Article

OBJECTIVE: To examine the outcomes of home-based robot-guided therapy and compare
it to laboratory-based robot-guided therapy for the treatment of impaired ankles
in children with cerebral palsy. DESIGN: A randomized comparative trial design
comparing a home-based training group and a laboratory-based training group.
SETTING: Home versus laboratory within a research hospital. PARTICIPANTS:
Children (N=41) with cerebral palsy who were at Gross Motor Function
Classification System level I, II, or III were randomly assigned to 2 groups.
Children in home-based and laboratory-based groups were 8.7+/-2.8 (n=23) and
10.7+/-6.0 (n=18) years old, respectively. INTERVENTIONS: Six-week combined
passive stretching and active movement intervention of impaired ankle in a
laboratory or home environment using a portable rehabilitation robot. MAIN OUTCOME MEASURES: Active dorsiflexion range of motion (as the primary outcome),
mobility (6-minute walk test and timed Up and Go test), balance (Pediatric
Balance Scale), Selective Motor Control Assessment of the Lower Extremity,
Modified Ashworth Scale (MAS) for spasticity, passive range of motion (PROM),
strength, and joint stiffness. RESULTS: Significant improvements were found for
the home-based group in all biomechanical outcome measures except for PROM and
all clinical outcome measures except the MAS. The laboratory-based group also
showed significant improvements in all the biomechanical outcome measures and all
clinical outcome measures except the MAS. There were no significant differences
in the outcome measures between the 2 groups. CONCLUSIONS:
These findings suggest
that the translation of repetitive, goal-directed, biofeedback training through
motivating games from the laboratory to the home environment is feasible. The
benefits of home-based robot-guided therapy were similar to those of
laboratory-based robot-guided therapy.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS