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
Abstract
:1. Introduction
2. Materials and Methods
2.1. Search Strategy
2.2. Eligibility Criteria
2.3. Data Extraction
2.4. Assessment of Methodological Quality
2.5. Assessment of the Risk of Bias
2.6. Statistical Analysis
3. Results
3.1. Systematic Review
3.2. Quality and Risk of Bias
3.3. Characteristic Features of the Included Studies
3.4. Meta-Analyses
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Study (Year) | Participants n | Group, E/C | Sex, M/F | Age, Mean (SD) | CP Type | Setting | Country |
---|---|---|---|---|---|---|---|
Aras et al. (2019) [28] | 29 | 10/19 | 18/11 | 9.3 (2.3) | Spastic | Rehabilitation | Turkey |
Cherng et al. (2007) [25] | 16 | 8/8 | 14/2 | 5 (2.0) | Spastic | Rehabilitation | Taiwan |
Dodd and Foley (2007) [30] | 14 | 7/7 | 10/4 | 9.0 (2.7) | Spastic | School | Australia |
Emarah et al. (2016) [31] | 20 | 10/10 | 7/13 | 6.7 (0.6) | Spastic | Rehabilitation | Saudi Arabia |
Gates et al. (2012) [26] | 26 | 14/12 | 7/7 | 9.5 (2.2) | Spastic | Home | United States |
Johnston et al. (2011) [29] | 26 | 14/12 | 14/12 | 9.5 (2.2) | Spastic | Home | United States |
Kassim et al. (2022) [32] | 60 | 20/40 | - | 6.3 (2.0) | Spastic | Rehabilitation | India |
Su et al. (2013) [3] | 10 | 5/5 | 8/2 | 10.9 (2.0) | - | School | China |
Swe et al. (2015) [27] | 30 | 15/15 | 20/10 | 13.2 (3.4) | - | School | Australia |
Willoughby et al. (2010) [16] | 26 | 12/14 | 15/11 | 10.7 (3.6) | - | School | Australia |
Study (Year) | Intervention | Treatment Time | Assessment | Outcome | Key Findings |
---|---|---|---|---|---|
Aras et al. (2019) [28] | E: Treadmill with partial body weight support. C: Robotic-assisted treadmill and anti-gravity treadmill exercise. | E: 20 sessions 45 min 2 times/5 days for 4 weeks. C: 20 sessions 45 min 2 times/5 days for 4 weeks. | Baseline and 4 weeks | Walking capacity | PBWSTT showed a positive impact on walking in patients with spastic CP. |
Cherng et al. (2007) [25] | E: Treadmill with partial body weight support. C: The regular treatment. | E: 20 min/session, 2–3 sessions/ week, for a total of 12 weeks. C: 2–3 times/week, 30 min/ session. | Baseline and 12 weeks | Gross motor function, and Temporal–distance parameters of gait. | Children with spastic CP experienced improvements in gross motor abilities, a reduction in the percentage of double-limb support, and longer strides after 12 weeks of PBWSTT. |
Dodd and Foley (2007) [30] | E: Treadmill with partial body weight support. C: Walking training. | E: 10 m walking test for 6 weeks. C: 10 m walking test for 6 weeks. | Baseline and 6 weeks | Walking speed. | The implementation of PBWSTT appears to be a viable option for improving the walking speed of children with CP and moderate to severe impairments in a school setting. |
Emarah et al. (2016) [31] | E: Conventional physiotherapy plus treadmill with partial body weight support. C: Conventional physiotherapy plus treadmill training. | E: Total 36 training sessions for a duration of 30 min, 3 times/week for a total of 12 weeks. C: Treadmill training for 40 min 3 times per week for 3 months. | Baseline and 12 weeks | Optimal postural stability, good balance, and less effort. | Effective postural stability, good balance control, and reduced exertion are all facilitated by PBWSTT, allowing for a safe and efficient walk. |
Gates et al. (2012) [26] | E: Treadmill with partial body weight support. C: Strengthening exercise program. | E: 30 min 5 times/week for a total of 10 weeks. C: 30 min 5 times/week times for a total of 10 weeks. | Baseline, 12, and 16 weeks. | Participation, quality of life, self-concept, goal attainment, and satisfaction. | With PBWSTT, assessments of participation, parent evaluation of QOL, goal attainment, and satisfaction may take place in a comparatively short amount of time (12 weeks). |
Johnston et al. (2011) [29] | E: Treadmill with partial body weight support. C: Strengthening exercise. | E: Twice daily/5 days a week for 10 weeks. C: Twice daily/5 days a week for 10 weeks. | Baseline and 12 weeks | Gait speed and cadence. | There is no difference of gain in spatiotemporal parameters (such as gait speed and cadence) between PBWSTT and exercise interventions. |
Kassim et al. (2022) [32] | E: Body weight support overground training. C: Conventional gait training. | E: 8-week training. C: 8-week training. | Baseline and 8 weeks | Conventional gait training, body weight-supported walking, cadence, stride, and gross motor function. | Gross motor function, cadence, stride, and walking all significantly improved with the PBWSTT. |
Su et al. (2013) [3] | E: Treadmill training incorporating partial body weight support. C: Conventional gait training. | E: 14 sessions with an average of 262 min/12 weeks. C: 16 sessions with an average of 295 min/12 weeks. | Baseline and 12 weeks | Gross motor skills for low functioning | Children and adolescents with nonspastic CP who are low functioning can benefit from PBWSTT in terms of their gross motor abilities. |
Swe et al. (2015) [27] | E: Treadmill training incorporating partial body weight support. C: Above the ground. | E: 2 times 30 min/week for 8 weeks C: 2 times 30 min/week for 8 weeks | Baseline, 4 weeks, and 8 weeks | Walking and gross motor functions | After eight weeks of PBWSTT, children with mild to moderate CP had improved gross motor functions and walking speed. |
Willoughby et al. (2010) [16] | E: Treadmill training incorporating partial body weight support. C: Walking. | E: Twice/week for 9 weeks. C: Twice/week for 9 weeks. | Baseline, 10, and 24 weeks. | Walking speed and endurance. | Children with CP can no longer improve their walking speed and endurance with 9 weeks of PBWSTT. |
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Alotaibi, A.; Ibrahim, A.; Ahmed, R.; Abualait, T. 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 2024, 11, 9. https://doi.org/10.3390/children11010009
Alotaibi A, Ibrahim A, Ahmed R, Abualait T. 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. 2024; 11(1):9. https://doi.org/10.3390/children11010009
Chicago/Turabian StyleAlotaibi, Abdulmajeed, Alaa Ibrahim, Raafat Ahmed, and Turki Abualait. 2024. "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, no. 1: 9. https://doi.org/10.3390/children11010009
APA StyleAlotaibi, A., Ibrahim, A., Ahmed, R., & Abualait, T. (2024). 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. https://doi.org/10.3390/children11010009