The goal of this clinical trial is to learn if a two month training with the Agilik powered orthosis improves the knee extension or the endurance in pediatric patients with Cerebral palsy and a crouch gait. It will also learn about the safety of Agilik. The main questions it aims to answer are: Does the Agilik powered orthosis increase the value of the knee extension during walking? What medical problems do participants have when using the Agilik powered orthosis? Researchers will compare a group of patients using the Agilik powered exoskeleton with a group of patients treated with standard therapy. Participants will: Use Agilik at home or perform standard therapy for 2 months Visit the clinic at the beginning of the study, after 3 months and after 1 additional month.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
40
Home rehabilitation (2 months, 30 minutes/day, 5 days/week) during which subjects will practice walking with the device at home.
IRCCS E. MEDEA - Associazione "La Nostra Famiglia"
Bosisio Parini, Lecco, Italy
RECRUITINGIRCCS Fondazione Stella Maris
Calambrone, Pisa, Italy
NOT_YET_RECRUITINGFondazione Don Carlo Gnocchi Onlus - IRCCS S. Maria Nascente
Milan, Italy
RECRUITINGFondazione Mondino
Pavia, Italy
NOT_YET_RECRUITINGFondazione Don Carlo Gnocchi Onlus
Roma, Italy
RECRUITINGFondazione Don Carlo Gnocchi Onlus - Centro S. Maria al Mare
Salerno, Italy
RECRUITINGEndurance
Distance walked during a 6-minutes walking test (6MWT)
Time frame: Baseline, 3 months and 4 months
Knee extension in mid stance (KEMS)
Anti-gravity knee extension in mid stance measured with quantitative gait analysis
Time frame: Baseline, 3 months and 4 months
Measurements of the Joint range of motions (ROMs) and muscle lengths
Joint Range of motions and muscle lengths as measured by therapists
Time frame: Baseline, 3 months and 4 months
Level of spasticity in the lower limbs
Assessed with the Modified Ashworth scale (MAS)
Time frame: Baseline, 3 months and 4 months
Walking speed
Assessed with the 10-meter walking test (10mWT)
Time frame: Baseline, 3 months and 4 months
Postural and motor abilities
Assessed with the Gross Motor Function Measure-88 (GMFM-88)
Time frame: Baseline, 3 months and 4 months
Gait pattern
Assessed with overground 3D gait analysis with electromyography (EMG) data acquisition
Time frame: Baseline, 3 months and 4 months
Self-perception of performance in everyday living
Assessed with the Canadian Occupational Performance Measure (COPM)
Time frame: Baseline, 3 months and 4 months
Static balance
Assessed with Centre of Pressure (COP) detection using the force platforms of the gait analysis.
Time frame: Baseline, 3 months and 4 months
Usability and acceptability of the powered orthosis
Assessed with the System Usability Scale (SUS) and the Technology Acceptance Method 3 (TAM-3)
Time frame: After the treatment only in the intervention group
Behavioural engagement
Assessed with semi-structured interviews
Time frame: After the treatment only in the intervention group
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