[논문]Evaluation of the effectiveness of robotic gait training and gait-focused physical therapy programs for children and youth with cerebral palsy: a mixed methods RCT

Wiart, Lesley; Rosychuk, Rhonda J.; Wright, F. Virginia

doi:10.1186/s12883-016-0582-7

Evaluation of the effectiveness of robotic gait training and gait-focused physical therapy programs for children and youth with cerebral palsy: a mixed methods RCT 원문보기

BMC neurology, v.16, 2016년, pp.86 -

Wiart, Lesley (Department of Physical Therapy, Faculty of Rehabilitation Medicine, University of Alberta, 2-60 Corbett Hall, Edmonton, Alberta T5G 2G4 Canada) , Rosychuk, Rhonda J. (Department of Pediatrics, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Alberta Canada) , Wright, F. Virginia (Bloorview Children’s Hospital Foundation, Bloorview Research Institute, Rm4W-270, 150 Kilgour Rd, Toronto, Ontario M4G 1R8 Canada)

Abstract ▼ AI-Helper

BackgroundRobot assisted gait training (RAGT) is considered to be a promising approach for improving gait-related gross motor function of children and youth with cerebral palsy. However, RAGT has yet to be empirically demonstrated to be effective. This knowledge gap is particularly salient given the strong interest in this intensive therapy, the high cost of the technology, and the requirement for specialized rehabilitation centre resources.MethodsThis is a research protocol describing a prospective, multi-centre, concurrent mixed methods study comprised of a randomized controlled trial (RCT) and an interpretive descriptive qualitative design. It is a mixed methods study designed to determine the relative effectiveness of three physical therapy treatment conditions (i.e., RAGT, a functional physical therapy program conducted over-ground (fPT), and RAGT + fPT) on gait related motor skills of ambulatory children with cerebral palsy. Children with cerebral palsy aged 5–18 years who are ambulatory (Gross Motor Function Classification System Levels II and III) will be randomly allocated to one of four treatment conditions: 1) RAGT, 2) fPT, 3) RAGT and fPT combined, or 4) a maintenance therapy only control group. The qualitative component will explicate child and parent experiences with the interventions, provide insight into the values that underlie their therapy goals, and assist with interpretation of the results of the RCT.Discussionn/a.Trial RegistrationNCT02391324 Registered March 12, 2015.

주제어

참고문헌 (75)

1. Oskoui M Coutinho F Dykeman J Jette N Pringsheim T An update on the prevalence of cerebral palsy: a systematic review and meta-analysis Dev Med Child Neurol 2013 55 6 509 519 10.1111/dmcn.12080 23346889

상세보기
2. Himmelmann K Uvebrant P Function and neuroimaging in cerebral palsy: a population-based study Dev Med Child Neurol 2011 53 6 516 521 10.1111/j.1469-8749.2011.03932.x 21574988

상세보기
3. Bottos M Feliciangeli A Sciuto L Gericke C Vianello A Functional status of adults with cerebral palsy and implications for treatment of children Dev Med Child Neurol 2001 43 8 516 528 10.1017/S0012162201000950 11508917

상세보기
4. Willerslev-Olsen M Lorentzen J Nielsen JB Gait training reduces ankle joint stiffness and facilitates heel strike in children with Cerebral Palsy NeuroRehabilitation 2014 35 4 643 655 25318785

상세보기
5. Boyce AM Tosi LL Paul SM Bisphosphonate treatment for children with disabling conditions PM R 2014 6 5 427 436 10.1016/j.pmrj.2013.10.009 24368091

상세보기
6. Maltais DB Pierrynowski MR Galea VA Bar-Or O Physical activity level is associated with the O2 cost of walking in cerebral palsy Med Sci Sports Exerc 2005 37 3 347 353 10.1249/01.MSS.0000155437.45937.82 15741829

상세보기
7. Rodby-Bousquet E Hägglund G Use of manual and powered wheelchair in children with cerebral palsy: a cross-sectional study BMC Pediatr 2010 10 16 59 10.1186/1471-2431-10-59 20712899

상세보기
8. Gibson BE Teachman G Critical approaches in physical therapy research: investigating the symbolic value of walking Physiother Theory Pract 2012 28 6 474 484 10.3109/09593985.2012.676936 22507195

상세보기
9. Dobkin BH Duncan PW Should body weight-supported treadmill training and robotic-assistive steppers for locomotor training trot back to the starting gate? Neurorehabil Neural Repair 2012 26 4 308 317 10.1177/1545968312439687 22412172

