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Robotic versus treadmill training: Postural stability in ambulatory CP: RCT study
Muzaynah Aljosh1, Maha F Algabbani2, Jaber Mohammed Fagehi3
1Rehabilitation Department, King Abdullah Specialized Children Hospital, Ministry of National Guard Health Affair, Riyadh, Saudi Arabia.
Insights
Robotic-assisted gait training (RAGT) significantly improves postural stability in ambulatory children with cerebral palsy (CP) more than body weight supported treadmill training. This therapy enhances key measures of balance and movement control.
Area of Science:
- Pediatric rehabilitation
- Neurology
- Biomechanical engineering
Background:
- Postural stability is crucial for gross motor function and is often impaired in children with cerebral palsy (CP).
- Current interventions aim to improve motor function in children with CP, but comparative effectiveness on postural control requires further investigation.
Purpose of the Study:
- To compare the efficacy of robotic-assisted gait training (RAGT) versus body weight supported treadmill training (BWSTT) on postural stability in ambulatory children with CP.
Main Methods:
- A randomized clinical trial included 40 ambulatory children with CP (aged 5-14 years).
- Participants were assigned to either RAGT or BWSTT for 24 sessions over 8 weeks.
- Postural stability was assessed using computer dynamic posturography (NeuroCom EquiTest®) pre- and post-intervention.
Main Results:
- A significant interaction between group and time indicated differential effects of the interventions on postural stability.
- RAGT demonstrated superior improvements compared to BWSTT in weight symmetry, limit of stability, and directional control.
- Specific improvements with RAGT included weight symmetry at 60° knee flexion and velocity/directional control composites (p < 0.05).
Conclusions:
- Intensive robotic-assisted gait training can effectively enhance postural stability in ambulatory children with cerebral palsy.
- RAGT offers a promising therapeutic approach for improving balance and motor control in this population.
Background:
Postural stability is a prerequisite for the performance of daily gross motor functions. It is usually impaired in children with cerebral palsy. The aim of this study was to compare the effect of robotic-assisted gait training and body weight supported treadmill training on postural stability in ambulatory children with cerebral palsy.
Methods:
A randomized clinical trial involved 40 ambulatory children with cerebral palsy (5-14 years old). They were randomly allocated to one of two locomotor treadmill-training groups: (1) robotic-assisted gait training (RAGT) and (2) body weight supported treadmill training (BWSTT). All participants completed 24 training sessions within 8 weeks. Postural stability was measured by a computer dynamic posturography (NeuroCom EquiTest®) before and after the intervention.
Results:
A two-way repeated measures ANOVA revealed that there was a statistically significant interaction between group and time [F(15, 24) = 3.02, p = 0.008]. The study found that RAGT is more effective than BWSTT on some variables of static and dynamic postural stability. RAGT showed more improvement in weight symmetry at 60° knee flexion, limit of stability, velocity composite (front/back), and directional control composite for both left/right and front/back (p < 0.05).
Clinicaltrials:
gov (identifier: NCT06719271).
Conclusion:
Ambulatory children with CP can improve their postural stability after intensive RAGT.
