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Clinical effects of assisted robotic gait training in walking distance, speed, and functionality are maintained over the long term in individuals with cerebral palsy: a systematic review and meta-analysis

ORCID Icon, ORCID Icon, ORCID Icon, ORCID Icon & ORCID Icon
Pages 5418-5428 | Received 01 Jul 2020, Accepted 08 Jun 2021, Published online: 07 Jul 2021
 

Abstract

Purpose

To identify the short-term effects of robotic-assisted gait training (RAGT) on walking distance, gait speed and functionality of cerebral palsy (CP) patients, and to verify if the effects of RAGT are maintained in the long term.

Methods

A systematic literature review was performed in PubMed, PEDro, CINAHL, and LILACS databases. Studies were included considering: (1) population (CP individuals); (2) study design (experimental studies); (3) type of intervention (RAGT); (4) outcome (gait parameters and function); and (5) period (short and long term).

Results

This systematic review included seven articles in meta-analysis. Only walking distance, thru six minutes walking test, increased statistically after RAGT. However, RAGT demonstrated large clinical effects differences (minimal clinically important difference – MCID) in gait speed and Gross Motor Function Measure score (dimensions D and E), for CP population. After RAGT intervention, differences in short term (comparison 1) were maintained in long term (comparison 2) for all outcomes. Gait speed results were not significant.

Conclusions

Evidence from the present study demonstrated that RAGT can be an important intervention to improve gait parameters and functionality, in children with CP, that are maintained over long-term.

    Implications for Rehabilitation

  • Robotic-assisted gait training (RAGT) is a beneficial treatment for children with cerebral palsy (CP).

  • RAGT improvements in walking distance are maintained over the long-term in children with CP.

  • RAGT demonstrated large clinical effect differences in gait speed and functionality in CP population.

Disclosure statement

The authors report no conflicts of interest.

Additional information

Funding

This study was financed in part by the Brazilian Health Ministry, through the program PRONAS/PCD [Grant Number SIPAR 25000163653/2014-33].

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