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Title:Učinki podprte robotske hoje z lokomatom pri otrocih s cerebralno paralizo – pregled literature : diplomsko delo visokošolskega strokovnega študijskega programa prve bolonjske stopnje Fizioterapija
Authors:ID Cunder, Mia (Author)
ID Goubar, Patricija (Mentor) More about this mentor... New window
Files:URL https://d.cobiss.net/repository/si/files/280185347/178545/Cunder_Mia_dd_2026.pdf
 
.pdf Cunder_Mia_dd_2026.pdf (1,03 MB)
MD5: 15EF73DA8C6C360963E0353EBF6DAF7A
 
Language:Slovenian
Work type:Bachelor thesis/paper
Typology:2.11 - Undergraduate Thesis
Organization:UAMEU - Alma Mater Europaea University
Abstract:Cerebralna paraliza je nevrološka motnja, ki povzroča trajne motnje gibanja, drže in koordinacije ter posledično zahteva celostno, večstopenjsko rehabilitacijo. Fizioterapija ima ključno vlogo pri izboljšanju funkcionalnih sposobnosti otrok s cerebralno paralizo, med sodobnimi pristopi pa se vse bolj uveljavlja robotsko podprta hoja. Sistem Lokomat omogoča ponavljajočo, ritmično in nalogovno specifično vadbo hoje v fiziološkem vzorcu, s čimer spodbuja nevroplastičnost in izboljšuje motorično funkcijo. Metode: V diplomskem delu je bil izveden pregled literature, pri čemer so bili znanstveni članki iskani v naslednjih podatkovnih bazah: PubMed, PEDro, ScienceDirect in Google Scholar. Članki so bili izbrani na podlagi vnaprej določenih vključitvenih in izključitvenih kriterijev. V končni pregled je bilo vključenih osem raziskav, ki so obravnavale uporabo Lokomata pri otrocih s cerebralno paralizo. Rezultati: Analiza literature je pokazala, da robotsko podprta hoja z Lokomatom izboljšuje funkcionalne sposobnosti otrok s cerebralno paralizo, predvsem hitrost in dolžino koraka, mišično moč spodnjih okončin, posturalno stabilnost ter ravnotežje. Ugotovljeno je bilo zmanjšanje stopnje spastičnosti ter povečana motivacija otrok za sodelovanje v terapiji. Največje izboljšave so dosežene pri otrocih z zmerno motorično prizadetostjo (GMFCS II-III), medtem ko višje stopnje (GMFCS IV) napredujejo predvsem v stabilnosti trupa in sedečem ravnotežju. Razprava: Rezultati kažejo, da Lokomat predstavlja učinkovito dopolnilo konvencionalni fizioterapiji, saj omogoča standardizirano, ponavljajočo se in varno vadbo hoje ter spodbuja aktivno sodelovanje otroka. Kljub dokazanim pozitivnim učinkom pa ostajajo izzivi, kot so visoki stroški opreme, omejena dostopnost tehnologije, potreba po strokovnem usposabljanju terapevtov in pomanjkanje standardiziranih protokolov glede trajanja in pogostosti vadbe.
Keywords:cerebralna paraliza, robotsko podprta hoja, lokomat, pediatrična fizioterapija, GMFCS
Place of publishing:Ljubljana
Place of performance:Ljubljana
Publisher:M. Cunder
Year of publishing:2026
Year of performance:2026
Number of pages:42 str.
PID:20.500.12556/ReVIS-13935 New window
COBISS.SI-ID:280185347 New window
UDC:616.831-009.11-053.2:615.8(043.2)
Publication date in ReVIS:02.06.2026
Views:138
Downloads:9
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Secondary language

Language:English
Abstract:Cerebral palsy is a neurological disorder that causes permanent impairments in movement, posture, and coordination, requiring comprehensive, multidisciplinary rehabilitation. Physiotherapy plays a key role in improving the functional abilities of children with cerebral palsy, and robotic-assisted gait training has become an increasingly important therapeutic approach. The Lokomat system enables repetitive, rhythmic, and task-specific gait training in a physiological pattern, thereby promoting neuroplasticity and enhancing motor function. Methods: A literature review was conducted using scientific databases including PubMed, PEDro, ScienceDirect and Google Scholar. Articles were selected based on predefined inclusion and exclusion criteria. Eight studies investigating the use of the Lokomat system in children with cerebral palsy were included in the final analysis. Results: The analysis showed that Lokomat-assisted gait training improves functional abilities in children with cerebral palsy, particularly walking speed and step length, lower-limb muscle strength, postural stability, and balance. A reduction in spasticity and increased motivation to participate in therapy were also reported. The greatest improvements were observed in children with moderate motor impairment (GMFCS levels II–III), while those with higher impairment levels (GMFCS IV) mainly improved trunk stability and sitting balance. Discussion: The findings suggest that the Lokomat represents an effective adjunct to conventional physiotherapy, providing standardized, repeatable, and safe gait training while encouraging active patient participation. Despite its proven benefits, challenges remain, including high equipment costs, limited clinical accessibility, the need for therapist training, and the lack of standardized protocols regarding session duration and frequency.
Keywords:cerebral palsy, lokomat, robotic-assisted gait training, pediatric physiotherapy, GMFCS scale


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