Jill G Zwicker1, Tanja A Mayson. 1. Developmental Neurosciences and Child Health, Child and Family Research Institute, University of British Columbia, Vancouver, British Columbia, Canada. jzwicker@cw.bc.ca
Abstract
PURPOSE: The purpose of this review was to synthesize current evidence from systematic reviews on the effectiveness of treadmill training (TT), including partial body-weight support (PBWS) TT (PBWSTT), TT only, robotic-assist PBWSTT, and mixed TT, in children with motor impairments. METHODS: Systematic literature searches were conducted in 10 databases through May 2010. Two reviewers independently selected titles, abstracts (k = 0.78), and full-text articles (k = 1.0). Of the 1166 titles retrieved, 5 studies met the inclusion criteria. Quality of included studies was assessed using AMSTAR criteria. RESULTS: Results of each systematic review were tabulated on the basis of levels of evidence, with outcomes categorized according to the International Classification of Functioning, Disability, and Health framework. Conflicting interpretations of outcomes were found between reviews, yet conclusions were similar. CONCLUSIONS: TT demonstrates encouraging results, but more rigorous research is needed before clinicians can be confident of its effectiveness and clinical guidelines can be developed.
PURPOSE: The purpose of this review was to synthesize current evidence from systematic reviews on the effectiveness of treadmill training (TT), including partial body-weight support (PBWS) TT (PBWSTT), TT only, robotic-assist PBWSTT, and mixed TT, in children with motor impairments. METHODS: Systematic literature searches were conducted in 10 databases through May 2010. Two reviewers independently selected titles, abstracts (k = 0.78), and full-text articles (k = 1.0). Of the 1166 titles retrieved, 5 studies met the inclusion criteria. Quality of included studies was assessed using AMSTAR criteria. RESULTS: Results of each systematic review were tabulated on the basis of levels of evidence, with outcomes categorized according to the International Classification of Functioning, Disability, and Health framework. Conflicting interpretations of outcomes were found between reviews, yet conclusions were similar. CONCLUSIONS: TT demonstrates encouraging results, but more rigorous research is needed before clinicians can be confident of its effectiveness and clinical guidelines can be developed.
Authors: Luanda André Collange Grecco; Natália de Almeida Carvalho Duarte; Mariana Emerenciano de Mendonça; Hugo Pasini; Vânia Lúcia Costa de Carvalho Lima; Renata Calhes Franco; Luis Vicente Franco de Oliveira; Paulo de Tarso Camilo de Carvalho; João Carlos Ferrari Corrêa; Nelci Zanon Collange; Luciana Maria Malosá Sampaio; Manuela Galli; Felipe Fregni; Claudia Santos Oliveira Journal: BMC Pediatr Date: 2013-10-11 Impact factor: 2.125