From: The effectiveness of robotic-assisted gait training for paediatric gait disorders: systematic review
Group studies | Level of evidence Research design | Participants | Total n | Ages (y) | Intervention | Control intervention |
---|---|---|---|---|---|---|
Druzbicki 2010 [15] | II RCT | CP GMFCS II-IV | 18 | 6ā14 | RAGTā+āPT 20 sessions over 4/52 (45Ā min duration) | Individual PT only |
Druzbicki 2013 [18] | II RCT | CP: SD GMFCS II and III | 52 | 10ā11 | RAGT 20 sessions over 4/52 (45Ā min duration) | Individual PT only |
Smania 2011 [4] | II RCT | CP GMFCS I-IV | 18 | Eā=ā13āĀ±ā2.8 Cā=ā12āĀ±ā3.1 | RAGT 5 sessions (30Ā min RAGT and 10Ā min stretching: 40Ā min duration) over 2/52 | 5 Ć 40 min sessions of exercises over 2/52 |
Nikityuk 2016 [20] | III2 pre/post test with control | CP (average GMFCS level of III | 27 | Eā=ā9.0āĀ±ā3.67 Cā=ā9.1āĀ±ā4.84 | RAGTā+āFES 15 sessions (30Ā min duration) over 3/52 | RAGT (no FES), duration same as for E |
Brutsch 2011 [14] | III3 Interrupted time series (two schedules) | Neurol (10): CP 5, TBI 2, MM 2, SLE 1. | 10 | 12.47 +/ā 2.75 | RAGT 1 of 2 schedules of feedback (30ā40Ā min duration) | Crossover 2nd of 2 schedules of feedback (30ā40Ā min duration) |
Patritti 2010 [5] | III3 Interrupted time series ABA vs ACA | CP: D (GMFCS II x2; III x2) | 4 | 5.5ā8 | RAGTā+āaugmented feedback | RAGT (no FB) |
Schroeder 2014 [19] | III3 Interrupted time series (ABA) | CP (bilateral spastic) GMFCS I-IV | 18 | 11.5 | RAGT (B) 12 sessions (30ā60Ā min duration) over 3/52 | Control (A) period before and after usual physio 3/52 |
Bayon 2016 [17] | IV Pre/post test | CP (bilateral spastic) GMFCS II and III Post-SEMLS (11 & 42Ā months) | 2 | 12 and 14 | RAGT using novel āCPWalkerā 10 sessions (60Ā min duration) over 5/52. | n/a |
Borggraefe 2008 [21] | IV Pre/post test Single case | CP GMFCS III | 1 | 6 | RAGT 12 sessions over 3/52 (mean 34Ā min duration) | n/a |
Borggraefe 2010 [25] | IV Pre/post test | CP GMFCS I-IV | 20 | 11.0āĀ±ā5.1 | RAGT 12 sessions (50Ā min duration) over 3/52 | n/a |
Borggraefe 2010 [12] | IV Pre/post test | CP (58) Neurol (20) Orthop (2) Miscel (9) | 89 | 11.4+/ā4.5 | RAGT 12 sessions over 3/52 (30Ā min duration) | n/a |
IV Pre/post test | CP (13) Spinal paralysis (1) | 14 | 8.2āĀ±ā5.4 | RAGT 12 sessions (50Ā min duration) over 3/52 plus follow-up sessions 2-3p/m over 6/12 | n/a | |
Koenig 2008 [16] | IV Pre/post test Descriptive case study | CP - nil further data | 15 | No data | RAGT (different VR scenarios with haptic feedback) | n/a |
Meyer-Heim 2007 [13] | IV Pre/post test | CP (19) TBI/GB etc. (7) | 26 | 10.1+/ā4 | RAGT 3ā20 sessions (45Ā min duration) | n/a |
Meyer-Heim 2009 [23] | IV Pre/post test | CP (22) GMFCS II-IV | 22 | 8.6 | RAGT 3ā5 sessions (45ā60Ā min duration) | n/a |
Schroeder 2014 [11] | IV Pre/post test | CP GMFCS I-V | 83 | 10.9āĀ±ā6.1 | RAGT 12 sessions (30ā60Ā min duration) over 3/52 | n/a |
van Hedel 2015 [24] | IV Pre/post test retrospective | CP GMFCS II-IV | 67 | 11.3āĀ±ā4 | RAGT At least one session | n/a |