant improvements.
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| Frascarelli et al. (2009)
Italy
Pre-Post
N=12 |
Population: TBI=6, Stroke=4, Cerebral Palsy=2; Mean Age =11.7 yr; Gender: Male=9, Female=3; Mean Time Since Injury=3.5 yr.
Intervention: Robot Mediated Therapy (RMT) for upper limb was combined with goal-oriented reaching tasks for 1 hr 3x/wk over a period of 6 wk. Outcome measures were assessed at baseline and 6 wk.
Outcome Measure: Modified Ashworth Scale (MAS), Fugl-Meyer (FM), The Melbourne Assessment of Unilateral Upper Limb (Melbourne%), Reaching Performance Scale (RPS) close and far, Jerk Metric (JM), and Average Speed. |
- There was a significant improvement in MAS (p=0.001), FM (p=0.002), Melbourne% (p<0.001), JM (p=0.006) and average speed (p=0.010) from baseline to 6 wk.
- There was a significant improvement from baseline to 6 wk follow-up in RPS at close and far distances (p=0.004 and p=0.032, respectively).
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