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2013, Number 2

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Rev Mex Med Fis Rehab 2013; 25 (2)

Analysis of spasticity, range of motion and hip and knee control after the use of robotic orthosis in children with cerebral palsy

Torres ABC, Pacheco SCE, Bahena ME

Language: Spanish
References: 16
Page: 54-62
PDF size: 377.79 Kb.


ABSTRACT

Objective: To evaluate changes in spasticity, arc of movement and hip and knee control in children with cerebral palsy in the Gross Motor Function Classification System (GMFCS) level III after the use of robotics. Methods: Lokomat® robotic gait orthosis. Preclinical, experimental, longitudinal, prospective study, without randomization or control group. We measured the strength, motor control and range of motion with the assessment tools included in the Lokomat®, called L-FORCE, L-STIFF and L-ROM, before and after robotic gait training in 21 children (ages 6 to 12) of both sexes. Results: Of the 40 measurements performed on each subject, a statistical significance is obtained in the increase in strength of the right hip in flexo-extension (p ‹ 0.05), with a mean value of 3 and 4.5 in the final test. Conclusion: Of 21 patients with cerebral palsy en GMFCS level III, no changes were observed in the variables «strength», «spasticity» and «arc of movement» after 15 45-minute sessions administered every 2 days for 8 weeks with the Lokomat® robotic gait orthosis.


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