The The effectiveness of partial body weight support treadmill training on walking in people with cerebral palsy - a systematic review
Keywords:
cerebral palsy, physiotherapy, body weight support, gait training, walkingAbstract
Background: Individuals with Cerebral Palsy (CP) face daily motor, sensory, and cognitive challenges, greatly affecting their quality of life. This systematic review was conducted to investigate randomized controlled trials regarding the effectiveness of treadmill walking with partial body weight support ( PBWSTT) in individuals with CP.
Methods: A search was performed in PubMed, Scopus and ResearchGate. Τhe study selection process was conducted by two separate reviewers. The quality of the final studies included in the systematic review was assessed using the PEDro scale.
Results: Out of the total of 673 studies initially identified, 6 studies were finally included. The results showed that PBWSTT leads to an increase in scores on the GMFM scale, as well as improvements in walking pattern, speed, endurance, and rhythm. However, PBWSTT did not show better results compared to conventional physiotherapy, as the studies in this review presented conflicting outcomes.
Conclusion: The effect of therapeutic exercise with partial body weight support has a positive impact on improving the gross motor function of patients with CP. However, the question of whether PBWSTT is more effective than conventional physiotherapy and overground walking exercise cannot be conclusively answered yet, highlighting the importance of conducting further research in this field.
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References
Alotaibi A. (2023). Effectiveness of Partial Body Weight-Supported Treadmill Training on Various Outcomes in Different Contexts among Children and Adolescents with Cerebral Palsy: A Systematic Review and Meta-Analysis. Children, 11(1), 9. DOI: 10.3390/children11010009
Barbeau H. (2003). Optimal outcomes obtained with body-weight support combined with treadmill training in stroke subjects. Archives of Physical Medicine and Rehabilitation, 84(10), 1458–1465. DOI: 10.1016/s0003-9993(03)00361-7
Bax M. (2005). Executive Committee for the Definition of Cerebral Palsy. Proposed definition and classification of cerebral palsy, April 2005. Developmental Medicine & Child Neurology, 47(8), 571-576. DOI: 10.1017/s001216220500112x
Begnoche D. (2007). Effects of traditional treatment and partial body weight treadmill training on the motor skills of children with spastic cerebral palsy: a pilot study. Pediatric Physical Therapy, 19(1), 11–19. DOI: 10.1097/01.pep.0000250023.06672.b6
Cherng RJ. (2007). Effect of treadmill training with body weight support on gait and gross motor function in children with spastic cerebral palsy. American Journal of Physical Medicine & Rehabilitation, 86(7), 548–555. DOI: 10.1097/PHM.0b013e31806dc302
Day J. (2004). Locomotor training with partial body weight support on a treadmill in a nonambulatory child with spastic tetraplegic cerebral palsy: a case report. Pediatric Physical Therapy, 16(2), 106–113. DOI: 10.1097/01.PEP.0000127569.83372.C8
Dodd K. (2007). Partial body-weight-supported treadmill training can improve walking in children with cerebral palsy: a clinical controlled trial. Developmental Medicine & Child Neurology, 49(2), 101–105. DOI: 10.1111/j.1469-8749.2007.00101.x
Graham HK. (2016). Cerebral palsy. Nature Reviews Disease Primers, 2,15082. DOI: 10.1038/nrdp.2015.82
Gunawan, P. (2022). Combination of standard physicaltherapy with partial body weight supported treadmill training in children with spastic diplegiccerebral palsy. International Journal of Health Sciences, 6(S9), 1866–1877. DOI: 10.53730/ijhs.v6nS9.12852
Johnston T. (2011). Effects of a supported speed treadmill training exercise program on impairment and function for children with cerebral palsy. Developmental Medicine & Child Neurology, 53(8), 742-750. DOI: 10.1111/j.1469-8749.2011.03990.x
Kassim N. (2022). Comparison of Integrated Task Oriented Bodyweight Supported Overground Training with Body-Weight Supported Treadmill Training to Improve Functional Mobility in Children with Spastic Diplegic Cerebral Palsy - A Single Blinded Randomized Control Trial. Biomedical and Pharmacology Journal, 15(2), 651-662. DOI: 10.13005/bpj/2404
Maher C, (2003). Reliability of the PEDro scale for rating quality of randomized controlled trials. Physical Therapy & Rehabilitation Journal, 83(8), 713-721. DOI: 10.1093/ptj/83.8.713
Michael-Asalu A. (2019). Cerebral Palsy: Diagnosis, Epidemiology, Genetics, and Clinical Update. Advances in Pediatrics, 66, 189-208. DOI: 10.1016/j.yapd.2019.04.002
Mutlu A. (2009). Treadmill training with partial body-weight support in children with cerebral palsy: a systematic review. Developmental Medicine & Child Neurology, 51(4), 268-275. DOI: 10.1111/j.1469-8749.2008.03221.x
Page M. (2021). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. British Medical Journal, 372:n71. DOI: 10.1136/bmj.n71
Phillips J. (2007). Ankle dorsiflexion fMRI in children with cerebral palsy undergoing intensive body-weight-supported treadmill training: a pilot study. Developmental Medicine & Child Neurology, 49(1), 39–44. DOI: 10.1017/s0012162207000102.x
Richards C. (1997). Early and intensive treadmill locomotor training for young children with cerebral palsy: a feasibility study. Pediatric Physical Therapy, 9(4), 158–165. DOI: 10.1097/00001577-199700940-00002
Sadowska M. (2020). Cerebral Palsy: Current Opinions on Definition, Epidemiology, Risk Factors, Classification and Treatment Options. Neuropsychiatric Disease and Treatment, 2020(16), 1505-1518. DOI: 10.2147/NDT.S235165
Su I. (2013). Treadmill training with partial body weight support compared with conventional gait training for low-functioning children and adolescents with nonspastic cerebral palsy: a two-period crossover study. Prosthetics and Orthotics International, 37(6), 445-453. DOI: 10.1177/0309364613476532
Swe N. (2015). Over ground walking and body weight supported walking improve mobility equally in cerebral palsy: a randomised controlled trial. Clinical Rehabilitation, 29(11), 1108-1116. DOI: 10.1177/0269215514566249
Valentin-Gudiol M. (2013). Treadmill interventions with partial body weight support in children under six years of age at risk of neuromotor delay: a report of a Cochrane systematic review and meta-analysis. European Journal of Physical and Rehabilitation Medicine, 49(1), 67-91. https://www.minervamedica.it/en/journals/europa-medicophysica/article.php?cod=R33Y2013N01A0067
Willoughby K. (2010). Efficacy of partial body weight-supported treadmill training compared with overground walking practice for children with cerebral palsy: a randomized controlled trial. Archives of Physical Medicine and Rehabilitation, 91(3), 333-339. DOI: 10.1016/j.apmr.2009.10.029
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