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Related Experiment Video

Updated: Jan 23, 2026

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Robot-Assisted Gait Training and Changes In Motor Function and Brain Activation In Children With Cerebral Palsy:

Alessandro Picelli1,2, Antonella Vangelista3, Carlo Cacciatori1

  • 1Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.

Neurorehabilitation
|January 21, 2026
PubMed
Summary

Robot-assisted gait training (RAGT) improved walking in children with cerebral palsy (CP). This two-week program also increased brain activity in motor regions, especially for those with subcortical lesions.

Keywords:
cerebral palsyfunctional neuroimaginggait analysismotor cortexneuroplasticityrehabilitationroboticspastic hemiplegic

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Area of Science:

  • Neuroscience
  • Rehabilitation Medicine
  • Pediatric Neurology

Background:

  • Spastic hemiplegic cerebral palsy (CP) significantly impacts walking ability in children.
  • Robot-assisted gait training (RAGT) is an emerging therapeutic approach for improving motor function.

Purpose of the Study:

  • To evaluate the impact of a two-week RAGT program on walking performance and brain activation in children with spastic hemiplegic CP.
  • To explore potential neuroplastic changes associated with RAGT.

Main Methods:

  • A single-group, pre-post pilot study involving eight children with CP.
  • Participants underwent 10 RAGT sessions over two weeks.
  • Walking performance was assessed using standardized tests (6MWT, 10MWT, GAITRite) pre-intervention, post-intervention, and at one-month follow-up.
  • Functional MRI (fMRI) was used to measure brain activation in motor and cerebellar regions during a lower-limb task before and after RAGT.

Main Results:

  • Significant improvements in 6-minute walk test distance, 10-meter walk test speed, and GAITRite gait speed and cadence were observed post-intervention and at follow-up.
  • Children with isolated subcortical lesions showed increased fMRI activation in the lesioned motor cortex and ipsilesional cerebellum.
  • No significant brain activation changes were noted in children with additional hydrocephalus.

Conclusions:

  • A two-week RAGT program demonstrated short-term efficacy in enhancing walking performance in children with CP.
  • RAGT appears to induce neuroplastic changes in motor-related brain regions, particularly in children with subcortical lesions.
  • These preliminary findings suggest RAGT's potential for rehabilitation and warrant further investigation in larger, controlled studies.