The effect of treadmill training in children with Cerebral Palsy: A Systematic Review of Randomised controlled trials
DOI:
https://doi.org/10.54361/ljmr.12.1.03Keywords:
Foot Position, Knee Moment, Sit To StandAbstract
This study aims to investigate the effect of treadmill training on gross motor skills and gait parameters in children with Cerebral palsy.A review of Randomised controlled trials was performed usingPreferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methodology. Six databases Embase, AMED, Medline, CINAHL, PEDro and Web of Science were searched. Data were extracted and assessed using Cochrane Collaboration’s tool and PEDro scale. Four studies were included, with a total of 100 participants. The risk of bias across studies was considered low in most domains. The studies received a score ranged from four to eight on PEDro scale. Two studies reported a statistically significant improvement of gross motor skills. Gait speed improved statistically after treadmill training in one trial. No serious adverse effects of treadmill training were reported. The results provide limited evidence on the positive effect of treadmill training on motor development and gait parameters. Further research should confirm this improvement and the size of it clinically also the long-term effects
References
Stanley FJ, Blair E, Alberman E. (2000)What are the cerebral palsies? In: Cerebral palsies: epidemiology and causal pathways. London: MacKeith Press; p. 8-13.
Campbell SK. (1999) Decision making in pediatric neurologic physical therapy. Philadelphia: Churchill Livingstone.
Odding E, Roebroeck ME, Stam HJ. (2006) The epidemiology of cerebral palsy: incidence, impairments and risk factors. Disabil Rehabil. 28(4):183-191. DOI: https://doi.org/10.1080/09638280500158422
Oskoui M, Coutinho F, Dykeman J, et al. (2013)An update on the prevalence of cerebral palsy: a systematic review and meta-analysis. Dev Med Child Neurol. 55(6):509–519. DOI: https://doi.org/10.1111/dmcn.12080
Rosenbaum P, Paneth N, Leviton A, et al. (2007) A report: the definition and classification of cerebral palsy April 2006. Dev Med Child Neurol. 109:108.
SCPE. (2000) Surveillance of cerebral palsy in Europe: a collaboration of cerebral palsy surveys and registers. Surveillance of Cerebral Palsy in Europe (SCPE). Dev Med Child Neurol.42:816–824. DOI: https://doi.org/10.1111/j.1469-8749.2000.tb00695.x
Levitt S, editor. (2010) Treatment of cerebral palsy and motor delay. 5thed. Oxford: Wiley-Blackwell.
Christensen D, Van Naarden Braun K, Doernberg NS, et al. (2013) Prevalence of cerebral palsy, co-occurring autism spectrum disorders, and motor functioning - Autism and Developmental Disabilities Monitoring Network, USA, 2008. Dev Med Child Neurol. 56(1):59-65. DOI: https://doi.org/10.1111/dmcn.12268
van Schie PE, Siebes RC, Dallmeijer AJ, et al. (2013) Development of social functioning and communication in school-aged (5–9 years) children with cerebral palsy. Res Dev Disabil. 34(12),4485–4494. DOI: https://doi.org/10.1016/j.ridd.2013.09.033
Martin L, Baker R, Harvey A. (2010) A systematic review of common physiotherapy interventions in school-aged children with cerebral palsy. Phys Occup Ther Pediatr. Nov;30(4):294-312. DOI: https://doi.org/10.3109/01942638.2010.500581
Carr J, Shepherd R. (2010) Neurological rehabilitation: Optimizing motor performance. London: Churchill Livingstone.
