This study investigated changes of gait pattern induced by a 4-week robot-assisted gait training (RAGT) in twelve ambulatory spastic diparesis children with cerebral palsy (CP) aged 10.4+/-3.2 years old by using computerized gait analysis (CGA). Pre-post intervention CGA data of children with CP was contrasted to the normative data of typically developing children by using cross-correlation and statistically evaluated by a Wilcoxon test. Significant pre-post intervention changes (p<0.01) include: decreased muscle activity of biceps femoris, rectus femoris, and tibialis anterior; a decrease in range of internal hip joint rotation, higher cadence, step length, and increased stride time. This study suggests that RAGT can be used in muscle reeducation and improved hip joint motion range in ambulatory children with CP.
- MeSH
- analýza chůze MeSH
- biomechanika MeSH
- časové faktory MeSH
- chůze (způsob) * MeSH
- dítě MeSH
- dolní končetina inervace MeSH
- lidé MeSH
- mladiství MeSH
- mozková obrna diagnóza patofyziologie rehabilitace MeSH
- obnova funkce MeSH
- předškolní dítě MeSH
- robotika přístrojové vybavení MeSH
- rozsah kloubních pohybů MeSH
- svalová síla MeSH
- techniky fyzikální terapie přístrojové vybavení MeSH
- věkové faktory MeSH
- výsledek terapie MeSH
- zatížení muskuloskeletálního systému MeSH
- Check Tag
- dítě MeSH
- lidé MeSH
- mladiství MeSH
- mužské pohlaví MeSH
- předškolní dítě MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- multicentrická studie MeSH
- Geografické názvy
- Česká republika MeSH
- Slovinsko MeSH
We analyzed the effect of 2-week individualized visual feedback-based balance training on the postural control of patients undergoing retrosigmoid microsurgical removal of vestibular schwannoma. We performed prospective evaluation of 17 patients allocated into two groups: feedback group (9 patients, mean age 37 years) and standard physiotherapy group (8 patients, mean age 44 years). Patients in both the groups were treated once per day by intensive rehabilitation from 5th to 14th postoperative day. Rehabilitation of patients in the feedback group was performed using the visual feedback and force platform. Results were evaluated on the beginning and at the end of rehabilitation program (e.g. 5th and 14th postoperative day). Outcome measures included posturography during quiet stance under four different conditions by the modified Clinical Test for Sensory Interaction of Balance. Body sway was evaluated from center of foot pressure. Compensation of Center of pressure (CoP) parameters in stance on firm surface was similar in the control and feedback groups. However, in stance on foam surface with eyes closed the patients from the feedback group were better compensated and CoP parameters differed significantly (p < 0.05). This prospective clinical study suggests that specific exercises with visual feedback improve vestibulospinal compensation in patients after vestibular schwannoma surgery and thus can improve their quality of life.
- MeSH
- cvičení * MeSH
- dospělí MeSH
- endoskopie MeSH
- kvalita života MeSH
- lidé středního věku MeSH
- lidé MeSH
- mikrochirurgie MeSH
- mladý dospělý MeSH
- nervus vestibulocochlearis chirurgie MeSH
- počítačem asistovaná terapie přístrojové vybavení MeSH
- pooperační komplikace rehabilitace MeSH
- pooperační péče MeSH
- posturální rovnováha * MeSH
- prospektivní studie MeSH
- senzorická zpětná vazba * MeSH
- techniky fyzikální terapie přístrojové vybavení MeSH
- vestibulární schwannom chirurgie MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladý dospělý MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
Rehabilitation of patients after the brain injury requires employing of all available mechanisms of neuroplasticity. To achieve it, the voluntary activation of brain systems that are involved in the signal processing, represents the most effective tool. The control of balance is a complex neuronal mechanism based on unconditioned and conditioned reflexes, as well as on the actual cognitive processes. As it requires participation of several brain regions, training of the posture support mechanisms can provide a highly effective tool for rehabilitation. The aim of the study was to develop methods for the long-term follow up and training of the balance skills in patients with different types of brain impairment. To obtain standard data, the stabilometric platform Posturograph STP-03 and special examination programs were also used in the study of the equilibrium skill training by healthy volunteers. For the assessment of the learning efficiency two criteria from the recorded data were used - the velocity of adjustment of the gravity centre and the accuracy of the movements. Stabilometric platform was used also for the balance skill training with the visual biofeedback. Our results show that the proposed program for the equilibrium skill training offers a comparatively simple method of the adequate duration with numerical and graphical output, which allows fast interpretation of the treatment results. The synoptic form of results can also stimulate the patient's motivation during the long-term training for the mobility improvement.
