Effectiveness of Armeo spring robotic therapy on upper limb functionality in children with spastic unilateral cerebral palsy injected with botulinum toxin. Randomized clinical trial of parallel groups, single blind
Main Article Content
Keywords
Actividades de la vida diaria, Terapia robótica Armeo Spring, función de la extremidad superior, Parálisis cerebral unilateral, Te¬rapia ocupacional
Abstract
Objective: To evalúate the effectiveness of the robotic therapy Armeo spring (AS) in comparison with Occupational Therapy (OT) to improve the functionality of the upper limb of children between 4-10 years of age with unilateral cerebral palsy (CP) and injected with botulinum toxin type A in Instituto Teletón Concepción-Chile. Patients and Methods: Randomised controlled clinical trial of parallel groups: conventional AS and OT. Twenty-three children classified with MACS I, II, III were randomised, twenty being analysed, corresponding to those who finished the intervention (10 from each group). Fifteen treatment sessions were carried out, three times per week. QUEST and ABILHAND- kids tests were applied at baseline (T1), post intervention (T2) and six-month follow-up (T3) by an Occupational Therapist who was unaware of the group assignment. Results: In both groups there are no significant differences in their subdimensions and total QUEST score, however in the OT group differences are observed between T1-T3 in the subdimensions dissociated movement, grip, weight bearing and total QUEST score. There are also differences between T2-T3 for dissociated movement, weight bearing, and total QUEST score. In the AS group there were differences between T1 - T2 in dissociated movement and total QUEST score, and between T1-T3 only in dissociated movement. In ABILHAND-kids, there were no differences between both groups, only in AS group, there were only significant differences in evaluation in T1-T3 and T2 -T3. Discussion: AS and OT robotic therapy can improve upper limb functionality in children with unilateral CP, not finding differences between both groups.
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