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1. Citation: Lefmann, S., Russo, R., & Hillier, S. (2017). The effectiveness of robotic-assisted gait training for paediatric gait disorders: Systematic review. Journal of Neuroengineering and Rehabilitation, 14(1).
Keywords: Ambulation, children, literature reviews, mobility training, rehabilitation technology, robotics
Abstract: Study reviewed the existing evidence for the effectiveness of robotic-assisted gait training (RAGT) for pediatric gait disorders, including modes of delivery and potential benefit. Six databases were searched from 1980 to October 2016, using relevant search terms. Any clinical trial that evaluated a clinical aspect of RAGT for children/adolescents with altered gait was selected for inclusion. Data were extracted following the PRISMA approach. Seventeen trials were identified, assessed for level of evidence and risk of bias, and appropriate data extracted for reporting. Three randomized controlled trials were identified, with the remainder of lower level design. Most individual trials reported some positive benefits for RAGT with children with cerebral palsy (CP), on activity parameters such as standing ability, walking speed and distance. However a meta-analysis of the two eligible RCTs did not confirm this finding. Training schedules were highly variable in duration and frequency and adverse events were either not reported or were minimal. There was a paucity of evidence for diagnoses other than CP. There is weak and inconsistent evidence regarding the use of RAGT for children with gait disorders. If clinicians (and their clients) choose to use RAGT, they should monitor individual progress closely with appropriate outcome measures including monitoring of adverse events. Further research is required using higher level trial design, increased numbers, in specific populations and with relevant outcome measures to both confirm effectiveness and clarify training schedules.
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Record Updated:2018-11-13

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