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About the Authors

Zhangabulova B.A. – Senior nurse of the Laboratory of Robotic Rehabilitation of NJSC "National Center for Children's Rehabilitation", Astana, Kazakhstan

Kuatkhanov D.B. – Specialist of the Laboratory of Robotic Rehabilitation of NJSC "National Center for Children's Rehabilitation", Astana, Kazakhstan

Zhumadilova S.K. – Specialist of the Laboratory of Robotic Rehabilitation of NJSC "National Center for Children's Rehabilitation", Astana, Kazakhstan

Toleubekova G.M. – Specialist of the Laboratory of Robotic Rehabilitation of NJSC "National Center for Children's Rehabilitation", Astana, Kazakhstan

Tleulinova R.R. – Director of Nursing of NJSC "National Center for Children's Rehabilitation", Astana, Kazakhstan

Аbstract

This paper provides a comprehensive interdisciplinary review of the effectiveness of exoskeleton use in pediatric rehabilitation. It explores the neurophysiological mechanisms behind their application in children, focusing on neuroplasticity and motor pattern restructuring. A comparative analysis of ExoAtlet Bambini, Lokomat Junior, and Hal for Pediatric is presented. The structure of rehabilitation protocols and criteria for personalization based on international standards are outlined. Evidence is supported by recent Randomized Controlled Trial (RCT)s, Gross Motor Function Measure (GMFM) scores, Electromyography (EMG), and Functional Magnetic Resonance Imaging (fMRI) data. Special emphasis is placed on the role of nursing professionals in ensuring safety, monitoring, and guiding parental involvement. The study also addresses the ethical, economic, and organizational aspects of integrating robotic rehabilitation into clinical practice. The article is grounded in peer-reviewed clinical research and highlights personnel training requirements for multidisciplinary pediatric care.

Keywords

Exoskeleton, pediatric rehabilitation, neuroplasticity, gait therapy, ExoAtlet, nursing role, clinical protocols.

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