Movement Velocity and Fluidity Improve after Armeo®Spring Rehabilitation in Children Affected by Acquired and Congenital Brain Diseases: An Observational Study
Articolo
Data di Pubblicazione:
2018
Citazione:
Movement Velocity and Fluidity Improve after Armeo®Spring Rehabilitation in Children Affected by Acquired and Congenital Brain Diseases: An Observational Study / E. Biffi, C. Maghini, B. Cairo, E. Beretta, E. Peri, D. Altomonte, D. Mazzoli, M. Giacobbi, P. Prati, A. Merlo, S. Strazzer. - In: BIOMED RESEARCH INTERNATIONAL. - ISSN 2314-6141. - 2018:(2018 Nov), pp. 1537170.1-1537170.9. [10.1155/2018/1537170]
Abstract:
Background. Children with cerebral palsy (CP) and acquired brain injury (ABI) often exhibit upper limb impairment, with
repercussions in their daily activities. Robotic rehabilitation may promote their functional recovery, but evidence of its effectiveness
is often based on qualitative functional scales. The primary aim of the present work was to assess movement precision, velocity, and
smoothness using numerical indices from the endpoint trajectory of Armeo Spring. Secondly, an investigation of the effectiveness
of robotic rehabilitation in CP and ABI children was performed. Methods. Upper limb functional changes were evaluated in children
with CP (N=21) or ABI (N=22) treated with Armeo Spring (20 45-minute sessions over 4 weeks) using clinical scales and numerical
indices computed from the exoskeleton trajectory. Results. Functional scales (i.e., QUEST and Melbourne) were sensitive to changes
produced by the treatment for the whole study group and for the two etiology-based subgroups (improvements above Minimal
Clinically Importance Difference). Significant improvement was also observed in terms of velocity, fluidity, and precision of the
movement through the numerical indices of kinematic performance. Differences in the temporal evolution of the motor outcome
were highlighted between the ABI and CP subgroups, pointing toward adopting different rehabilitative protocols in these two
populations. Conclusions. Robot-assisted upper limb rehabilitation seems to be a promising tool to promote and assess rehabilitation
in children affected by acquired and congenital brain diseases.
Tipologia IRIS:
01 - Articolo su periodico
Keywords:
cerebral palsy; recovery of function; robotics; stroke rehabilitation; upper extremity; acquired brain injury; neurorehabilitation; brain injury; cerebral palsy; movement (physiology); pathophysiology; procedures
Elenco autori:
E. Biffi, C. Maghini, B. Cairo, E. Beretta, E. Peri, D. Altomonte, D. Mazzoli, M. Giacobbi, P. Prati, A. Merlo, S. Strazzer
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