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Emerging Rehabilitation in Cerebral Palsy

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Emerging Therapies in Neurorehabilitation

Part of the book series: Biosystems & Biorobotics ((BIOSYSROB,volume 4))

Abstract

Cerebral Palsy (CP) is the most frequent disability affecting children. Although the effects of CP are diverse this chapter focuses on the impaired motor control of children suffering from spastic diplegia, particularly in the lower limb. The chapter collects the most relevant techniques that are used or might be useful to overcome the current limitations existing in the diagnosis and rehabilitation of CP. Special emphasis is placed on the role that emerging technologies can play in this field. Knowing in advance the type and site of brain injury could assist the clinician in selecting the appropriate therapy. In this context, neuroimaging techniques are being recommended as an evaluation tool in children with CP; we describe a variety of imaging technologies such as Magnetic Resonance Imaging (MRI), Diffusion Tensor Imaging (DTI), etc. But creating new knowledge in itself is not enough; there must be a transfer from progress through research to advances in the clinical field. The classic therapeutic approach of CP thus hampers the optimal rehabilitation of the targeted component. Traditional therapies may be optimized if complemented with treatments. We try to collect a wide range of emerging technologies and provide some criteria to select the adequate technology based on the characteristics of the neurological injury. For example, exoskeleton based over-ground gait training is suggested to be more effective than treadmill-based gait training. So, we suggest a new point of view combining different technologies in order to provide the foundations of a rational design of the individual rehabilitation strategy.

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Acknowledgments

This chapter was partially based on a presentation titled “Can children with cerebral palsy learn how to walk from a robot?” presented by Dr. Paolo Bonato at the Summer School on Neurorehabilitation 2012 in Zaragoza, Spain. The authors would like to thank Dr. Bonato for the insights and comments provided over several discussion sessions following said presentation. Furthermore we would like to thank Dr. Diego Torricelli for his constructive feedback throughout the revision process of this chapter.

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Authors and Affiliations

  1. Bioengineering Group, Spanish National Research Council, Madrid, Spain

    Stefan Lambrecht

  2. Institute for Bioengineering of Catalonia, Barcelona, Spain

    Oiane Urra

  3. Department of Robotics & Multibody Mechanics, Vrije Universiteit Brussel, Brussels, Belgium

    Svetlana Grosu

  4. Biomechanics and Technical Aids Department, National Hospital, Toledo, Spain

    Soraya Pérez Nombela

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  1. Stefan Lambrecht
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  2. Oiane Urra
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Correspondence to Stefan Lambrecht .

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  1. Bioengineering Group, Spanish National Research Council (CSIC), Madrid, Spain

    José L Pons

  2. Bioengineering Group, Spanish National Research Council (CSIC), Madrid, Spain

    Diego Torricelli

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Lambrecht, S., Urra, O., Grosu, S., Nombela, S.P. (2014). Emerging Rehabilitation in Cerebral Palsy. In: Pons, J., Torricelli, D. (eds) Emerging Therapies in Neurorehabilitation. Biosystems & Biorobotics, vol 4. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-38556-8_2

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