Disabil Rehabil. 2025 Sep 17:1-24. doi: 10.1080/09638288.2025.2543176. Online ahead of print.
ABSTRACT
PURPOSE: While robotic-assisted gait training (RAGT) may permit earlier exposure to ambulation for children with subacute acquired brain injury (ABI), little is known about its associated viability. Our feasibility study focused on RAGT (Lokomat) use in this population.
METHODS: 8-week single-group pre-/post-test study integrated RAGT into an inpatient physiotherapy (PT) program (3 PT sessions/week plus 2 RAGT sessions/week).
RESULTS: Twenty-four youth (14 males), mean age 13.7 years (SD = 3.6) participated. Six walked independently (4 devices) at baseline; 18 were pre-ambulatory. Nineteen completed the targeted 10-16 RAGT sessions. One child was withdrawn post-syncopic episode during acclimatization, and two children withdrew after 2-3 sessions due to RAGT-related discomfort with no follow-up assessment. Across four feasibility areas, 58% (Acceptability) to 100% (Safety) of indicators were met. Session characterization showed progression of Lokomat speed and reduced weight-support, and physiotherapists’ use of motor learning strategies. Physiotherapists rated Lokomat ease of use as 7.6/10 and perceived child engagement as 7.2/10. Post-intervention, 15 of the 21 children re-assessed were independently ambulatory (5 devices). Gross Motor Function Measure-88 mean increase was 19.7% points. Canadian Occupational Performance Measure mean gain was 2.5 points/10.
CONCLUSION: PT+RAGT was feasible for 21 of 24 children and associated with large motor gains and goal accomplishment.
PMID:40959975 | DOI:10.1080/09638288.2025.2543176