상세보기
10. Dayan E Cohen L Neuroplasticity subserving motor skill learning Neuron 2011 72 3 443 454 10.1016/j.neuron.2011.10.008 22078504

상세보기
11. Thorpe DE Valvano J The effects of knowledge of performance and cognitive strategies on motor skill learning in children with cerebral palsy Pediatr Phys Ther 2002 14 1 2 15 10.1097/00001577-200214010-00002 17053676

상세보기
12. Zwicker JG Mayson TA Effectiveness of treadmill training in children with motor impairments: An overview of systematic reviews Pediatr Phys Ther 2010 22 4 361 377 10.1097/PEP.0b013e3181f92e54 21068636

상세보기
13. Henry ABA Wii-habilitation and robotic exoskeletons: technology in physiotherapy R Coll Surg Irel Stud Med J 2010 3 70 74
14. Tefertiller C Pharo B Evans N Winchester P Efficacy of rehabilitation robotics for walking training in neurological disorders: a review J Rehabil Res Dev 2011 48 387 416 10.1682/JRRD.2010.04.0055 21674390

상세보기
15. Mayr A Kofler M Quirbach E Matzak H Fröhlich K Saltuari L Prospective, blinded, randomized crossover study of gait rehabilitation in stroke patients using the Lokomat gait orthosis Neurorehabil Neural Repair 2007 21 4 307 314 10.1177/1545968307300697 17476001

상세보기
16. Meyer-Heim A Borggraefe I Ammann-Reiffer C Berweck S Sennhauser F Colombo G Knecht B Heinen F Feasibility of robotic-assisted locomotor training in children with central gait impairment Dev Med Child Neurol 2007 49 12 900 906 10.1111/j.1469-8749.2007.00900.x 18039236

상세보기
17. Brütsch K Schuler T Koenig A Zimmerli L Koeneke SM Lünenburger L Riener R Jäncke L Meyer-Heim A Influence of virtual reality soccer game on walking performance in robotic assisted gait training for children J Neuroeng Rehabil 2010 7 22 15 10.1186/1743-0003-7-15 20412572

상세보기
18. Borggraefe I Kiwull L Schaefer J Koerte I Blaschek A Meyer-Heim A Heinen F Sustainability of motor performance after robotic-assisted treadmill therapy in children: an open, non-randomized baseline-treatment study Eur J Phys Rehabil Med 2010 46 2 125 131 20485217

상세보기
19. Johnston TE Watson KE Ross SA Gates PE Gaughan JP Lauer RT Tucker CA Engsberg JR Effects of a supported speed treadmill training exercise program on impairment and function for children with cerebral palsy Dev Med Child Neurol 2011 53 8 742 750 10.1111/j.1469-8749.2011.03990.x 21679357

상세보기
20. Borggraefe I Schaefer J Klaiber M Dabrowski E Ammann-Reiffer C Knecht B Berweck S Heinen F Meyer-Heim A Robotic-assisted treadmill therapy improves walking and standing performance in children and adolescents with cerebral palsy Eur J Paediatr Neurol 2010 14 6 496 502 10.1016/j.ejpn.2010.01.002 20138788

상세보기
21. Russel DJ Rosenbaum PL Avery L Lane M Gross motor function measure (GMFM-66 and GMFM--88) user’s manual: clinics in developmental medicine 2002 London Mac Keith Press
22. Meyer-Heim A Ammann-Reiffer C Schmartz A Improvement of walking abilities after robotic-assisted locomotion training in children with cerebral palsy Arch Dis Child 2009 94 8 615 620 10.1136/adc.2008.145458 19208675

상세보기
23. Druzbicki M Rusek W Snela S Dudek J Szczepanik M Zak E Durmala J Czernuszenko A Bonikowski M Sobota G Functional effects of robotic-assisted locomotor treadmill thearapy in children with cerebral palsy J Rehabil Med 2013 45 4 358 363 10.2340/16501977-1114 23450428

상세보기
24. Wiart L Exploring mobility options for children with physical disabilities: a focus on powered mobility Phys Occup Ther Pediatr 2011 31 3 16 18 10.3109/01942638.2011.532452 21077754

상세보기
25. Tashakkori A Teddlie C Sage handbook of mixed methods research: integrating quantitative and qualitative approaches in the social and behavioural sciences 2010 Thousand Oaks Sage
26. Thorne S Interpretive description 2008 1 Walnut Creek Left Coast Press
27. Christiansen AS Lange C Intermittent versus continuous physiotherapy in children with cerebral palsy Dev Med Child Neurol 2008 50 4 290 293 10.1111/j.1469-8749.2008.02036.x 18279411

