《Chinese Journal of Rehabilitation Theory and Practice》 ›› 2021, Vol. 27 ›› Issue (2): 171-176.doi: 10.3969/j.issn.1006-9771.2021.02.008

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Advance in Physiotherapy of Robot-assisted Lower Limb Rehabilitation for Walking Function in Children with Spastic Cerebral Palsy (review)

Ting-ting MA1,2,Hao ZHANG1,3()   

  1. 1.Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China
    2.Department of Peadiatric Physical Therapy, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China
    3.Department of Neurology, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China
  • Received:2020-11-30 Revised:2021-01-12 Published:2021-02-25 Online:2021-02-26
  • Contact: Hao ZHANG E-mail:zh1665@163.com

Abstract:

Walking is the embodiment of the ultimate goal of the central nervous system at the level of biomechanics, which is of great significance to the formation of children's psychological and motor independence. It is necessary to improve walking mobile function to obtain independent mobile ability and the quality of daily life. The standard of routine walking training cannot be unified, and the evaluation index cannot be standardized and quantified. Robot-assisted lower limb rehabilitation is the research hotspot in the field of improving walking mobile function in neurological dysfunction in recent years, which is characterized by high-intensity and repetitive locomotion. This paper briefly introduced the development, classification and rehabilitation mechanism of robot-assisted lower limb rehabilitation, and summarized the application of robot-assisted gait training in the rehabilitation of walking mobile dysfunction of children with spastic cerebral palsy based on the framework of International Classification of Functioning, Disability and Health. Robot-assisted lower limb rehabilitation can significantly improve the range of motion, muscle strength and spatiotemporal parameters of spastic cerebral palsy, and significantly improve the short-term motor and balance function. However, the researches on reducing abnormal muscle tone, reducing energy expenditure and improving participation ability are still controversial, and the standard of long-term efficacy and intervention measures still needs to be further studied. In the future, it is necessary to carry out multi-center research with large samples, so that the robot-assisted lower limb rehabilitation can be used as a supplementary mean of routine physical therapy for children with spastic cerebral palsy.

Key words: robot-assisted rehabilitation, lower limb, spastic cerebral palsy, gait, review

CLC Number: