{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T09:49:08Z","timestamp":1777888148599,"version":"3.51.4"},"reference-count":35,"publisher":"SAGE Publications","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["PRM"],"published-print":{"date-parts":[[2021,9,28]]},"abstract":"<jats:p>PURPOSE: Walking, fitness, and balance deficits are common following acquired brain injury (ABI). This study assessed feasibility, acceptability, and usefulness of a modified motor-assisted elliptical (ICARE) in addressing walking, fitness, and balance deficits in children with chronic ABIs. METHODS: Three children (&gt;\u200a5 years post-ABI) completed 24 ICARE exercise sessions (exercise time, speed, and time overriding motor-assistance gradually increased) to promote mass repetition of gait-like movements and challenge cardiorespiratory fitness. Parents\u2019 and children\u2019s perceptions of ICARE\u2019s safety, comfort, workout, and usability were assessed. Cardiovascular response, gait and balance outcomes were assessed. RESULTS: No adverse events occurred. Parent\u2019s Visual Analogue Scale (VAS) scores of perceived device safety (range 80\u201399), workout (range 99\u2013100), and usability (range 75\u2013100) were high, while comfort were 76\u201380 given commercial harness fit and arm support. Children\u2019s VAS scores all exceeded 89. Comfortable walking velocity, 2-Minute Walk Test, fitness, and Pediatric Balance Scale scores improved post-training, with many outcomes surpassing established minimal clinically important differences. CONCLUSION: Following engagement in moderate- to vigorous-intensity exercise promoting repetitive step-like movements on a specially adapted motor-assisted elliptical, three children with chronic ABI demonstrated improvements in walking, fitness and balance. Future research in community-based environments with a larger cohort of children with ABI is needed.<\/jats:p>","DOI":"10.3233\/prm-200717","type":"journal-article","created":{"date-parts":[[2021,4,27]],"date-time":"2021-04-27T16:06:11Z","timestamp":1619539571000},"page":"539-551","source":"Crossref","is-referenced-by-count":2,"title":["Feasibility of motor-assisted elliptical to improve walking, fitness and balance following pediatric acquired brain injury: A case series"],"prefix":"10.1177","volume":"14","author":[{"given":"Judith M.","family":"Burnfield","sequence":"first","affiliation":[{"name":"Institute for Rehabilitation Science and Engineering, Madonna Rehabilitation Hospitals, Lincoln, NE, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guilherme M.","family":"Cesar","sequence":"additional","affiliation":[{"name":"Institute for Rehabilitation Science and Engineering, Madonna Rehabilitation Hospitals, Lincoln, NE, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thad W.","family":"Buster","sequence":"additional","affiliation":[{"name":"Institute for Rehabilitation Science and Engineering, Madonna Rehabilitation Hospitals, Lincoln, NE, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","reference":[{"issue":"2","key":"10.3233\/PRM-200717_ref1","doi-asserted-by":"publisher","first-page":"146","DOI":"10.1097\/00001199-199904000-00005","article-title":"A novel method for locomotion training","volume":"14","author":"Seif-Naraghi","year":"1999","journal-title":"J Head Trauma Rehabil"},{"issue":"10","key":"10.3233\/PRM-200717_ref2","doi-asserted-by":"publisher","first-page":"1692","DOI":"10.1016\/j.apmr.2009.04.005","article-title":"Observation of amounts of movement practice provided during stroke rehabilitation","volume":"90","author":"Lang","year":"2009","journal-title":"Arch Phys Med Rehabil"},{"key":"10.3233\/PRM-200717_ref4","doi-asserted-by":"publisher","first-page":"1062","DOI":"10.1016\/s0003-9993(96)90069-6","article-title":"Motor fitness in children and adolescents with traumatic brain injury","volume":"77","author":"Rossi","year":"1996","journal-title":"Arch Phys Med Rehabil"},{"issue":"2","key":"10.3233\/PRM-200717_ref5","doi-asserted-by":"publisher","first-page":"100","DOI":"10.1080\/17518420902800928","article-title":"Balance abilities and gait characteristics in post-traumatic brain injury, cerebral palsy and typically developed children","volume":"12","author":"Katz-Leurer","year":"2009","journal-title":"Dev Neurorehabil"},{"key":"10.3233\/PRM-200717_ref6","unstructured":"U.S. Department of Health and Human Services. 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