상세보기
28. Oeffinger D Bagley A Rogers S Gorton G Kryscio R Abel M Damiano D Barnes D Tylkowski C Outcome tools used for ambulatory children with cerebral palsy: responsiveness and minimum clinically important differences Dev Med Child Neurol 2008 50 12 918 925 10.1111/j.1469-8749.2008.03150.x 19046185

상세보기
29. Hintz J NCSS and PASS. Number cruncher statistical systems 2001
30. Harris PA Taylor R Thielke R Payne J Gonzalez N Conde JG Research electronic data capture (REDCap)-A metadata-driven methodology and workflow process for providing translational research informatics support J Biomed Inform 2009 42 2 377 381 10.1016/j.jbi.2008.08.010 18929686

상세보기
31. Arpino C Vescio M De Luca A Curattolo P Efficacy of intensive physiotherapy in children with cerebral palsy: a meta-analysis Int J Rehabil Res 2010 33 2 165 171 10.1097/MRR.0b013e328332f617 19910797

상세보기
32. Levac D Rivard L Missiuna C Defining the active ingredients of interactive computer play interventions for children with neuromotor impairments: a scoping review Res Dev Disabil 2012 33 1 214 223 10.1016/j.ridd.2011.09.007 22093667

상세보기
33. Kamath T Pfeifer M Banerjee P Hunter T Ito J Salbach N Wright V Levac D Reliability of the Motor Learning Strategy Rating Instrument (MLSRI) for children and youth with Acquired Brain Injury (ABI) Phys Occup Ther Pediatr 2012 32 3 288 305 10.3109/01942638.2012.672551 22574628

상세보기
34. Van Den Broeck C De Cat J Molenaers G Franki I Himpens E Severijns D Desloovere K The effect of individually defined physiotherapy in children with cerebral palsy (CP) Eur J Paediatr Neurol 2010 14 6 519 525 10.1016/j.ejpn.2010.03.004 20434378

상세보기
35. Pin T Dyke P Chan M The effectiveness of passive stretching in children with cerebral palsy Dev Med Child Neurol 2006 48 10 855 862 10.1017/S0012162206001836 16978468

상세보기
36. Scianni A Butler JM Ada L Teixeira-Salmela LF Muscle strengthening is not effective in children and adolescents with cerebral palsy: a systematic review Aust J Physiother 2009 55 2 81 87 10.1016/S0004-9514(09)70037-6 19463078

상세보기
37. Wiart L Darrah J Kembhavi G Stretching with children with cerebral palsy: what do we know and where are we going? Pediatr Phys Ther 2008 20 2 173 178 10.1097/PEP.0b013e3181728a8c 18480717

상세보기
38. Wilson A Kavanaugh A Moher R McInroy M Gupta N Salbach NE Wright V Development and pilot testing of the Challenge Module: a proposed adjunct to the gross motor function measure for high functioning children with cerebral palsy Phys Occup Ther Pediatr 2011 31 2 135 149 10.3109/01942638.2010.489543 20822396

상세보기
39. Maher CA Williams MT Olds TS The six-minute walk test for children with cerebral palsy Int J Rehabil Res 2008 31 2 185 188 10.1097/MRR.0b013e32830150f9 18467936

상세보기
40. McDowell BC Kerr C Parkes J Cosgrove A Validity of a 1 min walk test for children with cerebral palsy Dev Med Child Neurol 2005 47 11 744 748 10.1017/S0012162205001568 16225737
41. Wright V Redekop S Koo I Pidsadny M Fehlings D Reliability of a new observational gait scale for evaluation of outcomes related to botulinum toxin type-A injections in children with cerebral palsy [abstract] Dev Med Child Neurol 2008 50 32 10.1111/j.1469-8749.2008.02037.x

상세보기
42. Law M Baptiste S Carswell A McColl M Polatajko H Pollock N Canadian Occupational Therapy Performance Measure (COPM): 5th Edition ed 2014 Ottawa CAOT Publications ACE
43. King G McDougall J Palisano R Gritzan J Tucker M Goal attainment scaling: its use in evaluating pediatric therapy programs Phys Occup Ther Pediatr 1999 15 2 31 52
44. Franjoine M Gunther J Taylor M Pediatric balance scale: a modified version of the Berg balance scale for the school-age child with mild to moderate motor impairment Pediatr Phys Ther 2003 15 2 114 128 10.1097/01.PEP.0000068117.48023.18 17057441

