Article

OBJECTIVE: To identify the effects of robotic gait training practices in
individuals with cerebral palsy. DATA SOURCES: The search was performed in the
following electronic databases: PubMed, Embase, Medline (OvidSP), Cochrane
Database of Systematic Reviews, Web of Science, Scopus, Compendex, IEEE Xplore,
ScienceDirect, Academic Search Premier, and Physiotherapy Evidence Database.
STUDY SELECTION: Studies were included if they fulfilled the following criteria:
(1) they investigated the effects of robotic gait training, (2) they involved
patients with cerebral palsy, and (3) they enrolled patients classified between
levels I and IV using the Gross Motor Function Classification System. DATA
EXTRACTION: The information was extracted from the selected articles using the
descriptive-analytical method. The Critical Review Form for Quantitative Studies
was used to quantitate the presence of critical components in the articles. To
perform the meta-analysis, the effects of the intervention were quantified by
effect size (Cohen d). DATA SYNTHESIS: Of the 133 identified studies, 10 met the
inclusion criteria. The meta-analysis showed positive effects on gait speed (.21
[-.09, .51]), endurance (.21 [-.06, .49]), and gross motor function in dimension
D (.18 [-.10, .45]) and dimension E (0.12 [-.15, .40]). CONCLUSIONS: The results
obtained suggest that this training benefits people with cerebral palsy,
specifically by increasing walking speed and endurance and improving gross motor
function. For future studies, we suggest investigating device configuration
parameters and conducting a large number of randomized controlled trials with
larger sample sizes and individuals with homogeneous impairment.
CI - Copyright (c) 2017 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS