Short-Term Outcome of Rehabilitation Program with Hybrid Assistive Limb after Tendon Lengthening in Patients with Cerebral Palsy

被引：3

作者：

Kuroda, Mayumi Matsuda ^{[1
]}

Mutsuzaki, Hirotaka ^{[2
,3
]}

Nakagawa, Shogo ^{[4
]}

Yoshikawa, Kenichi ^{[1
,5
]}

Takahashi, Kazushi ^{[5
]}

Mataki, Yuki ^{[6
]}

Takeuchi, Ryoko ^{[3
]}

Iwasaki, Nobuaki ^{[7
]}

Yamazaki, Masashi ^{[8
]}

机构：

[1] Ibaraki Prefectural Univ Hlth Sci, Dept Phys Therapy, 4669-2 Ami, Ibaraki 3000394, Japan

[2] Ibaraki Prefectural Univ Hlth Sci, Ctr Med Sci, 4669-2 Ami, Ibaraki 3000394, Japan

[3] Ibaraki Prefectural Univ Hlth Sci Hosp, Dept Orthoped Surg, 4733 Ami, Ibaraki 3000331, Japan

[4] Tsukuba Pk Family Clin, Dept Orthoped Surg, Tsukuba, Ibaraki 3002654, Japan

[5] Ibaraki Prefectural Univ Hlth Sci Hosp, Dept Phys Therapy, 4733 Ami, Ibaraki, Japan

[6] Univ Tsukuba Hosp, Dept Rehabil Med, 2-1-1 Tsukuba, Ibaraki 3058576, Japan

[7] Ibaraki Prefectural Univ Hlth Sci Hosp, Dept Pediat, 4733 Ami, Ibaraki 3000331, Japan

[8] Univ Tsukuba, Fac Med, Dept Orthoped Surg, 1-1-1 Tsukuba, Ibaraki 3058577, Japan

来源：

PEDIATRIC REPORTS | 2022年 / 14卷 / 04期

关键词：

soft tissue surgery; muscle lengthening; robotics; exoskeleton device; motor activity; physical functional performance; cerebral palsy; ORTHOPEDIC-SURGERY; MULTILEVEL SURGERY; CHILDREN; MANAGEMENT; GAIT;

D O I：

10.3390/pediatric14040059

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

In this study, we aimed to evaluate the short-term outcomes of a rehabilitation program with the Hybrid Assistive Limb((R)) after soft tissue lengthening in young patients with cerebral palsy. We assessed six patients with cerebral palsy who underwent soft tissue surgery followed by gait training using the Hybrid Assistive Limb((R)). Clinical assessments were conducted preoperatively, before, immediately after, and at 1, 2, and 3 months after gait training. Gross Motor Function Measure was improved 5.93 +/- 6.11% (mean +/- standard deviation, p < 0.05), Canadian Occupational Performance Measure performance was improved 3.12 +/- 1.53 points, and satisfaction was improved 3.80 +/- 2.14 points (p < 0.05). The knee extension strength on the operated side was changed 7.75 +/- 4.97 Nm after the intervention (p = 0.07). In ambulatory patients, gait speed was changed 8.37 +/- 1.72 m/min, stride length was changed 10 +/- 6.16 cm, and 6 min walking distance was changed 52 +/- 16 m after the intervention. Training with the Hybrid Assistive Limb((R)) may improve walking ability and clinical outcomes in young patients with cerebral palsy after soft tissue lengthening.

引用

页码：505 / 518

页数：14

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