상세보기
45. Powell L Myers A The Activities-specific Balance Confidence Scale (ABC) J Gerontol A Biol Sci Med Sci 1995 50 1 M28 34 10.1093/gerona/50A.1.M28 7814786

상세보기
46. Wright FV, Rosenbaum P, Fehlings D, Mesterman R, Breuer U, Kim M. The Quality Function Measure: Reliability and discriminant validity of a new measure of quality of gross motor movement in ambulatory children with cerebral palsy. Dev Med Child Neurol. 2014;56(8):770–8.
47. Haley SM Coster WJ Dumas HM Fragala-Pinkham MA Kramer J Ni P Tian F Kao YC Moed R Ludlow LH Accuracy and precision of the Pediatric Evaluation of Disability Inventory computer-adaptive tests (PEDI-CAT) Dev Med Child Neurol 2011 53 12 1100 1106 10.1111/j.1469-8749.2011.04107.x 22077695

상세보기
48. Foley L Prapavessis H Maddison R Burke S McGowan E Gillanders L Predicting physical activity intention and behavior in school-aged children Pediatr Exerc Sci 2008 20 3 342 356 18714123
49. Coster W Law M Bedell G Khetani M Cousins M Teplicky R Development of the Participation and Environment Measure for Children and Youth (PEM-CY): conceptual basis Disabil Rehabil 2012 34 3 238 246 10.3109/09638288.2011.603017 21981404

상세보기
50. Ravens-Sieberer U Auquier P Erhart M Gosch A Rajmil L Bruil J Power M Duer W Cloetta B Czemy L Mazur J Czimbalmos A Tountas Y Hagguist C Kilroe J European KG The KIDSCREEN-27 quality of life measure for children and adolescents: psychometric results from a cross-cultural survey in 13 European countries Qual Life Res 2007 16 8 1347 1356 10.1007/s11136-007-9240-2 17668292

상세보기
51. Greenspoon PJ Saklofske DH Validity and reliability of the multidimensional students’ life satisfaction scale with Canadian children J Psychoeduc Assess 1997 15 2 138 155 10.1177/073428299701500204

상세보기
52. R CT R: A language and environment for statistical computing. R Foundation for Statistical Computing 2013
53. Hesse-Biber S Weaving a multimethodology and mixed methods praxis into randomized control trials to enhance credibility Qual Inq 2012 18 10 876 889 10.1177/1077800412456964

상세보기
54. Wiart L How can qualitative research contribute to the expanding knowledge base in pediatric physical therapy? Phys Ther Rev 2012 17 6 425 429

상세보기
55. Glogowska M Campbell R Peters TJ Roulstone S Enderby P A multimethod approach to the evaluation of community preschool speech and language therapy provision Child Care Health Dev 2002 28 6 513 521 10.1046/j.1365-2214.2002.00297.x 12568481

상세보기
56. Hall JN Pragmatism, evidence, and mixed methods evaluation N Dir Eval 2013 2013 138 15 26 10.1002/ev.20054

상세보기
57. Frost N Nolas SM The contribution of pluralistic qualitative approaches to mixed methods evaluations N Dir Eval 2013 2013 138 75 84 10.1002/ev.20059

상세보기
58. Christ TW Scientific-based research and randomized controlled trials, the “gold” standard? Alternative paradigms and mixed methodologies Qual Inq 2014 20 1 72 10.1177/1077800413508523

상세보기
59. Thorne S Kirkham SR MacDonald-Emes J Interpretive description: a noncategorical qualitative alternative for developing nursing knowledge Res Nurs Health 1997 20 2 169 177 10.1002/(SICI)1098-240X(199704)20:2 3.0.CO;2-I 9100747

상세보기
60. Wiart L Siegert R Levack W Goal setting in pediatric rehabilitation Rehabilitation goal setting: theory, practice and evidence 2015 Florida CRC Press 291 304
61. Gibson BE Teachman G Wright V Fehlings D McKeever P Children’s and parent’s beliefs regarding the value of walking: rehabilitation implications for children with cerebral palsy Child Care Health Dev 2012 38 1 61 69 10.1111/j.1365-2214.2011.01271.x 21696426

상세보기
62. Irwin LG Johnson J Interviewing young children: explicating our practices and dilemmas Qual Health Res 2005 15 6 821 831 10.1177/1049732304273862 15961878

상세보기
63. Wiart L Darrah J Hollis V Cook A May L Mothers’ perceptions of their children’s use of powered mobility Phys Occup Ther Pediatr 2004 24 4 3 21 10.1300/J006v24n04_02 15669667

