Objective: To determine the effects of providing battery-powered ankle dorsiflexor and plantar flexor exoskeleton assistance on six-minute walk test performance and efficiency in children and young adults with cerebral palsy by comparing distance walked under exoskeleton assisted (Assisted) and no device (Shod) walking conditions, and explore the acclimation rate to maximal walking with ankle exoskeleton assistance. Results: Six-minute walk test performance significantly improved under the final Assisted condition test compared to the Shod condition (42 ± 27 m, p = 0.02), surpassing the minimum clinically important difference range for children and young adults with CP. There was no difference in walking efficiency (-0.06 ± 0.1, p = 0.3). Participants had an average acclimation rate of 19.6 m per session. Conclusions: Powered ankle assistance can significantly improve six-minute walk test performance in individuals with mild-to-moderate gait impairment from CP, supporting the use of this intervention to improve functional mobility and walking capacity in this patient population.

中文翻译：

---

踝外骨骼辅助可提高脑瘫患者六分钟步行测试的表现

目的：通过比较外骨骼辅助（Assisted）和无设备（Shod）下的步行距离，确定提供电池供电的踝背屈肌和跖屈肌外骨骼辅助对脑瘫儿童和年轻人六分钟步行测试表现和效率的影响）步行条件，并探索踝关节外骨骼辅助下最大步行的适应率。结果：与 Shod 条件相比，最终辅助条件测试下的六分钟步行测试表现显着改善（42 ± 27 m，p = 0.02），超过了患有 CP 的儿童和年轻人的最小临床重要差异范围。步行效率没有差异（-0.06 ± 0.1，p = 0.3）。参与者每次训练的平均适应率为 19.6 m。结论：