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: | info:eu-repo/semantics/article |
| Language: | English |
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MDPI
2023
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| Online Access: | http://hdl.handle.net/10835/14146 |
| _version_ | 1789408387904045056 |
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| author | Cortés Pérez, Irene González-González, Noelia Peinado-Rubia, Ana Belén Nieto Escamez, Francisco Antonio Obrero-Gaitán, Esteban García López, Héctor |
| author_facet | Cortés Pérez, Irene González-González, Noelia Peinado-Rubia, Ana Belén Nieto Escamez, Francisco Antonio Obrero-Gaitán, Esteban García López, Héctor |
| author_sort | Cortés Pérez, Irene |
| collection | DSpace |
| 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. |
| format | info:eu-repo/semantics/article |
| id | oai:repositorio.ual.es:10835-14146 |
| institution | Universidad de Cuenca |
| language | English |
| publishDate | 2023 |
| publisher | MDPI |
| record_format | dspace |
| spelling | oai:repositorio.ual.es:10835-141462023-04-12T19:17:02Z Efficacy of Robot-Assisted Gait Therapy Compared to Conventional Therapy or Treadmill Training in Children with Cerebral Palsy: A Systematic Review with Meta-Analysis Cortés Pérez, Irene González-González, Noelia Peinado-Rubia, Ana Belén Nieto Escamez, Francisco Antonio Obrero-Gaitán, Esteban García López, Héctor cerebral palsy robot-assisted gait training conventional therapy treadmill training gait standing movement abilities functional independence 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 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. 2023-01-12T15:40:49Z 2023-01-12T15:40:49Z 2022-12-16 info:eu-repo/semantics/article 1424-8220 http://hdl.handle.net/10835/14146 10.3390/s22249910 en https://www.mdpi.com/1424-8220/22/24/9910 Attribution-NonCommercial-NoDerivatives 4.0 Internacional http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess MDPI |
| spellingShingle | cerebral palsy robot-assisted gait training conventional therapy treadmill training gait standing movement abilities functional independence meta-analysis Cortés Pérez, Irene González-González, Noelia Peinado-Rubia, Ana Belén Nieto Escamez, Francisco Antonio Obrero-Gaitán, Esteban García López, Héctor 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 | 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 movement abilities functional independence meta-analysis |
| url | http://hdl.handle.net/10835/14146 |
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