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Virtual reality for enhancement of robot-assisted gait training in children with central gait disorders


Brütsch, K; Koenig, Alexander; Zimmerli, Lukas; Mérillat, S; Riener, Robert; Jäncke, Lutz; van Hedel, Hubertus J A; Meyer-Heim, Andreas (2011). Virtual reality for enhancement of robot-assisted gait training in children with central gait disorders. Journal of Rehabilitation Medicine, 43(6):493-499.

Abstract

Objective: To examine the effect of various forms of training interventions, with and without virtual reality, on the initia- tion and maintenance of active participation during robot- assisted gait training.
Design: Intervention study at the Rehabilitation Centre Af- foltern a. A., University Children’s Hospital, Zurich. Subjects: Ten patients (5 males, mean age 12.47 years, stand- ard deviation 1.84 years) with different neurological gait disorders and 14 healthy children (7 males, mean age 11.76 years, standard deviation 2.75 years).
Methods: All participants walked in the driven gait ortho- sis Lokomat® in 4 different randomly-assigned conditions. Biofeedback values calculated during swing phases were the primary outcome measure and secondary outcomes were derived from a questionnaire assessing the participant’s mo- tivation.
Results: Findings revealed a significant main effect for train- ing condition in all participants (p<0.001), for patients (p<0.05) and for healthy controls (p<0.01). Overall, both virtual reality-assisted therapy approaches were equally the most effective in initiating the desired active participation in all children, compared with conventional training condi- tions. Motivation was very high and differed between the groups only in the virtual navigation condition.
Conclusion: Novel virtual reality-based training conditions represent a valuable approach to enhance active partici- pation during robot-assisted gait training in patients and healthy controls.

Objective: To examine the effect of various forms of training interventions, with and without virtual reality, on the initia- tion and maintenance of active participation during robot- assisted gait training.
Design: Intervention study at the Rehabilitation Centre Af- foltern a. A., University Children’s Hospital, Zurich. Subjects: Ten patients (5 males, mean age 12.47 years, stand- ard deviation 1.84 years) with different neurological gait disorders and 14 healthy children (7 males, mean age 11.76 years, standard deviation 2.75 years).
Methods: All participants walked in the driven gait ortho- sis Lokomat® in 4 different randomly-assigned conditions. Biofeedback values calculated during swing phases were the primary outcome measure and secondary outcomes were derived from a questionnaire assessing the participant’s mo- tivation.
Results: Findings revealed a significant main effect for train- ing condition in all participants (p<0.001), for patients (p<0.05) and for healthy controls (p<0.01). Overall, both virtual reality-assisted therapy approaches were equally the most effective in initiating the desired active participation in all children, compared with conventional training condi- tions. Motivation was very high and differed between the groups only in the virtual navigation condition.
Conclusion: Novel virtual reality-based training conditions represent a valuable approach to enhance active partici- pation during robot-assisted gait training in patients and healthy controls.

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20 citations in Web of Science®
29 citations in Scopus®
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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Children's Hospital Zurich > Medical Clinic
04 Faculty of Medicine > Balgrist University Hospital, Swiss Spinal Cord Injury Center
06 Faculty of Arts > Institute of Psychology
Dewey Decimal Classification:150 Psychology
610 Medicine & health
Uncontrolled Keywords:virtual reality; rehabilitation; robot-assisted gait training; motivation; children, neurological gait disorders
Language:English
Date:2011
Deposited On:28 Nov 2011 14:18
Last Modified:05 Apr 2016 15:07
Publisher:Stiftelsen Rehabiliteringsinformation
ISSN:1650-1977
Publisher DOI:https://doi.org/10.2340/16501977-0802
PubMed ID:21491072
Permanent URL: https://doi.org/10.5167/uzh-51393

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