Effects of Robotic Rehabilitation on Motor Functions in Children with Cerebral Palsy

Objective: The aim of this study was to investigate the effects of robotic rehabilitation (RR) on spasticity and motor functions of children with varying types and functional levels of cerebral palsy (CP). Materials and Methods: A total of 28 children were evaluated aged 6-16 years, with level 2-4 CP according to the Gross Motor Function Classification System (GMFCS) who were planned to undergo 30 sessions of RR. Motor functions were evaluated before and after RR using the Gross Motor Function scale-66 (GMFS-66) B, C, D and E dimensions, gastrosoleus spasticity with the Modified Ashworth scale (MAS) and a target was defined for each patient with a Goal Attainment scale (GAS). Following the RR treatment, the efficacy was evaluated by grouping the patients according to the GMFCS level and the type of CP. Results: 11% of the patients were at level 2, 36% were at level 3, and 54% were at level 4.61% of them were identified as bilateral spastic, 21% unilateral spastic and 14% mixed type. The patients comprised 50% male and 50% female children with a mean age of 10.8±2.7 years. Mean participation in the RR program was 23±9.6 sessions. A statistically significant improvement was determined in the D dimension of the GMFS in the children at level 2 and 3 of GMFCS (p0.05). No differences were determined between the type of CP groups in respect of GMFS, MAS and GAS. Conclusion: It was concluded that the application of RR was of benefit for the children with CP at the level 2 and 3 of GMFCS in respect of the development of standing activities.

Serebral Palsili Çocuklarda Robotik Rehabilitasyonun Motor Fonksiyon Üzerine Etkileri

Amaç: Bu çalışmanın amacı, farklı fonksiyon düzey ve tipteki serebral palsili (SP) çocuklarda robotik rehabilitasyonun (RR), spastisite ve motor fonksiyonlara etkisini araştırmaktır. Gereç ve Yöntemler: Otuz seans RR planlanan, 6-16 yaş arasında, Kaba Motor Fonksiyon Sınıflama Sistemi (KMFSS) 2-4 düzeyinde olan 28 SP’li çocuğun sonuçları değerlendirildi. RR öncesi ve sonrasında fonksiyon Kaba Motor Fonksiyon ölçüm-66 (KMFÖ-66) B, C, D, E boyutları ile, gastrosoleus spastisitesi Modifiye Ashwort skalası (MAS) testi ile değerlendirildi ve her hasta için Hedefe Ulaşma skalası (HUS) ile hedef belirlendi. RR tedavisi sonrası, KMFSS düzeyi ve SP tipine göre gruplama yapılarak etkinlik değerlendirildi. Bulgular: Çocukların %11’i evre 2, %36’sı evre 3, %54’ü evre 4’de, %61’i bilateral spastik, %21’i unilateral spastik, %14’ü miks tipteydi. Hastaların %50’si erkek ve ortalama yaş 10,8±2,7 yıldı. RR programına ortalama katılım 23±9,6 seanstı. RR sonrası KMFSS evre 2 ve 3 çocuklarda KMFÖ, D boyutunda gelişme olduğu saptandı (p0,05). SP tipine göre gruplar arasında KMFÖ, MAS ve HUS yönünden anlamlı fark saptanmadı. Sonuç: RR uygulamasının, KMFSS 2 ve 3 evredeki çocuklarda ayakta durma aktivitelerinin gelişmesinde yararlı olduğu kararına varıldı.

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Meandros Medical And Dental Journal-Cover
  • ISSN: 2149-9063
  • Başlangıç: 2000
  • Yayıncı: Erkan Mor
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