Wearable Adaptive Resistance Training Improves Ankle Strength, Walking Efficiency and Mobility in Cerebral Palsy: A Pilot Clinical Trial.

Autor:	Conner BC; B. C. Conner is with the University of Arizona College of Medicine - Phoenix, Phoenix, AZ, USA. N. M. Remec is with Phoenix Children's Hospital, Phoenix, AZ, USA. E. K. Orum and E. M. Frank are with the College of Health Solutions, Arizona State University, Tempe, AZ, USA. Z. F. Lerner is with the Mechanical Engineering Department, Northern Arizona University, Flagstaff, AZ, USA and also the Department of Orthopedics, University of Arizona College of Medicine - Phoenix, Phoenix, AZ, USA., Remec NM; B. C. Conner is with the University of Arizona College of Medicine - Phoenix, Phoenix, AZ, USA. N. M. Remec is with Phoenix Children's Hospital, Phoenix, AZ, USA. E. K. Orum and E. M. Frank are with the College of Health Solutions, Arizona State University, Tempe, AZ, USA. Z. F. Lerner is with the Mechanical Engineering Department, Northern Arizona University, Flagstaff, AZ, USA and also the Department of Orthopedics, University of Arizona College of Medicine - Phoenix, Phoenix, AZ, USA., Orum EK; B. C. Conner is with the University of Arizona College of Medicine - Phoenix, Phoenix, AZ, USA. N. M. Remec is with Phoenix Children's Hospital, Phoenix, AZ, USA. E. K. Orum and E. M. Frank are with the College of Health Solutions, Arizona State University, Tempe, AZ, USA. Z. F. Lerner is with the Mechanical Engineering Department, Northern Arizona University, Flagstaff, AZ, USA and also the Department of Orthopedics, University of Arizona College of Medicine - Phoenix, Phoenix, AZ, USA., Frank EM; B. C. Conner is with the University of Arizona College of Medicine - Phoenix, Phoenix, AZ, USA. N. M. Remec is with Phoenix Children's Hospital, Phoenix, AZ, USA. E. K. Orum and E. M. Frank are with the College of Health Solutions, Arizona State University, Tempe, AZ, USA. Z. F. Lerner is with the Mechanical Engineering Department, Northern Arizona University, Flagstaff, AZ, USA and also the Department of Orthopedics, University of Arizona College of Medicine - Phoenix, Phoenix, AZ, USA., Lerner ZF; B. C. Conner is with the University of Arizona College of Medicine - Phoenix, Phoenix, AZ, USA. N. M. Remec is with Phoenix Children's Hospital, Phoenix, AZ, USA. E. K. Orum and E. M. Frank are with the College of Health Solutions, Arizona State University, Tempe, AZ, USA. Z. F. Lerner is with the Mechanical Engineering Department, Northern Arizona University, Flagstaff, AZ, USA and also the Department of Orthopedics, University of Arizona College of Medicine - Phoenix, Phoenix, AZ, USA.
Jazyk:	angličtina
Zdroj:	IEEE open journal of engineering in medicine and biology [IEEE Open J Eng Med Biol] 2020; Vol. 1, pp. 282-289. Date of Electronic Publication: 2020 Nov 02.
DOI:	10.1109/ojemb.2020.3035316
Abstrakt:	Goal: To determine the efficacy of wearable adaptive resistance training for rapidly improving walking ability in children with cerebral palsy (CP). Methods: Six children with spastic CP (five males, one female; mean age 14y 11mo; three hemiplegic, three diplegic; Gross Motor Function Classification System [GMFCS] levels I and II) underwent ten, 20-minute training sessions over four weeks with a wearable adaptive resistance device. Strength, speed, walking efficiency, timed up and go (TUG), and six-minute walk test (6MWT) were used to measure training outcomes. Results: Participants showed increased average plantar flexor strength (17 ± 8%, p = 0.02), increased preferred walking speed on the treadmill (39 ± 25%, p = 0.04), improved metabolic cost of transport (33 ± 9%, p = 0.03), and enhanced performance on the timed up and go (11 ± 9%, p = 0.04) and six-minute walk test (13 ± 9%, p = 0.04). Conclusions: The observed increase in preferred walking speed, reduction in metabolic cost of transport, and improved performance on clinical tests of mobility highlights the potentially transformative nature of this novel therapy; the rate at which this intervention elicited improved function was 3 - 6 times greater than what has been reported previously.
Databáze:	MEDLINE
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