Dual-task training of children with neuromotor disorders during robot-assisted gait therapy: prerequisites of patients and influence on leg muscle activity.

Journal: Journal of neuroengineering and rehabilitation
PMID:

Abstract

BACKGROUND: Walking in daily life is complex entailing various prerequisites such as leg strength, trunk stability or cognitive and motor dual task (DT) activities. Conventional physiotherapy can be complemented with robot-assisted gait therapy (RAGT) and exergames to enhance the number of step repetitions, feedback, motivation, and additional simultaneously performed tasks besides walking (e.g., dual-task (DT) activities). Although DT gait training leads to improvements in daily ambulation in adult patient groups, no study has evaluated RAGT with a DT exergame in children with neurological gait disorders. Therefore, we investigated children's functional and cognitive prerequisites to walk physiologically during RAGT with a DT exergame and analysed the influence of DT on leg muscle activity.

Authors

  • Sandra Ricklin
    Rehabilitation Centre Affoltern am Albis, University Children's Hospital Zurich, Mühlebergstrasse 104, CH-8910, Affoltern am Albis, Switzerland. sandra.ricklin@kispi.uzh.ch.
  • Andreas Meyer-Heim
    a Rehabilitation Center Affoltern am Albis, University Children's Hospital Zurich , Affoltern am Albis , Zurich , Switzerland.
  • Hubertus J A van Hedel
    a Rehabilitation Center Affoltern am Albis, University Children's Hospital Zurich , Affoltern am Albis , Zurich , Switzerland.