TY  - JOUR
PY  - 2023//
TI  - Safety and feasibility of robot-assisted gait training in adults with cerebral palsy in an inpatient setting - an observational study
JO  - Journal of developmental and physical disabilities
A1  - Moll, Fabian
A1  - Kessel, Axel
A1  - Bonetto, Anna
A1  - Stresow, Johanna
A1  - Herten, Monika
A1  - Dudda, Marcel
A1  - Adermann, Jens
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - BACKGROUND: To investigate the safety and feasibility of six sessions of Hybrid Assistive Limb (HAL) robot-assisted gait training (RAGT) integrated into an inpatient therapy concept and their influence on walking speed and gait parameters in adult CP patients. <br><br>METHODS: Eleven subjects (male = 8, female = 3, mean age: 23 years and 2 months, ± 4.5 years) with spastic CP underwent six 20-minute RAGT sessions with the HAL during an 11-day hospital stay. Additionally, physiotherapy, physician-performed manual medicine, massage and exercise therapy were provided. Pre- (T1) and post- (T2) intervention assessments were: 10-metre walking test (10MWT), 6-minute walking test (6MWT), Gross Motor Function Measure (GMFM-88) and lower extremities passive range of motion (pROM). <br><br>RESULTS: All subjects completed the study. No adverse events were noted. Walking speed in the 10MWT test increased from 32.5 s (± 24.5 s) at T1 to 27.5 s (± 21.4 s) at T2, without significance. Slight, but non-significant improvements were detected in the 6MWT, GMFM and pROM. Confounding factors did not significantly affect the results. Conclusion: Intensive therapy including HAL training leads to non-significant improvements. Further studies with more patients and longer intervention time could provide further insights into the RAGT therapy of adult patients with CP. Registration DRKS-ID: DRKS00020275.<p />  <p>Language: en</p>
LA  - en
SN  - 1056-263X
UR  - http://dx.doi.org/10.1007/s10882-023-09895-8
ID  - ref1
ER  -