Effectiveness of Treadmill Training on Gait Function in Children with Cerebral Palsy: Meta-analysis

Overview

Journal J Exerc Rehabil

Date 2020 Mar 13

PMID 32161730

Citations 10

Authors

Yong-Gu Han

Chang-Kyo Yun

Affiliations

Soon will be listed here.

Abstract

The purpose of this review was to analysis the effects of treadmill training on gait function in children with cerebral palsy. Cumulative Index to Nursing and Allied Health Literature (CINAHL), Cochrane Central Register of Controlled Trials, Physiotherapy Evidence Database (PEDro), PubMed and Web of Science were searched. Investigating the effects of treadmill training on gait endurance, gait speed, limb support time, cadence, and step length in children with cerebral palsy. Similar outcomes were pooled by calculating the standardized mean difference. Of the eight studies, 179 participants were included. The average PEDro score was 6.25/10. The results of the sensitivity test for bias evaluation using the duval and tweedie's trim and fill method showed low publication bias. The test regarding the effect of treadmill training on overall gait function yielded a moderate effect size of 0.53, which was a statistically significant effect as its confidence interval did not include. The overall effect size of gait endurance was 0.85. The overall effect size of gait speed and limb support time were 0.52 and 0.73. The overall effect size of cadence and step length were 0.14 and 0.21, indicating a nonsignificant improvement. These findings suggested that treadmill training on cerebral palsy was effective for gait endurance, gait speed and limb support time than cadence and step length.

Citing Articles

Care Pathways in Rehabilitation for Children and Adolescents with Cerebral Palsy: Distinctiveness of the Adaptation to the Italian Context.

Faccioli S, Sassi S, Pagliano E, Maghini C, Perazza S, Siani M Children (Basel). 2024; 11(7).

PMID: 39062302 PMC: 11275177. DOI: 10.3390/children11070852.

A Comparison of the Immediate Effects of Verbal and Virtual Reality Feedback on Gait in Children with Cerebral Palsy.

De Mulder T, Adams H, Dewit T, Molenaers G, Van Campenhout A, Desloovere K Children (Basel). 2024; 11(5).

PMID: 38790520 PMC: 11120472. DOI: 10.3390/children11050524.

Effectiveness of whole-body vibration in patients with cerebral palsy: A systematic review and meta-analysis.

Han Y, Kim M Medicine (Baltimore). 2023; 102(48):e36441.

PMID: 38050249 PMC: 10695530. DOI: 10.1097/MD.0000000000036441.

Effectiveness of virtual reality on activities of daily living in children with cerebral palsy: a systematic review and meta-analysis.

Han Y, Park S PeerJ. 2023; 11:e15964.

PMID: 37667752 PMC: 10475275. DOI: 10.7717/peerj.15964.

Evidence-based management and motor rehabilitation of cerebral palsy children and adolescents: a systematic review.

Faccioli S, Pagliano E, Ferrari A, Maghini C, Siani M, Sgherri G Front Neurol. 2023; 14:1171224.

PMID: 37305763 PMC: 10248244. DOI: 10.3389/fneur.2023.1171224.

References

Johnston T, Watson K, Ross S, Gates P, Gaughan J, Lauer R . Effects of a supported speed treadmill training exercise program on impairment and function for children with cerebral palsy. Dev Med Child Neurol. 2011; 53(8):742-50. DOI: 10.1111/j.1469-8749.2011.03990.x. View

Schwartz M, Rozumalski A . The Gait Deviation Index: a new comprehensive index of gait pathology. Gait Posture. 2008; 28(3):351-7. DOI: 10.1016/j.gaitpost.2008.05.001. View

Klamroth S, Gassner H, Winkler J, Eskofier B, Klucken J, Pfeifer K . Interindividual Balance Adaptations in Response to Perturbation Treadmill Training in Persons With Parkinson Disease. J Neurol Phys Ther. 2019; 43(4):224-232. DOI: 10.1097/NPT.0000000000000291. View

Drew T, Kalaska J, Krouchev N . Muscle synergies during locomotion in the cat: a model for motor cortex control. J Physiol. 2008; 586(5):1239-45. PMC: 2375657. DOI: 10.1113/jphysiol.2007.146605. View

