Acknowledgements The first author thanks Maxine M Kuroda from the Rehabilitation Institute of Chicago for support and help during the construction of the review idea, and Sevilay Karahan from the Department of Biostatistics, Hacettepe University Faculty of Medicine, for data analysis. This study was performed when the first author was a visiting scholar at the Rehabilitation Institute of Chicago and a predoctoral fellow at Northwestern University from March to July 2007.
Treadmill training with partial body-weight support in children with cerebral palsy: a systematic review
Article first published online: 21 JAN 2009
© The Authors. Journal compilation © Mac Keith Press 2009
Developmental Medicine & Child Neurology
Volume 51, Issue 4, pages 268–275, April 2009
How to Cite
MUTLU, A., KROSSCHELL, K. and SPIRA, D. G. (2009), Treadmill training with partial body-weight support in children with cerebral palsy: a systematic review. Developmental Medicine & Child Neurology, 51: 268–275. doi: 10.1111/j.1469-8749.2008.03221.x
- Issue published online: 18 MAR 2009
- Article first published online: 21 JAN 2009
- PUBLICATION DATA Accepted for publication 29th September 2008. Published online 21st January 2009.
Vol. 51, Issue 9, 761, Article first published online: 23 JUL 2009
Aim The aim of this systematic review was to examine the literature on the effects of partial body-weight support treadmill training (PBWSTT) in children with cerebral palsy (CP) on functional outcomes and attainment of ambulation.
Method We searched the relevant literature from 1950 to July 2007. We found eight studies on the use of PWSBTT on functional outcomes in children with CP. The methodology to develop systematic reviews of treatment interventions as suggested by the American Academy of Cerebral Palsy and Developmental Medicine and the Critical Review Form-Quantitative Studies Methodological Quality was used to evaluate each article.
Results As two of the eight published articles reported on different outcomes of the same study, this review reports on seven studies with a total of 41 children. The evidence for the functional effects is limited. Statistical significance is not demonstrated in several of the studies, despite reported improvements in gross motor function, functional status, walking performance, and gait parameters.
Interpretation This systematic review is limited by the small number of participants, the heterogeneous level of abilities of participants from Gross Motor Function Classification System levels I to IV, and the low quality of trials. Because of these limitations, we cannot conclude that PBWSTT results in improvements for children with CP. Additional studies and well-established randomized controlled (or clinical) trials are clearly needed before determining the benefits and efficacy that would support continued use of this intervention in the clinical setting.