Intensive Robotic Rehabilitation in Children With Hemiparesia Using GEOSYSTEM

Cerebral palsy is the most frequent motor deficiency in children. Among other, it can leads to spastic diplegia or hemiplegia. Walking abilities is an important skill to the families' point of view in term of independence in curent life. Improving the walking parameters has been the main objective in several studies of rehabilitation. The G-EO system is a last generation robot assisting gait training that can adjust cadence, walk lengh, ankle and hip angles and other walking parameters to movement captation. Its superiority in terms of walking abilities has been demonstrated in adults with stroke sequelae. Only one study was realized in pediatric patients with spastic diplegia with promising results. The investigators hypothesize that intensive robot-assited gait training using the G-EO system in hemiplegic children can improve their walking abilities.

Inclusion Criteria: * Hemiplegic children aged from 4 to 18 years * GMFCS (Gross Motor Function Classification System) score between I and III with lower limb involvement. * Children must walk alone with or without aid at least 10 meters, must have acquired sitting position, must be able to understand simple orders to follow the rehabilitation program. * Free and informed consent of holders of parental authority and of the patient * Affiliated to the social security system Exclusion Criteria: * No lower limb involvement, * spasticity = 4 on the modified Ashworth scale, * severe cardiorespiratory disease forbidding the rehabilitation program, * orthopedic surgery or botulinic toxin injections in the last 6 months before the beginning of the study.