Schindl M, Forstner C, Kern H, Hesse S . Treadmill training with partial body weight support in nonambulatory patients with cerebral palsy. Arch Phys Med Rehabil. 2000; 81(3):301-6. DOI: 10.1016/s0003-9993(00)90075-3. View

Yamato T, Arora M, Stevens M, Elkins M, Moseley A . Quality, language, subdiscipline and promotion were associated with article accesses on Physiotherapy Evidence Database (PEDro). Physiotherapy. 2017; 104(1):122-128. DOI: 10.1016/j.physio.2017.08.003. View

Chen Y, Fanchiang H, Howard A . Effectiveness of Virtual Reality in Children With Cerebral Palsy: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Phys Ther. 2017; 98(1):63-77. PMC: 6692882. DOI: 10.1093/ptj/pzx107. View

Johnson C . The benefits of physical activity for youth with developmental disabilities: a systematic review. Am J Health Promot. 2009; 23(3):157-67. DOI: 10.4278/ajhp.070930103. View

Schalock R, Gomez L, Verdugo M, Claes C . Evidence and Evidence-Based Practices: Are We There Yet?. Intellect Dev Disabil. 2017; 55(2):112-119. DOI: 10.1352/1934-9556-55.2.112. View

10.

Saquetto M, Carvalho V, Silva C, Conceicao C, Gomes-Neto M . The effects of whole body vibration on mobility and balance in children with cerebral palsy: a systematic review with meta-analysis. J Musculoskelet Neuronal Interact. 2015; 15(2):137-44. PMC: 5133716. View

11.

Mutlu A, Krosschell K, Spira D . Treadmill training with partial body-weight support in children with cerebral palsy: a systematic review. Dev Med Child Neurol. 2009; 51(4):268-75. DOI: 10.1111/j.1469-8749.2008.03221.x. View

12.

Macaskill P, Walter S, Irwig L . A comparison of methods to detect publication bias in meta-analysis. Stat Med. 2001; 20(4):641-54. DOI: 10.1002/sim.698. View

13.

Schutte L, Narayanan U, Stout J, Selber P, Gage J, Schwartz M . An index for quantifying deviations from normal gait. Gait Posture. 2000; 11(1):25-31. DOI: 10.1016/s0966-6362(99)00047-8. View

14.

Chow D, Holmes A, Lee C, Sin S . The effect of prosthesis alignment on the symmetry of gait in subjects with unilateral transtibial amputation. Prosthet Orthot Int. 2006; 30(2):114-28. DOI: 10.1080/03093640600568617. View

15.

Molina-Rueda F, Aguila-Maturana A, Molina-Rueda M, Miangolarra-Page J . [Treadmill training with or without partial body weight support in children with cerebral palsy: systematic review and meta-analysis]. Rev Neurol. 2010; 51(3):135-45. View

16.

Begnoche D, Pitetti K . Effects of traditional treatment and partial body weight treadmill training on the motor skills of children with spastic cerebral palsy. A pilot study. Pediatr Phys Ther. 2007; 19(1):11-9. DOI: 10.1097/01.pep.0000250023.06672.b6. View

17.

Grecco L, Tomita S, Christovao T, Pasini H, Sampaio L, Oliveira C . Effect of treadmill gait training on static and functional balance in children with cerebral palsy: a randomized controlled trial. Braz J Phys Ther. 2013; 17(1):17-23. DOI: 10.1590/s1413-35552012005000066. View

18.

Schiariti V, Selb M, Cieza A, ODonnell M . International Classification of Functioning, Disability and Health Core Sets for children and youth with cerebral palsy: a consensus meeting. Dev Med Child Neurol. 2014; 57(2):149-58. DOI: 10.1111/dmcn.12551. View

19.

Massie C, Malcolm M, Greene D, Thaut M . The effects of constraint-induced therapy on kinematic outcomes and compensatory movement patterns: an exploratory study. Arch Phys Med Rehabil. 2009; 90(4):571-9. DOI: 10.1016/j.apmr.2008.09.574. View

20.

Hashiguchi Y, Ohata K, Osako S, Kitatani R, Aga Y, Masaki M . Number of Synergies Is Dependent on Spasticity and Gait Kinetics in Children With Cerebral Palsy. Pediatr Phys Ther. 2017; 30(1):34-38. DOI: 10.1097/PEP.0000000000000460. View