Effects Of Robot Assisted Gait Training On The Motor Function Of Children With Spastic Cerebral Palsy

Cerebral palsy(CP),is a clinical syndrome that seriously affects children’s motor function.Li Xiaojie and others analyzed the epidemiological characteristics of 323858 children aged 1 to 6 years in 12 provinces and cities in my country and found that the incidence and prevalence of cerebral palsy were 2.48‰ and 2.46‰.In recent years,the level of medical technology has gradually developed with the continuous progress of the social age,and a higher quality of life has become the goal pursued by the people.For children with cerebral palsy,how to choose safer and effective treatment methods has become the focus of rehabilitation doctors.In recent years,rehabilitation robots have gradually become a hot spot in the research and application of modern rehabilitation medicine.It promotes the neural remodeling of the cerebral cortex by driving the patient to perform appropriate,task-oriented repetitive training,allowing the patient to store the correct movement pattern repeatedly under the guidance of the physiological gait.The lower limb rehabilitation robot is a kind of rehabilitation robot,it can control patients to perform functional training under normal physiological gait through a computer control system,and provide a situational interactive mode to further guide patients to carry out effective rehabilitation training,thereby correcting abnormal gait and improving Motor function of paralyzed limbs.Therefore,this study is to observe the improvement of motor function before and after treatment by applying lower limb rehabilitation robot training combined with conventional rehabilitation treatment to children with spastic cerebral palsy,and further to explore the effect of lower limb rehabilitation robot on children with spastic cerebral palsy.ObjectiveBy observing the effect and compliance of the lower limb rehabilitation robot’s unique intelligent training mode combined with the contextual interactive training method on the rehabilitation training of children with spastic cerebral palsy,to explore the effect of the lower extremity rehabilitation robot training on the gross motor function and balance function of children with spastic cerebral palsy.Materials and methodsA total of 120 children with spastic cerebral palsy who were treated at the outpatient and inpatient treatment of the Children’s Rehabilitation Department of the Third Affiliated Hospital of Zhengzhou University from November 2019 to December 2020 were selected as the research objects.According to the gross motor function classification system(Gross motor function classification system,GMFCS),the included research objects were divided into observation group and control group according to the random number method,with 60 cases in each group.The control group was given conventional rehabilitation treatment,and the observation group was given conventional rehabilitation treatment and lower limb rehabilitation robot training.Before treatment,after 8 weeks of treatment and after 12 weeks of treatment,the Gross motor function measure-88(GMFM-88)and Berg balance scale(BBS)were used to compare the gross motor function and balance function of the children in the group.Results1.After 8 weeks and 12 weeks of rehabilitation,the scores of GMFM-D zone,GMFM-E zone and BBS in the two groups of children with GMFCS Ⅰ grade increased compared with the previous ones,and the improvement was more obvious with the extension of training time.The observation group was better than the control group,and the difference was statistically significant.2.After 8 weeks and 12 weeks of rehabilitation treatment,the scores of GMFM-D zone,GMFM-E zone and BBS in the two groups of children with GMFCSⅡ grade increased compared with the previous ones,and the improvement was more obvious with the extension of training time.The observation group was better than the control group,and the difference was statistically significant.3.After 8 weeks and 12 weeks of rehabilitation,the scores of GMFM-D zone,GMFM-E zone and BBS in the two groups of children with GMFCS Ⅲ grade increased compared with the previous ones,and the improvement was more obvious with the extension of training time.The observation group was better than the control group,and the difference was statistically significant.4.According to the children’s performance in the training process and the feedback from their families,the children who received rehabilitation robot training had a stronger sense of experience,sense of integration,and better training compliance.ConclusionsRobot-assisted lower limb rehabilitation combined with conventional rehabilitation training can more effectively improve the gross motor function and balance ability of children than conventional rehabilitation training alone;and with the extension of training time,the improvement of function is better.