Efficacy of Robot-Assisted Gait Therapy Compared to Conventional Therapy or Treadmill Training in Children with Cerebral Palsy: A Systematic Review with Meta-Analysis
Background: Motor, gait and balance disorders reduce functional capabilities for activities of daily living in children with cerebral palsy (CP). Robot-assisted gait therapy (RAGT) is being used to complement conventional therapy (CT) or treadmill therapy (TT) in CP rehabilitation. The aim of this s...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-12-01
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| Series: | Sensors |
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| Online Access: | https://www.mdpi.com/1424-8220/22/24/9910 |
| _version_ | 1797455336798420992 |
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| author | Irene Cortés-Pérez Noelia González-González Ana Belén Peinado-Rubia Francisco Antonio Nieto-Escamez Esteban Obrero-Gaitán Héctor García-López |
| author_facet | Irene Cortés-Pérez Noelia González-González Ana Belén Peinado-Rubia Francisco Antonio Nieto-Escamez Esteban Obrero-Gaitán Héctor García-López |
| author_sort | Irene Cortés-Pérez |
| collection | DOAJ |
| description | Background: Motor, gait and balance disorders reduce functional capabilities for activities of daily living in children with cerebral palsy (CP). Robot-assisted gait therapy (RAGT) is being used to complement conventional therapy (CT) or treadmill therapy (TT) in CP rehabilitation. The aim of this systematic review is to assess the effect of RAGT on gait, balance and functional independence in CP children, in comparison to CT or TT. Methods: We have conducted a systematic review with meta-analysis. A search in PubMed Medline, Web of Science, Scopus, CINAHL, PEDro and SciELO has been conducted for articles published until October 2022. Controlled clinical trials (CCT), in which RAGT was compared to TT or CT and assessed gait speed, step and stride length, width step, walking distance, cadence, standing ability, walking, running and jumping ability, gross motor function and functional independence in children with CP, have been included. Methodological quality was assessed with the PEDro scale and the pooled effect was calculated with Cohen’s Standardized Mean Difference (SMD) and its 95% Confidence Interval (95% CI). Results: A total of 15 CCTs have been included, providing data from 413 participants, with an averaged methodological quality of 5.73 ± 1.1 points in PEDro. The main findings of this review are that RAGT shows better results than CT in the post-intervention assessment for gait speed (SMD 0.56; 95% CI 0.03 to 1.1), walking distance (SMD 2; 95% CI 0.36 to 3.65) and walking, running and jumping ability (SMD 0.63; 95% CI 0.12 to 1.14). Conclusions: This study shows that the effect of RAGT is superior to CT on gait speed, walking distance and walking, running and jumping ability in post-intervention, although no differences were found between RAGT and TT or CT for the remaining variables. |
| first_indexed | 2024-03-09T15:52:57Z |
| format | Article |
| id | doaj.art-d1e96024bf0a4b47bfd8988d6c0fe6fd |
| institution | Directory Open Access Journal |
| issn | 1424-8220 |
| language | English |
| last_indexed | 2024-03-09T15:52:57Z |
| publishDate | 2022-12-01 |
| publisher | MDPI AG |
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| spelling | doaj.art-d1e96024bf0a4b47bfd8988d6c0fe6fd2023-11-24T17:57:24ZengMDPI AGSensors1424-82202022-12-012224991010.3390/s22249910Efficacy of Robot-Assisted Gait Therapy Compared to Conventional Therapy or Treadmill Training in Children with Cerebral Palsy: A Systematic Review with Meta-AnalysisIrene Cortés-Pérez0Noelia González-González1Ana Belén Peinado-Rubia2Francisco Antonio Nieto-Escamez3Esteban Obrero-Gaitán4Héctor García-López5Department of Nursing, Physiotherapy and Medicine, University of Almería, Road Sacramento s/n, 04120 Almería, Spain“Torremar” Physiotherapy Center, Street Dr. Fleming 39, 29740 Torre del Mar, SpainAFIXA Fibromyalgia Association, 