Disability and rehabilitation. Assistive technology · 2026
Mobile robotic walker enables precision moderately intense exercise and environmental exploration in a child with cerebral palsy GMFCS IV: assessment of use, user experience and quantitative impact in a home and hospital based setting.
СтатьяНаблюдательное исследованиеКлинический случайНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Alazem Hana, Friesen Anya H, Dennison Taylor, Nizam Adina, Larin Michelle L, Longmuir Patricia E, McMillan Hugh J, Hilderley Alicia, McCormick Anna M
Аннотация
PURPOSE: Investigating initial usage and tolerance of an untethered paediatric mobile Robotic Gait Trainer (RGT)within home and hospital settings, in a 5-year-old child with mixed tone spastic quadriplegic Cerebral Palsy, GMFCS IV. Secondary objectives included parent proxy and therapist qualitative feedback on RGT use.
MATERIALS AND METHODS: Single participant mixed-method observational case study to assess use of a paediatric mobile RGT over 6-weeks. Minimum goal was to complete 3-weekly 20-minute or longer training sessions, hospital or home-based.
RESULTS: 7 hospital-based and 18 home-based sessions were completed with no adverse effects; each session was approximately 30-minutes regardless of setting. Average step counts in hospital and home sessions were 857 and 881, respectively. Mild heart rate elevation was achieved. Distance walked over 2 min with a manual walker increased from 0.3 m pre-intervention to 1.5 m post-intervention. Total Spinal Alignment Range of Motion Measure (SAROMM) score improved significantly, decreasing from 42 to 30 with range improvement at the knees (-5), ankle (-5) and upper extremities (-4). A modest but clinically insignificant decrease in hip range (+2) was noted. MAS Hamstring spasticity score improved from 3, pre-intervention to 2 post intervention. Qualitative feedback included themes of ease of transfer in/out of the device, and comfortable use. Improvements to RGT functionality including independent steering were suggested. Potential for social integration and neuroplasticity were highlighted.
CONCLUSION: In a single participant, a paediatric mobile robotic walker improved exercise participation with heart rate reaching moderate exercise ranges, high step counts in short sessions, and walking endurance and functional capacity.
MATERIALS AND METHODS: Single participant mixed-method observational case study to assess use of a paediatric mobile RGT over 6-weeks. Minimum goal was to complete 3-weekly 20-minute or longer training sessions, hospital or home-based.
RESULTS: 7 hospital-based and 18 home-based sessions were completed with no adverse effects; each session was approximately 30-minutes regardless of setting. Average step counts in hospital and home sessions were 857 and 881, respectively. Mild heart rate elevation was achieved. Distance walked over 2 min with a manual walker increased from 0.3 m pre-intervention to 1.5 m post-intervention. Total Spinal Alignment Range of Motion Measure (SAROMM) score improved significantly, decreasing from 42 to 30 with range improvement at the knees (-5), ankle (-5) and upper extremities (-4). A modest but clinically insignificant decrease in hip range (+2) was noted. MAS Hamstring spasticity score improved from 3, pre-intervention to 2 post intervention. Qualitative feedback included themes of ease of transfer in/out of the device, and comfortable use. Improvements to RGT functionality including independent steering were suggested. Potential for social integration and neuroplasticity were highlighted.
CONCLUSION: In a single participant, a paediatric mobile robotic walker improved exercise participation with heart rate reaching moderate exercise ranges, high step counts in short sessions, and walking endurance and functional capacity.