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  4. A Systematic Review of the Effectiveness of Treadmill Training and Body Weight Support in Pediatric Rehabilitation

A Systematic Review of the Effectiveness of Treadmill Training and Body Weight Support in Pediatric Rehabilitation

J Neurol Phys Ther, 2009 · DOI: 10.1097/NPT.0b013e31819800e2 · Published: March 1, 2009

PediatricsNeurorehabilitationRehabilitation

Simple Explanation

This study reviews the effectiveness of treadmill training and body weight support for children with motor disabilities. It looks at various conditions like cerebral palsy, spinal cord injuries, and Down syndrome. The review analyzes existing research to determine if these training methods improve walking and movement skills in children. It also checks if there are enough guidelines to help therapists use these methods properly. The findings suggest that treadmill training is beneficial for children with Down syndrome. However, more research is needed to confirm the benefits for children with cerebral palsy, spinal cord injuries, and other neurological conditions.

Study Duration
Not specified
Participants
29 studies including infants, children and young adults (less than 21 years of age) with medical diagnoses in which a motor disability was a consistent and/or prominent feature.
Evidence Level
Systematic Review

Key Findings

  • 1
    Treadmill training is effective in accelerating walking development in children with Down syndrome.
  • 2
    Evidence is insufficient to support the efficacy of body weight supported treadmill training for improving gait in children with cerebral palsy, spinal cord injuries, and other central nervous system disorders.
  • 3
    Many studies noted positive, yet small, effects of body weight supported treadmill training for improving gait in children with cerebral palsy, spinal cord injuries, and other central nervous system disorders.

Research Summary

This systematic review evaluated the evidence supporting treadmill training with and without body weight support for children and young adults (under 21 years) with motor disabilities, including cerebral palsy, spinal cord injury, and Down syndrome. The review found strong evidence for the efficacy of treadmill training in accelerating walking development in infants with Down syndrome. However, evidence supporting the use of body weight supported treadmill training for improving gait in children with cerebral palsy, spinal cord injuries, and other central nervous system disorders was limited and inconclusive. The authors concluded that larger, well-controlled trials are needed to determine the efficacy of body weight supported treadmill training for specific pediatric patient subgroups and to define optimal protocol parameters.

Practical Implications

Down Syndrome Early Intervention

Treadmill training can be used as an effective early intervention strategy to accelerate walking development in infants with Down syndrome.

Need for Further Research

High-quality randomized controlled trials are needed to investigate the efficacy of body weight supported treadmill training in children with cerebral palsy, spinal cord injuries, and other central nervous system disorders.

Protocol Development

Optimal protocols for body weight supported treadmill training need to be developed for different pediatric populations based on the specific goals of treatment.

Study Limitations

  • 1
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