23008 Jaén, SpainDepartment of Psychology, University of Almería, Road Sacramento s/n, La Cañada, 04120 Almería, SpainDepartment of Health Sciences, University of Jaen, Campus las Lagunillas, 23071 Jaén, SpainDepartment of Nursing, Physiotherapy and Medicine, University of Almería, Road Sacramento s/n, 04120 Almería, SpainBackground: Motor, gait and balance disorders reduce functional capabilities for activities of daily living in children with cerebral palsy (CP). Robot-assisted gait therapy (RAGT) is being used to complement conventional therapy (CT) or treadmill therapy (TT) in CP rehabilitation. The aim of this systematic review is to assess the effect of RAGT on gait, balance and functional independence in CP children, in comparison to CT or TT. Methods: We have conducted a systematic review with meta-analysis. A search in PubMed Medline, Web of Science, Scopus, CINAHL, PEDro and SciELO has been conducted for articles published until October 2022. Controlled clinical trials (CCT), in which RAGT was compared to TT or CT and assessed gait speed, step and stride length, width step, walking distance, cadence, standing ability, walking, running and jumping ability, gross motor function and functional independence in children with CP, have been included. Methodological quality was assessed with the PEDro scale and the pooled effect was calculated with Cohen’s Standardized Mean Difference (SMD) and its 95% Confidence Interval (95% CI). Results: A total of 15 CCTs have been included, providing data from 413 participants, with an averaged methodological quality of 5.73 ± 1.1 points in PEDro. The main findings of this review are that RAGT shows better results than CT in the post-intervention assessment for gait speed (SMD 0.56; 95% CI 0.03 to 1.1), walking distance (SMD 2; 95% CI 0.36 to 3.65) and walking, running and jumping ability (SMD 0.63; 95% CI 0.12 to 1.14). Conclusions: This study shows that the effect of RAGT is superior to CT on gait speed, walking distance and walking, running and jumping ability in post-intervention, although no differences were found between RAGT and TT or CT for the remaining variables.https://www.mdpi.com/1424-8220/22/24/9910cerebral palsyrobot-assisted gait trainingconventional therapytreadmill traininggaitstanding |
| spellingShingle | Irene Cortés-Pérez Noelia González-González Ana Belén Peinado-Rubia Francisco Antonio Nieto-Escamez Esteban Obrero-Gaitán Héctor García-López Efficacy of Robot-Assisted Gait Therapy Compared to Conventional Therapy or Treadmill Training in Children with Cerebral Palsy: A Systematic Review with Meta-Analysis Sensors cerebral palsy robot-assisted gait training conventional therapy treadmill training gait standing |
| title | Efficacy of Robot-Assisted Gait Therapy Compared to Conventional Therapy or Treadmill Training in Children with Cerebral Palsy: A Systematic Review with Meta-Analysis |
| title_full | Efficacy of Robot-Assisted Gait Therapy Compared to Conventional Therapy or Treadmill Training in Children with Cerebral Palsy: A Systematic Review with Meta-Analysis |
| title_fullStr | Efficacy of Robot-Assisted Gait Therapy Compared to Conventional Therapy or Treadmill Training in Children with Cerebral Palsy: A Systematic Review with Meta-Analysis |
| title_full_unstemmed | Efficacy of Robot-Assisted Gait Therapy Compared to Conventional Therapy or Treadmill Training in Children with Cerebral Palsy: A Systematic Review with Meta-Analysis |
| title_short | Efficacy of Robot-Assisted Gait Therapy Compared to Conventional Therapy or Treadmill Training in Children with Cerebral Palsy: A Systematic Review with Meta-Analysis |
| title_sort | efficacy of robot assisted gait therapy compared to conventional therapy or treadmill training in children with cerebral palsy a systematic review with meta analysis |
| topic | cerebral palsy robot-assisted gait training conventional therapy treadmill training gait standing |
| url | https://www.mdpi.com/1424-8220/22/24/9910 |
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