Short-Term Outcome of Rehabilitation Program with Hybrid Assistive Limb after Tendon Lengthening in Patients with Cerebral Palsy
In this study, we aimed to evaluate the short-term outcomes of a rehabilitation program with the Hybrid Assistive Limb<sup>®</sup> after soft tissue lengthening in young patients with cerebral palsy. We assessed six patients with cerebral palsy who underwent soft tissue surgery followed...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2022-11-01
|
| Series: | Pediatric Reports |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2036-7503/14/4/59 |
| _version_ | 1797455810393014272 |
|---|---|
| author | Mayumi Matsuda Kuroda Hirotaka Mutsuzaki Shogo Nakagawa Kenichi Yoshikawa Kazushi Takahashi Yuki Mataki Ryoko Takeuchi Nobuaki Iwasaki Masashi Yamazaki |
| author_facet | Mayumi Matsuda Kuroda Hirotaka Mutsuzaki Shogo Nakagawa Kenichi Yoshikawa Kazushi Takahashi Yuki Mataki Ryoko Takeuchi Nobuaki Iwasaki Masashi Yamazaki |
| author_sort | Mayumi Matsuda Kuroda |
| collection | DOAJ |
| description | In this study, we aimed to evaluate the short-term outcomes of a rehabilitation program with the Hybrid Assistive Limb<sup>®</sup> after soft tissue lengthening in young patients with cerebral palsy. We assessed six patients with cerebral palsy who underwent soft tissue surgery followed by gait training using the Hybrid Assistive Limb<sup>®</sup>. Clinical assessments were conducted preoperatively, before, immediately after, and at 1, 2, and 3 months after gait training. Gross Motor Function Measure was improved 5.93 ± 6.11% (mean ± standard deviation, <i>p</i> < 0.05), Canadian Occupational Performance Measure performance was improved 3.12 ± 1.53 points, and satisfaction was improved 3.80 ± 2.14 points (<i>p</i> < 0.05). The knee extension strength on the operated side was changed 7.75 ± 4.97 Nm after the intervention (<i>p</i> = 0.07). In ambulatory patients, gait speed was changed 8.37 ± 1.72 m/min, stride length was changed 10 ± 6.16 cm, and 6 min walking distance was changed 52 ± 16 m after the intervention. Training with the Hybrid Assistive Limb<sup>®</sup> may improve walking ability and clinical outcomes in young patients with cerebral palsy after soft tissue lengthening. |
| first_indexed | 2024-03-09T15:59:19Z |
| format | Article |
| id | doaj.art-633200ba85a240a48577d41c60c4154c |
| institution | Directory Open Access Journal |
| issn | 2036-7503 |
| language | English |
| last_indexed | 2024-03-09T15:59:19Z |
| publishDate | 2022-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Pediatric Reports |
| spelling | doaj.art-633200ba85a240a48577d41c60c4154c2023-11-24T17:15:11ZengMDPI AGPediatric Reports2036-75032022-11-0114450551810.3390/pediatric14040059Short-Term Outcome of Rehabilitation Program with Hybrid Assistive Limb after Tendon Lengthening in Patients with Cerebral PalsyMayumi Matsuda Kuroda0Hirotaka Mutsuzaki1Shogo Nakagawa2Kenichi Yoshikawa3Kazushi Takahashi4Yuki Mataki5Ryoko Takeuchi6Nobuaki Iwasaki7Masashi Yamazaki8Department of Physical Therapy, Ibaraki Prefectural University of Health Sciences, 4669-2 Ami, Ibaraki 300-0394, JapanCenter for Medical Science, Ibaraki Prefectural University of Health Sciences, 4669-2 Ami, Ibaraki 300-0394, JapanDepartment of Orthopedic Surgery, Tsukuba Park Family Clinic, 485-1, Tsukuba 300-2654, JapanDepartment of Physical Therapy, Ibaraki Prefectural University of Health Sciences, 4669-2 Ami, Ibaraki 300-0394, JapanDepartment of Physical Therapy, Ibaraki Prefectural University of Health Sciences Hospital, 4733 Ami, Ibaraki 300-0331, JapanDepartment of Rehabilitation Medicine, University of Tsukuba Hospital, 2-1-1 Tsukuba, Ibaraki 305-8576, JapanDepartment of Orthopedic Surgery, Ibaraki Prefectural University of Health Sciences Hospital, 4733 Ami, Ibaraki 300-0331, JapanDepartment of Pediatrics, Ibaraki Prefectural University of Health Sciences Hospital, 4733 Ami, Ibaraki 300-0331, JapanDepartment of Orthopedic Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tsukuba, Ibaraki 