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Practical Recommendations for Robot-Assisted Treadmill Therapy (Lokomat) in Children with Cerebral Palsy: Indications, Goal Setting, and Clinical Implementation within the WHO-ICF Framework.
Journal article

Practical Recommendations for Robot-Assisted Treadmill Therapy (Lokomat) in Children with Cerebral Palsy: Indications, Goal Setting, and Clinical Implementation within the WHO-ICF Framework.

  • Aurich-Schuler T Department of Pediatric Neurology, Developmental Medicine and Social Pediatrics, Hauner Children's Hospital, Ludwig-Maximilians University of Munich, Munich, Germany.
  • Warken B Rehabilitation Center of the University Children's Hospital Zurich, Affoltern am Albis, Switzerland.
  • Graser JV Children's Center Mosbach, Mosbach, Germany.
  • Ulrich T Department of Pediatric Neurology, Developmental Medicine and Social Pediatrics, Hauner Children's Hospital, Ludwig-Maximilians University of Munich, Munich, Germany.
  • Borggraefe I Department of Pediatric Neurology, Developmental Medicine and Social Pediatrics, Hauner Children's Hospital, Ludwig-Maximilians University of Munich, Munich, Germany.
  • Heinen F Rehabilitation Center of the University Children's Hospital Zurich, Affoltern am Albis, Switzerland.
  • Meyer-Heim A Rehabilitation Center of the University Children's Hospital Zurich, Affoltern am Albis, Switzerland.
  • van Hedel HJ Department of Pediatric Neurology, Developmental Medicine and Social Pediatrics, Hauner Children's Hospital, Ludwig-Maximilians University of Munich, Munich, Germany.
  • Schroeder AS
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  • 2015-05-27
Published in:
  • Neuropediatrics. - 2015
Cerebral Palsy
Child
Child, Preschool
Exercise Therapy
Goals
Humans
Robotics
Software
Treatment Outcome
User-Computer Interface
Walking
English Active participation and the highest level of independence during daily living are primary goals in neurorehabilitation. Therefore, standing and walking are key factors in many rehabilitation programs. Despite inconclusive evidence considering the best application and efficacy of robotic tools in the field of pediatric neurorehabilitation, robotic technologies have been implemented to complement conventional therapies in recent years. A group of experienced therapists and physicians joined in an "expert panel." They compared their clinical application protocols, discussed recurring open questions, and developed experience-based recommendations for robot-assisted treadmill therapy (exemplified by the Lokomat, Hocoma, Volketswil, Switzerland) with a focus on children with cerebral palsy. Specific indications and therapeutic goals were defined considering the severity of motor impairments and the International Classification of Functioning, Disability and Health framework (ICF). After five meetings, consensus was found and recommendations for the implementation of robot-assisted treadmill therapy including postsurgery rehabilitation were proposed. This article aims to provide a comprehensive overview on therapeutical applications in a fast developing field of medicine, where scientific evidence is still scarce. These recommendations can help physicians and therapists to plan the child's individual therapy protocol of robot-assisted treadmill therapy.
Language
  • English
Open access status
closed
Identifiers
Persistent URL
https://fredi.hepvs.ch/global/documents/120930
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