ATLAS2030 Pediatric Gait Exoskeleton: Changes on Range of Motion, Strength and Spasticity in Children With Cerebral Palsy. A Case Series Study

Background: Cerebral Palsy (CP), the most common motor disability in childhood, affects individual's motor skills, movement and posture. This results in limited activity and a low social participation. The ATLAS2030 exoskeleton is a pediatric device that enables gait rehabilitation for children...

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Autores principales: Elena Delgado, Carlos Cumplido, Jaime Ramos, Elena Garcés, Gonzalo Puyuelo, Alberto Plaza, Mar Hernández, Alba Gutiérrez, Thomas Taverner, Marie André Destarac, Mercedes Martínez, Elena García
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Publicado: Frontiers Media S.A. 2021
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spelling oai:doaj.org-article:f06fdbfdd36f486c953a16aed391bd252021-11-30T18:28:03ZATLAS2030 Pediatric Gait Exoskeleton: Changes on Range of Motion, Strength and Spasticity in Children With Cerebral Palsy. A Case Series Study2296-236010.3389/fped.2021.753226https://doaj.org/article/f06fdbfdd36f486c953a16aed391bd252021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fped.2021.753226/fullhttps://doaj.org/toc/2296-2360Background: Cerebral Palsy (CP), the most common motor disability in childhood, affects individual's motor skills, movement and posture. This results in limited activity and a low social participation. The ATLAS2030 exoskeleton is a pediatric device that enables gait rehabilitation for children with neurological or neuromuscular pathologies with gait pathology.Purpose: To study changes in relation to range of motion (ROM), strength and spasticity in children with CP after using the ATLAS2030 gait exoskeleton.Methods and Participants: Three children (mean age 8.0 ± 2.0), two girls and one boy, two of them with GMFCS IV and one with GMFCS III, received robot-assisted gait training (RAGT) with ATLAS2030 for one month.Results: The average time of exoskeleton use was 54.7 ± 10.4 min in all sessions, and all participants were able to perform all exercises. The strength of all muscle groups was increased after the 10 sessions for the participants assessed and the limited ROM in the sagittal plane (hip and knee extension and ankle dorsiflexion) decreased after the use of the exoskeleton compared to the initial state. Spasticity was reduced at the end of the sessions after the use of the exoskeleton compared to their initial state.Conclusion: The ROM, spasticity and strength were improved after RAGT with ATLAS2030 exoskeleton in these children with CP. However, further studies with larger samples should be carried out to confirm our findings.Elena DelgadoCarlos CumplidoJaime RamosElena GarcésElena GarcésGonzalo PuyueloGonzalo PuyueloAlberto PlazaAlberto PlazaMar HernándezAlba GutiérrezThomas TavernerMarie André DestaracMercedes MartínezElena GarcíaFrontiers Media S.A.articleATLAS exoskeletoncerebral palsychildrenrange of motionrehabilitationrobot-assisted gait trainingPediatricsRJ1-570ENFrontiers in Pediatrics, Vol 9 (2021)
institution DOAJ
collection DOAJ
language EN
topic ATLAS exoskeleton
cerebral palsy
children
range of motion
rehabilitation
robot-assisted gait training
Pediatrics
RJ1-570
spellingShingle ATLAS exoskeleton
cerebral palsy
children
range of motion
rehabilitation
robot-assisted gait training
Pediatrics
RJ1-570
Elena Delgado
Carlos Cumplido
Jaime Ramos
Elena Garcés
Elena Garcés
Gonzalo Puyuelo
Gonzalo Puyuelo
Alberto Plaza
Alberto Plaza
Mar Hernández
Alba Gutiérrez
Thomas Taverner
Marie André Destarac
Mercedes Martínez
Elena García
ATLAS2030 Pediatric Gait Exoskeleton: Changes on Range of Motion, Strength and Spasticity in Children With Cerebral Palsy. A Case Series Study
description Background: Cerebral Palsy (CP), the most common motor disability in childhood, affects individual's motor skills, movement and posture. This results in limited activity and a low social participation. The ATLAS2030 exoskeleton is a pediatric device that enables gait rehabilitation for children with neurological or neuromuscular pathologies with gait pathology.Purpose: To study changes in relation to range of motion (ROM), strength and spasticity in children with CP after using the ATLAS2030 gait exoskeleton.Methods and Participants: Three children (mean age 8.0 ± 2.0), two girls and one boy, two of them with GMFCS IV and one with GMFCS III, received robot-assisted gait training (RAGT) with ATLAS2030 for one month.Results: The average time of exoskeleton use was 54.7 ± 10.4 min in all sessions, and all participants were able to perform all exercises. The strength of all muscle groups was increased after the 10 sessions for the participants assessed and the limited ROM in the sagittal plane (hip and knee extension and ankle dorsiflexion) decreased after the use of the exoskeleton compared to the initial state. Spasticity was reduced at the end of the sessions after the use of the exoskeleton compared to their initial state.Conclusion: The ROM, spasticity and strength were improved after RAGT with ATLAS2030 exoskeleton in these children with CP. However, further studies with larger samples should be carried out to confirm our findings.
format article
author Elena Delgado
Carlos Cumplido
Jaime Ramos
Elena Garcés
Elena Garcés
Gonzalo Puyuelo
Gonzalo Puyuelo
Alberto Plaza
Alberto Plaza
Mar Hernández
Alba Gutiérrez
Thomas Taverner
Marie André Destarac
Mercedes Martínez
Elena García
author_facet Elena Delgado
Carlos Cumplido
Jaime Ramos
Elena Garcés
Elena Garcés
Gonzalo Puyuelo
Gonzalo Puyuelo
Alberto Plaza
Alberto Plaza
Mar Hernández
Alba Gutiérrez
Thomas Taverner
Marie André Destarac
Mercedes Martínez
Elena García
author_sort Elena Delgado
title ATLAS2030 Pediatric Gait Exoskeleton: Changes on Range of Motion, Strength and Spasticity in Children With Cerebral Palsy. A Case Series Study
title_short ATLAS2030 Pediatric Gait Exoskeleton: Changes on Range of Motion, Strength and Spasticity in Children With Cerebral Palsy. A Case Series Study
title_full ATLAS2030 Pediatric Gait Exoskeleton: Changes on Range of Motion, Strength and Spasticity in Children With Cerebral Palsy. A Case Series Study
title_fullStr ATLAS2030 Pediatric Gait Exoskeleton: Changes on Range of Motion, Strength and Spasticity in Children With Cerebral Palsy. A Case Series Study
title_full_unstemmed ATLAS2030 Pediatric Gait Exoskeleton: Changes on Range of Motion, Strength and Spasticity in Children With Cerebral Palsy. A Case Series Study
title_sort atlas2030 pediatric gait exoskeleton: changes on range of motion, strength and spasticity in children with cerebral palsy. a case series study
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/f06fdbfdd36f486c953a16aed391bd25
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