305-8577, JapanIn this study, we aimed to evaluate the short-term outcomes of a rehabilitation program with the Hybrid Assistive Limb<sup>®</sup> after soft tissue lengthening in young patients with cerebral palsy. We assessed six patients with cerebral palsy who underwent soft tissue surgery followed by gait training using the Hybrid Assistive Limb<sup>®</sup>. Clinical assessments were conducted preoperatively, before, immediately after, and at 1, 2, and 3 months after gait training. Gross Motor Function Measure was improved 5.93 ± 6.11% (mean ± standard deviation, <i>p</i> < 0.05), Canadian Occupational Performance Measure performance was improved 3.12 ± 1.53 points, and satisfaction was improved 3.80 ± 2.14 points (<i>p</i> < 0.05). The knee extension strength on the operated side was changed 7.75 ± 4.97 Nm after the intervention (<i>p</i> = 0.07). In ambulatory patients, gait speed was changed 8.37 ± 1.72 m/min, stride length was changed 10 ± 6.16 cm, and 6 min walking distance was changed 52 ± 16 m after the intervention. Training with the Hybrid Assistive Limb<sup>®</sup> may improve walking ability and clinical outcomes in young patients with cerebral palsy after soft tissue lengthening.https://www.mdpi.com/2036-7503/14/4/59soft tissue surgerymuscle lengtheningroboticsexoskeleton devicemotor activityphysical functional performance |
| spellingShingle | Mayumi Matsuda Kuroda Hirotaka Mutsuzaki Shogo Nakagawa Kenichi Yoshikawa Kazushi Takahashi Yuki Mataki Ryoko Takeuchi Nobuaki Iwasaki Masashi Yamazaki Short-Term Outcome of Rehabilitation Program with Hybrid Assistive Limb after Tendon Lengthening in Patients with Cerebral Palsy Pediatric Reports soft tissue surgery muscle lengthening robotics exoskeleton device motor activity physical functional performance |
| title | Short-Term Outcome of Rehabilitation Program with Hybrid Assistive Limb after Tendon Lengthening in Patients with Cerebral Palsy |
| title_full | Short-Term Outcome of Rehabilitation Program with Hybrid Assistive Limb after Tendon Lengthening in Patients with Cerebral Palsy |
| title_fullStr | Short-Term Outcome of Rehabilitation Program with Hybrid Assistive Limb after Tendon Lengthening in Patients with Cerebral Palsy |
| title_full_unstemmed | Short-Term Outcome of Rehabilitation Program with Hybrid Assistive Limb after Tendon Lengthening in Patients with Cerebral Palsy |
| title_short | Short-Term Outcome of Rehabilitation Program with Hybrid Assistive Limb after Tendon Lengthening in Patients with Cerebral Palsy |
| title_sort | short term outcome of rehabilitation program with hybrid assistive limb after tendon lengthening in patients with cerebral palsy |
| topic | soft tissue surgery muscle lengthening robotics exoskeleton device motor activity physical functional performance |
| url | https://www.mdpi.com/2036-7503/14/4/59 |
| work_keys_str_mv | AT mayumimatsudakuroda shorttermoutcomeofrehabilitationprogramwithhybridassistivelimbaftertendonlengtheninginpatientswithcerebralpalsy AT hirotakamutsuzaki shorttermoutcomeofrehabilitationprogramwithhybridassistivelimbaftertendonlengtheninginpatientswithcerebralpalsy AT shogonakagawa shorttermoutcomeofrehabilitationprogramwithhybridassistivelimbaftertendonlengtheninginpatientswithcerebralpalsy AT kenichiyoshikawa shorttermoutcomeofrehabilitationprogramwithhybridassistivelimbaftertendonlengtheninginpatientswithcerebralpalsy AT kazushitakahashi shorttermoutcomeofrehabilitationprogramwithhybridassistivelimbaftertendonlengtheninginpatientswithcerebralpalsy AT yukimataki shorttermoutcomeofrehabilitationprogramwithhybridassistivelimbaftertendonlengtheninginpatientswithcerebralpalsy AT ryokotakeuchi shorttermoutcomeofrehabilitationprogramwithhybridassistivelimbaftertendonlengtheninginpatientswithcerebralpalsy AT nobuakiiwasaki shorttermoutcomeofrehabilitationprogramwithhybridassistivelimbaftertendonlengtheninginpatientswithcerebralpalsy AT masashiyamazaki shorttermoutcomeofrehabilitationprogramwithhybridassistivelimbaftertendonlengtheninginpatientswithcerebralpalsy |