Combined Passive Stretching and Active Movement Rehabilitation of Lower-Limb Impairments in Children With Cerebral Palsy Using a Portable Robot

Research background. Virtual reality and visual feedback improve motor performance, motor function and balance, so we want to fnd if it aﬀects the function of legs and balance of children with spastic hemiplegia. Research aim was to establish if the use of virtual reality and visual feedback with traditional physiotherapy improve the function of legs and balance of children with cerebral palsy. Methods. Nine children with cerebral palsy participated in the research. Participants were randomly divided into two groups – virtual reality group (n = 6) and control (n = 3). Virtual reality group practised exergaming and stretching exercises for 10 weeks, twice a week. Control group practiced conventional physiotherapy and stretching exercises for 6 weeks, twice a week. We measured the range of motion of the lower limb, spasticity of the lower limb using Modifed Ashworth’o Scale, static, dynamic balance, trunk coordination using Trunk Impairment Scale at the start and the end of the research, and balance using Pediatric Balance Scale. Results. Virtual reality and visual feedback reduced the spasticity of the lower limb, improved balance and postural control for children with cerebral palsy, but it did not improve the range of motion of the lower limb of children with cerebral palsy. Conclusions. Virtual reality and visual feedback did not improve the range of motion of the lower limb of children with cerebral palsy. Virtual reality and visual feedback reduced spasticity of the lower limb, improved balance and postural control for children with cerebral palsy.Keywords. Cerebral palsy, virtual reality, visual feedback, postural control, muscle architecture.

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Classifying adverse events following lower limb orthopaedic surgery in children with cerebral palsy: reliability of the modified Clavien-Dindo system

Developmental Medicine & Child Neurology ◽

10.1111/dmcn.89_14017 ◽

2018 ◽

Vol 60 ◽

pp. 58-59

Keyword(s):

Cerebral Palsy ◽

Adverse Events ◽

Lower Limb ◽

Orthopaedic Surgery ◽

Children With Cerebral Palsy

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Robotics for Assisting Children with Physical and Cognitive Disabilities

Assistive Technologies for Physical and Cognitive Disabilities - Advances in Medical Technologies and Clinical Practice ◽

10.4018/978-1-4666-7373-1.ch005 ◽

2015 ◽

pp. 78-120 ◽

Cited By ~ 4

Author(s):

Mark Tee Kit Tsun ◽

Lau Bee Theng ◽

Hudyjaya Siswoyo Jo ◽

Patrick Then Hang Hui

Keyword(s):

Mental Health ◽

Cerebral Palsy ◽

Social Interaction ◽

Assistive Technologies ◽

Human Robot Interaction ◽

Assistive Robotics ◽

Active Movement ◽

Robot Interaction ◽

Passive Stretching ◽

Locomotion Training

This chapter summarizes the findings of a study on robotics research and application for assisting children with disabilities between the years 2009 and 2013. The said disabilities include impairment of motor skills, locomotion, and social interaction that is commonly attributed to children suffering from Autistic Spectrum Disorders (ASD) and Cerebral Palsy (CP). As opposed to assistive technologies for disabilities that largely account for restoration of physical capabilities, disabled children also require dedicated rehabilitation for social interaction and mental health. As such, the breadth of this study covers existing efforts in rehabilitation of both physical and socio-psychological domains, which involve Human-Robot Interaction. Overviewed topics include assisted locomotion training, passive stretching and active movement rehabilitation, upper-extremity motor function, social interactivity, therapist-mediators, active play encouragement, as well as several life-long assistive robotics in current use. This chapter concludes by drawing attention to ethical and adoption issues that may obstruct the field's effectiveness.

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