gms | German Medical Science

Background: Studies show that aerobic capacity of children and adolescents with cerebral palsy (CP), which are classified as CP GMFCS (Gross Motor Function Classification System) level I and II, is significantly lower compared to healthy subjects. The assisted-robotic gait training was performed. The aim is to improve walking, to reduce spasticity in the lower limbs and to enhance the overall body capacity. Our experience indicates that participants are able to walk at the end of the gait training for a longer time and at a higher speed than at the beginning.

Aim: The aim of this study is to check if assisted-robotic gait training improves aerobic capacity.

Method: The study included children and adolescents with different levels of CP GMFCS (I, II, III). They performed assisted-robotic gait training on the Lokomat device in the period from 01.01.2014 to 31.12.2016. The bicycle stress testing was performed by continuous protocol. The oxygen consumption was measured continuously with a direct measurement method (Oxycon Mobile) and the heart frequency was monitored with ECG. After the end of training the stress testing was repeated.

Results/findings: Descriptive statistics were calculated for all the variables (maximal achieved power, heart rate, systolic blood pressure and oxygen consumption at the end of the load). After the second stress test, the maximum blood pressure decreased, while for all other observed parameters, both absolute and relative improvement were observed. By carrying out the statistical analysis, it was found that none of the observed changes were statistically significant.

Discussion and conclusions: Assisted-robotic gait training on Lokomat device can improve aerobic capacity.