PM&R
Volume 2, Issue 1 , Pages 71-75 , January 2010

Robotic Gait Training in an Adult With Cerebral Palsy: A Case Report

  • Benjamin L. Patritti, PhD

      Affiliations

    • Department of Physical Medicine and Rehabilitation, Harvard Medical School, Spaulding Rehabilitation Hospital, Boston, MA†
    • ,
  • Sofia Straudi, MD

      Affiliations

    • Department of Physical Medicine and Rehabilitation, Harvard Medical School, Spaulding Rehabilitation Hospital, Boston, MA; and Movement Analysis Laboratory, Istituti Ortopedici Rizzoli, Bologna, Italy‡
    • ,
  • Lynn C. Deming, PT

      Affiliations

    • Department of Physical Medicine and Rehabilitation, Harvard Medical School, Spaulding Rehabilitation Hospital, Boston, MA§
    • ,
  • Maria Grazia Benedetti, MD

      Affiliations

    • Movement Analysis Laboratory, Istituti Ortopedici Rizzoli, Bologna, Italy
    • ,
  • Donna L. Nimec, MD

      Affiliations

    • Department of Physical Medicine and Rehabilitation, Harvard Medical School, Spaulding Rehabilitation Hospital, Boston, MA∥
    • ,
  • Paolo Bonato, PhD

      Affiliations

    • Department of Physical Medicine and Rehabilitation, Harvard Medical School, Spaulding Rehabilitation Hospital, 125 Nashua Street, Boston, MA 02114-1198; and Harvard-MIT Division of Health Sciences and Technology, Cambridge, MA#
    • Corresponding Author InformationAddress correspondence to: P.B.

Received 20 August 2009 ,Accepted 29 October 2009.

References 

  1. Mutlu A, Krosschell K, Spira DG. Treadmill training with partial body-weight support in children with cerebral palsy: A systematic review. Dev Med Child Neurol. 2009;51(4):268–275
  2. Meyer-Heim A, Ammann-Reiffer C, Schmartz A, Schäfer J, Sennhauser FH, Heinen F, et al. Improvement of walking abilities after robotic-assisted locomotion training in children with cerebral palsy. Arch Dis Child. 2009;94(8):615–620
  3. CPIRF Fact Sheet 238, Aging and Cerebral Palsy. January 2008 http://www.cpirf.org/fact-sheets-238Accessed July 31, 2009
  4. Rapp CE, Torres MM. The adult with cerebral palsy. Arch Fam Med. 2000;9(5):466–472
  5. Hemming K, Hutton JL, Pharoah PO. Long-term survival for a cohort of adults with cerebral palsy. Dev Med Child Neurol. 2006;48(2):90–95
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  8. Houlihan CM. Walking function, pain, and fatigue in adults with cerebral palsy. Dev Med Child Neurol. 2009;51(5):338–339
  9. Opheim A, Jahnsen R, Olsson E, Stanghelle JK. Walking function, pain, and fatigue in adults with cerebral palsy: A 7-year follow-up study. Dev Med Child Neurol. 2009;51(5):381–388
  10. Damiano DL. Activity, activity, activity: Rethinking our physical therapy approach to cerebral palsy. Phys Ther. 2006;86(11):1534–1540
  11. Andersson C, Grooten W, Hellsten M, Kaping K, Mattsson E. Adults with cerebral palsy: Walking ability after progressive strength training. Dev Med Child Neurol. 2003;45(4):220–228
  12. Meyer-Heim A, Borggraefe I, Ammann-Reiffer C, et al. Feasibility of robotic-assisted locomotor training in children with central gait impairment. Dev Med Child Neurol. 2007;49(12):900–906
  13. Koenig A, Wellner M, Koneke S, Meyer-Heim A, Lunenburger L, Riener R. Virtual gait training for children with cerebral palsy using the Lokomat gait orthosis. Stud Health Technol Inform. 2008;132:204–209
  14. Patrick E, Ada L. The Tardieu scale differentiates contracture from spasticity whereas the Ashworth scale is confounded by it. Clin Rehabil. 2006;20(2):173–182
  15. Alibiglou L, Rymer WZ, Harvey RL, Mirbagheri MM. The relation between Ashworth scores and neuromechanical measurements of spasticity following stroke. J Neuroeng Rehabil. 2008;5:18
  16. Neckel N, Pelliccio M, Nichols D, Hidler J. Quantification of functional weakness and abnormal synergy patterns in the lower limb of individuals with chronic stroke. J Neuroeng Rehabil. 2006;3:17
  17. Hidler J, Nichols D, Pelliccio M, Brady K, Campbell DD, Kahn JH, et al. Multicenter randomized clinical trial evaluating the effectiveness of the Lokomat in subacute stroke. Neurorehabil Neural Repair. 2009;23(1):5–13
  18. Westlake KP, Patten C. Pilot study of Lokomat versus manual-assisted treadmill training for locomotor recovery post-stroke. J Neuroeng Rehabil. 2009;6:18
  19. Winchester P, McColl R, Querry R, Foreman N, Mosby J, Tansey K, et al. Changes in supraspinal activation patterns following robotic locomotor therapy in motor-incomplete spinal cord injury. Neurorehabil Neural Repair. 2005;19(4):313–324

 Disclosure Key can be found on the Table of Contents and at www.pmrjournal.org

 This work was partially supported by the Cerebral Palsy International Research Foundation.

 The medical device used in this study is the Lokomat System (Hocoma, AG, Switzerland), FDA Regulation Number 890.5380; approved for indicated use.

PII: S1934-1482(09)01502-0

doi: 10.1016/j.pmrj.2009.10.012

PM&R
Volume 2, Issue 1 , Pages 71-75 , January 2010

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