Rehabilitation of Gait and Balance in Cerebral Palsy: A Scoping Review on the Use of Robotics with Biomechanical Implications

Bonanno, Mirjam; Militi, Angela; Belponer, Francesca La Fauci; Luca, Rosaria De; Leonetti, Danilo; Quartarone, Angelo; Ciancarelli, Irene; Morone, Giovanni; Calabrò, Rocco Salvatore

doi:10.3390/jcm12093278

Cited by 10 publications

(4 citation statements)

References 54 publications

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“…The gait posture of RAGT is designed based on the gait posture of normal individuals. Providing repetitive and accurate gait posture training helps to improve the stability and smoothness of gait posture in children with CP [ 41 ].…”

Section: Discussionmentioning

confidence: 99%

Clinical study on the safety and feasibility of AiWalker-K for lower limbs exercise rehabilitation in children with cerebral palsy

Zhang,

Hui,

et al. 2024

PLoS ONE

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Background Robotic-assisted gait training (RAGT) devices are effective for children with cerebral palsy (CP). Many RAGT devices have been created and put into clinical rehabilitation treatment. Therefore, we aimed to investigate the safety and feasibility of a new RAGT for children with CP. Methods This study is a cross-over design with 23 subjects randomly divided into two groups. The occurrence of adverse events and changes in heart rate and blood pressure were recorded during each AiWalker-K training. Additionally, Gross Motor Function Measure-88 (GMFM-88), Pediatric Balance Scale (PBS), 6 Minutes Walking Test (6MWT), Physiological Cost Index, and Edinburgh Visual Gait Score (EVGS) were used to assess treatment, period, carry-over, and follow-up effects in this study. Results Adverse events included joint pain, skin pain, and injury. Heart rate and blood pressure were higher with the AiWalker-K compared to the rest (P < 0.05), but remained within safe ranges. After combined treatment with AiWalker-K and routine rehabilitation treatment, significant improvements in 6MWT, GMFM-88 D and E, PBS, and EVGS were observed compared to routine rehabilitation treatment alone (P < 0.05). Conclusions Under the guidance of experienced medical personnel, AiWalker-K can be used for rehabilitation in children with CP.

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Section: Discussionmentioning

confidence: 99%

Clinical study on the safety and feasibility of AiWalker-K for lower limbs exercise rehabilitation in children with cerebral palsy

Zhang,

Hui,

et al. 2024

PLoS ONE

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“…End effectors are those devices that produce trajectory through the footplate by guiding the feet and swinging phase of gait. Exoskeletons are wearable devices for people walking on the ground and running on a treadmill [20]. Each pediatric Lokomat training requires a team of doctors, including neurologists, physiotherapists, and neuropsychomotricists.…”

Section: Robotic-assisted Physiotherapy In Treating Patients With Cer...mentioning

confidence: 99%

The Rehabilitation Interventions and Adaptive Technologies Used for Treating Patients With Cerebral Palsy

Guru,

Yadav,

Sontakke

2023

Cureus

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Cerebral palsy (CP) is one of the most common disorders in pediatric patients. The prevalence of CP is 2-3 in 1,000 live births, but various changes in some trends are seen in different groups. This article is a systematic review of multiple sources available for interventions and new adaptive techniques used for treating patients for their better lifestyles. With recent advancements, it is possible to diagnose a child who is below six months to two years. For achieving goals, proper interventions and techniques are necessary in the early stages of the disease. This article summarizes the rehabilitation and interventions available for treating these children with the best procedures.

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“…Virtual reality (VR) is also increasingly recognized as a valuable tool for non-pharmacological pain control in pediatric patients [ 18 ]. Robotics has emerged as a valuable resource for rehabilitation in various pediatric conditions [ 19 ]. Genomics is progressively being integrated into clinical pathways, particularly for rare diseases, as part of the pursuit of precision medicine [ 20 ].…”

Section: Introductionmentioning

confidence: 99%

Prioritizing educational initiatives on emerging technologies for Italian pediatricians: bibliometric review and a survey

Tozzi,

Gesualdo,

Pandolfi

et al. 2023

Ital J Pediatr

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Background Emerging technologies have demonstrated outstanding potential in improving healthcare, yet their full integration remains a challenge for all medical specialties, including pediatrics. To support the swift implementation of technologies, we identified the current trends through a bibliometric review, and we conducted a survey on Italian pediatricians to gauge educational needs and willingness to integrate technologies into clinical practice. Methods A working group of pediatricians representing various backgrounds designed and coordinated the study. To identify relevant topics for educational strategy development, we focused on virtual reality, telehealth, natural language processing, smartphone applications, robotics, genomics, and artificial intelligence. A bibliometric analysis limited to 2018–2023 was performed to identify trends and emerging applications within each topic. Based on the results, a questionnaire was developed and made available online to all Italian pediatricians. The results were analyzed through descriptive analysis and a multivariable logistic regression to explore associations between technology adoption and sociodemographic characteristics. Results A total of 3,253 publications were found, with Telehealth and Telemedicine having the highest number of publications and Natural Language Processing the lowest. The number of respondents to the online questionnaire was 1,540, predominantly medical doctors with over 20 years of experience working as family pediatricians. Telehealth had the highest level of knowledge (95.2%), followed by smartphone applications (89.1%) and genomics (63.2%). The greatest potential for increased use through education programs was projected for natural language processing (+ 43.1%), artificial intelligence (+ 39.6%), and virtual and mixed reality (+ 38.1%). Female respondents and older individuals were less likely to use emerging technologies. Hospital pediatricians and residents were more likely to use AI. Conclusions We developed a replicable strategy to identify emerging themes in medical technologies relevant to pediatrics and assess the educational needs of pediatricians. A significant gap still exists between current and potential usage of emerging technologies among Italian pediatricians although they showed a positive attitude towards implementing these technologies following specific education programs. The study highlights the need for comprehensive education programs on emerging technologies in pediatrics and recommends addressing gender and age disparities in technology adoption.

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Rehabilitation of Gait and Balance in Cerebral Palsy: A Scoping Review on the Use of Robotics with Biomechanical Implications

Cited by 10 publications

References 54 publications

Clinical study on the safety and feasibility of AiWalker-K for lower limbs exercise rehabilitation in children with cerebral palsy

Clinical study on the safety and feasibility of AiWalker-K for lower limbs exercise rehabilitation in children with cerebral palsy

The Rehabilitation Interventions and Adaptive Technologies Used for Treating Patients With Cerebral Palsy

Prioritizing educational initiatives on emerging technologies for Italian pediatricians: bibliometric review and a survey

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