EFFECT OF MULTI-DIRECTIONAL PERTURBATION TRAINING IN COMBINATION WITH RAGT ON HUMAN GAIT, BALANCE, AND PELVIC MUSCLE ACTIVATION IN CEREBRAL PALSY CHILDREN
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Date
2024
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Nazarbayev University School of Medicine
Abstract
Cerebralِ Palsyِ (CP)ِ isِ aِ neurologicalِ disorderِ characterizedِ byِ motorِ impairmentsِ
affectingِ gait,ِ balance,ِ andِ pelvicِ muscleِ activation.ِ Thisِ pilotِ studyِ aimsِ toِ investigateِ
theِ effectsِ ofِ multi-directionalِ perturbationِ trainingِ combinedِ withِ robotic-assistedِ gaitِ
trainingِ (RAGT)ِ onِ gaitِ parameters,ِ balanceِ control,ِ andِ pelvicِ muscleِ activationِ inِ
childrenِ withِ CP.ِ Aِ totalِ ofِ 3ِ subjectsِ diagnosedِ withِ twoِ differentِ typesِ ofِ CPِ includingِ
Spasticِ Diplegicِ andِ Spasticِ Dyskineticِ wereِ includedِ inِ thisِ study.ِ Theseِ participantsِ
areِ undergoingِ aِ comprehensiveِ interventionِ comprisingِ 2-3ِ sessionsِ overِ aِ 4-weekِ
period.ِ Eachِ sessionِ integratesِ multi-directionalِ perturbationِ trainingِ andِ RAGTِ
techniques.ِ Objectiveِ measuresِ andِ standardizedِ assessmentsِ areِ employedِ toِ
evaluateِ gaitِ parameters,ِ balanceِ controlِ andِ pelvicِ muscleِ activation.ِ Earlyِ findingsِ
suggestِ thatِ theseِ childrenِ haveِ gaitِ instabilityِ andِ lackِ ofِ equalِ activationِ ofِ musclesِ ofِ
pelvisِ andِ presentsِ withِ balanceِ problemsِ indicatedِ byِ lowِ scores.ِ Theِ interventionِ aimsِ
toِ addressِ theseِ problemsِ byِ targetingِ theseِ deficits.ِ However,ِ smallِ sampleِ sizeِ andِ
shortِ durationِ ofِ theِ studyِ willِ limitِ theِ generalizabilityِ ofِ theِ results.ِ Furtherِ research,ِ
withِ largerِ sampleِ sizeِ andِ longerِ follow-upِ periodsِ isِ warrantedِ toِ validateِ theseِ
findingsِ andِ elucidateِ theِ underlyingِ mechanismsِ ofِ improvement.ِ Overall,ِ thisِ pilotِ
studyِ willِ provideِ evidenceِ supportingِ theِ feasibilityِ andِ potentialِ ofِ incorporatingِ multi-
directionalِ perturbationِ trainingِ withِ RAGTِ intoِ rehabilitationِ programsِ forِ childrenِ withِ
CP.ِ Byِ targetingِ multipleِ aspectsِ ofِ motorِ functionِ simultaneously,ِ thisِ integratedِ
approachِ willِ haveِ potentialِ toِ improveِ gait,ِ balance,ِ andِ pelvicِ muscleِ activation,ِ
ultimatelyِ enhancingِ theِ functionalِ mobilityِ andِ qualityِ ofِ lifeِ ofِ childrenِ withِ CP.
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Khawaja, A. R. (2024). Effect Of Multi-Directional Perturbation Training in Combination with RAGT On Human Gait, Balance, And Pelvic Muscle Activation in Cerebral Palsy Children. Nazarbayev University School of Medicine