상세보기
64. Wiart L Ray L Darrah J Magill-Evans J Parents’ perspectives on occupational therapy and physical therapy goals for children with cerebral palsy Disabil Rehabil 2010 32 3 248 258 10.3109/09638280903095890 20001831

상세보기
65. Shikako-Thomas K, Lach L, Majnemer A, Nimigon J, Cameron K, Shevell M. Quality of life from the perspective of adolescents with cerebral palsy: “I just think I’m a normal kid, I just happen to have a disability”. Qual Life Res. 2009:18(7)1–8.
66. Docherty S Sandelowski M Focus on qualitative methods: interviewing children Res Nurs Health 1999 22 2 177 185 10.1002/(SICI)1098-240X(199904)22:2 3.0.CO;2-H 10094302

상세보기
67. Danby S Ewing L Thorpe KJ The novice researcher: interviewing young children Qual Enq 2011 17 1 74 84 10.1177/1077800410389754

상세보기
68. Knafl KA Webster DC Managing and analyzing qualitative data. A description of tasks, techniques, and materials West J Nurs Res 1988 10 2 195 218 10.1177/019394598801000207 3394320

상세보기
69. Corbin J Chenitz WC Swanson JM Qualitative data analysis for grounded theory From practice to grounded theory 1986 Don Mills Addison-Wesley Publishing Company 91 101
70. Anonymous NVivo N4 classic software 2000 Victoria GRS International
71. Flick U An introduction to qualitative research 2002 London Sage
72. Glaser BG Strauss AL The discovery of grounded theory 1967 Chicago Aldine
73. Creswell J Qualitative inquiry and research design: choosing among five approaches 2007 Thousand Oaks Sage Publications
74. Fonseca ST Holt KG Fetters L Saltzman E Dynamic resources used in ambulation by children with spastic hemiplegic cerebral palsy: Relationship to kinematics, energetics, and asymmetries Phys Ther 2004 84 4 344 354 15049728

상세보기
75. Leiter V “Nobody’s just normal, you know”: the social creation of developmental disability Soc Sci Med 2007 65 8 1630 1641 10.1016/j.socscimed.2007.06.006 17655995

상세보기

표제어: PCR

동의어: Packet Collision Rate

용어 설명 출처 목록 (6)

용어 설명: PCR은 세균 특이성이 있는 primer를 이용하여 적은 수의 세균이 있을지라도 쉽게 검출할 수 있는 유용한 방법이며, 이를 이용하여 구강 내 치면세균막이나 타액에서 직접 세균을 검출할 수 있게 되었다[8].

내보내기 구분	파일저장 인쇄 메일전송
구성항목	기본정보 상세정보 관리번호, 논문명, 저널/프로시딩명, 저자 , 발행년, 권, 호, 시작페이지, 끝페이지, 발행기관 관리번호, 논문명, 대등논문명, 저자 , 저널/프로시딩명, 발행기관, 발행년, 발행언어, 권, 호, 시작페이지, 끝페이지, ISBN, ISSN, 주제분야, 키워드, 초록(한글), 초록(영문), 저자(소속기관)
저장형식	Text(ASCII format) Excel format RefWorks Direct Export RIS format (for Reference Manager, ProCite, EndNote), Scholar's Aids, Mendeley
메일정보	받는사람 (필수) @ 보내는사람 (선택) @ 제목 내용 KISTI 검색결과 이메일 서비스
안내	총 건의 자료가 검색되었습니다. 다운받으실 자료의 인덱스를 입력하세요. (1-10,000) 검색결과의 순서대로 최대 10,000건 까지 다운로드가 가능합니다. 데이타가 많을 경우 속도가 느려질 수 있습니다.(최대 2~3분 소요) 다운로드 파일은 UTF-8 형태로 저장됩니다. 파일의 내용이 제대로 보이지 않을실 때는 웹브라우저 상단의 보기 -> 인코딩 -> 자동선택 여부를 확인하십시오. ~ Text(ASCII format) Excel format

연합인증

Evaluation of the effectiveness of robotic gait training and gait-focused physical therapy programs for children and youth with cerebral palsy: a mixed methods RCT 원문보기

Abstract ▼ AI-Helper

주제어

참고문헌 (75)

이 논문을 인용한 문헌

관련 콘텐츠

원문 보기

원문 URL 링크

오픈액세스(OA) 유형

이 논문과 함께 이용한 콘텐츠

AI-Helper ※ AI-Helper는 오픈소스 모델을 사용합니다.

선택된 텍스트