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August 20, 2026Physical Therapy KoreaOpen Access

Plantar Pressure Changes Following Robot-Assisted Gait Training Using Different Robot Types in Children With Spastic Cerebral Palsy

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Authors

KCKyeongA ChoiJLJayoung Lee황황윤태

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Overview

Randomized crossover trial finds comparable gait speed improvements between exoskeleton and end-effector training in spastic cerebral palsy, suggesting distinct pressure distribution mechanisms.

Key Points

  • To compare the immediate effects of a single session of exoskeleton- versus end-effector-type robot-assisted gait training on plantar pressure distribution and gait speed in children with spastic cerebral palsy.
  • Randomized crossover trial of 12 children with spastic cerebral palsy (aged 4–18 years; GMFCS levels I–III) completing 30-minute sessions of exoskeleton and end-effector robot-assisted gait training with a ≥ 2-day washout period.
  • Assessed gait speed using the 10-meter walk test (10MWT) and plantar pressure metrics (symmetry ratio, affected side ratio, and forefoot/rearfoot ratios) using the GaitView system.
  • No significant between-robot or interaction effects occurred for 10MWT time, symmetry ratio, or any plantar pressure metrics (all p > 0.10).
  • Within-robot analyses showed significant reductions in 10MWT time and symmetry ratio, alongside significant increases in affected-side plantar pressure ratio for both interventions (p < 0.05).
  • Rearfoot pressure ratio significantly increased only after exoskeleton training, with gait speed changes correlating to affected-side plantar pressure changes solely in the exoskeleton condition (r = 0.587, p = 0.045).

Cite This Study

Choi et al. (2026) studied this question.

synapsesocial.com/papers/6a86b5eb8a91293e6a1cd8cbhttps://doi.org/10.12674/ptk.2026.33.2.205
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Exoskeleton therapy in cerebral palsy: improved gait endurance without kinematic change2025
  2. 2Overground Gait Training With a Wearable Robot in Children With Cerebral Palsy2024 · 39 citations
  3. 3Robot-assisted gait training in cerebral palsy: a GRADE-assessed systematic review and meta-analysis with trial sequential analysis2026
  4. 4Robot-Assisted Gait Training and Changes In Motor Function and Brain Activation In Children With Cerebral Palsy: Preliminary Findings From A Pilot Study.2026
  5. 5Protocol for the “stand the future” trial: robotic exoskeleton gait training for non-ambulatory children with spastic cerebral palsy2025