Effect of Robot-Assisted Gait Training on Selective Voluntary Motor Control in Ambulatory Children with Cerebral Palsy
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In a recent meta-analysis, Meena, et al. [8] analyzed data from 27 different studies (4857 patients). They showed that even among the symptomatic COVID-19 cases, severe manifestations are fewer in children. They found that fever and respiratory symptoms are most common, although many children had gastrointestinal manifestations [8]. The study has its share of limitations of small sample size and lack of long term follow up of co-morbidities after discharge. In spite of these shortcomings, this study provides preliminary data on characteristics and outcomes of COVID-19 in children from India.
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Contributors: SB: primary investigator, data collection, making draft; AG: making draft, literature search, interpretation, statistical help; AD: data collection, draft, Literature search; MN: technical inputs, data collection, study conception, review draft; RM: conception of study, reviewing draft, Study design, and literature search. All authors approved the final manuscript. Funding: None; Competing interest: None stated. Published online: July 28, 2020; PII: S097475591600217
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SOURAV BANERJEE,1 ARITRA GUHA,2 AVISHIKTA DAS,2 MOUSAMI NANDI1 AND RAKESH MONDAL1* Departments of Pediatrics, 1Medical College Kolkata, Kolkata; and 2NB Medical College, Darjeeling; West Bengal, India. *[email protected]
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REFERENCES 1. Cai J, Xu J, Lin D, Yang Z, Xu L, Qu Z, et al. A case series of
Effect of Robot-Assisted Gait Training on Selective Voluntary Motor Control in Ambulatory Children with Cerebral Palsy
disturbances occurring in the fetal or infant brain [1]. Since robot-assisted gait training (RAGT) induces changes in the brain plasticity, it appears promising in improving gross motor control of CP children with cerebral palsy [2-4].It could be hypothesized that RAGT can affect impaired selective voluntary motor control (SVMC), which is the inability to activate muscles to achieve a voluntary posture or movement [5]. Therefore, this pilot study investigated the efficacy of RAGT as monotherapy on lower limb SVMC, joint range of motion (ROM), walking ability, and gross motor measures.
This pilot study investigated the efficacy of a four week robotassisted gait training in twelve children with spastic diparesis. Short-term results and a 3-month follow-up showed statistically significantly increased selective motor control, walking farther distances, gross motor score, and decreased joint contractures.
The study received ethics committee approval from participating institutions. All parents and children provided written informed consent for participation. Twelve children [mean (SD) age, 10.9 (3.3) year; 2 girls] were tested at the baseline, after four weeks of intervention, and at 3-month follow-up. Children with spastic diparesis with toe-walking and/or scissoring patterns aged between 5-17 years were recruited. Only children who could attend the 4-week RAGT program regularly were enrolled. Children were excluded if
Keywords: Cerebral palsy, Gait, Joint range of motion, Lokomat, Motor control,
Cerebral pals
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