RESUMO
INTRODUCCIÓN: En los últimos años el entrenamiento de la marcha, utilizando sistemas de asistencia robótica, ha aumentado crecientemente en la población pediátrica con parálisis cerebral. OBJETIVO: Evaluar sistemáticamente los efectos de la asistencia robótica para el entrenamiento de la marcha, en comparación con la terapia física de rehabilitación en niños con parálisis cerebral (PC), basándose en la Clasificación internacional del funcionamiento (CIF), salud y la discapacidad. MATERIAL Y MÉTODOS: Se realizó una revisión sistemática de acuerdo a las recomendaciones de la Colaboración Cochrane. Se incluyeron ensayos clínicos aleatorizados o cuasi aleatorizados, que incluyeran niños con PC clasificados según el Sistema de clasificación de la función motora gruesa (GMFCS) I-III. La búsqueda se llevó a cabo en las bases de datos PubMed, PEDro, CENTRAL, CINALH, Cochrane, Embase, Europe PMC, LILACS y Science Direct. La selección y extracción de datos de los estudios la realizaron 2 investigadores independientes. Los desacuerdos se resolvieron mediante consenso. Se realizó un análisis descriptivo de los estudios seleccionados. La evaluación del riesgo de sesgo se realizó con la herramienta de la Colaboración Cochrane. RESULTADOS: Cuatro estudios cumplieron con los criterios de elegibilidad. En su mayoría se evaluaron parámetros temporoespaciales, cinéticos y cinemáticos de la marcha, todos correspondientes al componente actividad de la Clasificación internacional del funcionamiento, salud y la discapacidad. CONCLUSIONES: No es posible determinar si el entrenamiento de la marcha asistido por robot es efectivo para el tratamiento en niños con PC, debido a la variabilidad metodológica de los estudios
INTRODUCTION: In recent years, the use of gait training using robotic assistance systems has progressively increased in the paediatric population with cerebral palsy. OBJECTIVE: To systematically assess the effects of robotic assistance for gait training compared with physical rehabilitation therapy in children with cerebral palsy (CP), based on the International Classification of Functioning, Health and Disability (ICF). MATERIALS AND METHODS: A systematic review was carried out according to the recommendations of the Cochrane Collaboration. We included randomised or quasi-randomised clinical trials that analysed children with CP classified according to The Gross Motor Function Classification System (GMFCS) I-III. The search was carried out in PubMed, PEDro, CENTRAL, CINALH, Cochrane, Embase, Europe PMC, LILACS and Science Direct. The selection and extraction of data from the studies was carried out by two independent researchers. Disagreements were resolved by consensus. A descriptive analysis of the selected studies was performed. Assessment of risk of bias was performed with the Cochrane Collaboration tool. RESULTS: Four studies met the eligibility criteria. Most of the temporal-spatial, kinetic and kinematic parameters of gait were evaluated, all corresponding to the activity component of the ICF. CONCLUSIONS: Due to the methodological variability of the studies, it is not possible to determine whether robot-assisted gait training is effective for treatment in children with CP
Assuntos
Humanos , Robótica/métodos , Paralisia Cerebral/reabilitação , Transtornos Neurológicos da Marcha/reabilitação , Terapia por Exercício/métodos , Deambulação com Auxílio , Avaliação de Resultado de Intervenções Terapêuticas , Análise da Marcha/classificaçãoRESUMO
INTRODUCTION: In recent years, the use of gait training using robotic assistance systems has progressively increased in the paediatric population with cerebral palsy. OBJECTIVE: To systematically assess the effects of robotic assistance for gait training compared with physical rehabilitation therapy in children with cerebral palsy (CP), based on the International Classification of Functioning, Health and Disability (ICF). MATERIALS AND METHODS: A systematic review was carried out according to the recommendations of the Cochrane Collaboration. We included randomised or quasi-randomised clinical trials that analysed children with CP classified according to The Gross Motor Function Classification System (GMFCS) I-III. The search was carried out in PubMed, PEDro, CENTRAL, CINALH, Cochrane, Embase, Europe PMC, LILACS and Science Direct. The selection and extraction of data from the studies was carried out by two independent researchers. Disagreements were resolved by consensus. A descriptive analysis of the selected studies was performed. Assessment of risk of bias was performed with the Cochrane Collaboration tool. RESULTS: Four studies met the eligibility criteria. Most of the temporal-spatial, kinetic and kinematic parameters of gait were evaluated, all corresponding to the activity component of the ICF. CONCLUSIONS: Due to the methodological variability of the studies, it is not possible to determine whether robot-assisted gait training is effective for treatment in children with CP.