Damiano DL, DeJong SL. (2009)A Systematic Review of the Effectiveness of Treadmill Training and Body Weight Support in Pediatric Rehabilitation. J Neurol Phys Ther. 33(1):27–44. DOI: https://doi.org/10.1097/NPT.0b013e31819800e2
Kurz, MJ, Wilson, TW, Corr, B, et al. (2012) Body weight supported treadmill training influences the neuromagnetic activity of the somatosensory cortices of children with cerebral palsy. J Neurol Phys Ther. 36(4):166–172. DOI: https://doi.org/10.1097/NPT.0b013e318251776a
Kurz MJ, Stuberg W, Dejong S, et al. (2013) Overground body-weight-supported gait training for children and youth with neuromuscular impairments. Phys Occup Ther Pediatr. Aug;33(3):353-365. DOI: https://doi.org/10.3109/01942638.2013.771719
Willoughby KL, Dodd KJ, Shields N. (2009) A systematic review of the effectiveness of treadmill training for children with cerebral palsy. Disabil Rehabil. 31(24):1971-1979. DOI: https://doi.org/10.3109/09638280902874204
Borggraefe I, Schaefer JS, Klaiber M, et al. (2010a) Robotic-assisted treadmill therapy improves walking and standing performance in children and adolescents with cerebral palsy. Eur J Paediatr Neurol. 14:496–502. DOI: https://doi.org/10.1016/j.ejpn.2010.01.002
Mattern-Baxter K, McNeil S, Mansoor JK. (2013) Effects of home-based locomotor treadmill training on gross motor function in young children with cerebral palsy: a quasi-randomized controlled trial. Arch Phys Med Rehabil. 94(11):2061-2067. DOI: https://doi.org/10.1016/j.apmr.2013.05.012
Matsuno VM, Camargo MR, Palma GC, et al. (2010) Analysis of partial body weight support during treadmill and overground walking of children with cerebral palsy. Braz J Phys Ther. 14(5):404-410 DOI: https://doi.org/10.1590/S1413-35552010000500009
Dobkin BH, Duncan PW. (2012) Should Body Weight–Supported Treadmill Training and Robotic-Assistive Steppers for Locomotor Training Trot Back to the Starting Gate?. Neurorehabil Neural Repair. 26(4):308–317. DOI: https://doi.org/10.1177/1545968312439687
Moher D, Liberati A, Tetzlaff J, et al. (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Intern Med. 151(4):264-269. DOI: https://doi.org/10.7326/0003-4819-151-4-200908180-00135
Jewell DV. (2011) Guide to evidence-based physical therapist practice. 2nd ed. Sudbury, MA: Jones & Bartlett Learning.
The Nordic Cochrane Centre, The Cochrane Collaboration. (2012) Review Manager (RevMan). 5.2. Copenhagen: The Nordic Cochrane Centre, The Cochrane Collaboration.
Centre for Reviews and Dissemination (CRD). (2009) Systematic Reviews: CRD's guidance for undertaking systematic reviews in health care. CRD: University of York.
Higgins JPT, Green S, editors.(2011) Cochrane handbook for systematic reviews of intervention. Version 5.1.0. The Cochrane Collaboration. Available at: www.cochrane-handbook.org. Accessed: 9 Jan 2014.
De Morton NA. (2009) The PEDro scale is a valid measure of the methodological quality of clinical trials: a demographic study. Aust J Physiother. 55(2):129-133. DOI: https://doi.org/10.1016/S0004-9514(09)70043-1
Maher CG, Sherrington C, Herbert RD, et al. (2003) Reliability of the PEDro scale for rating quality of randomized controlled trials. Phys Ther. Aug;83(8):713-721. DOI: https://doi.org/10.1093/ptj/83.8.713
Wilson DB. Practical meta-analysis effect size calculator [Online calculator]. Retrieved 2017 May 1. Available from: https://www.campbellcollaboration.org/this-is-a-web-based-effect-size-calculator/explore/this-is-a-web-based-effect-size-calculator
Bryant E, Pountney T, Williams H, et al. (2013) Can a six-week exercise intervention improve gross motor function for non-ambulant children with cerebral palsy? A pilot randomized controlled trial. Clin Rehabil. 27(2):150–159. DOI: https://doi.org/10.1177/0269215512453061
Johnston TE, Watson KE, Ross SA, et al. (2011) Effects of a supported speed treadmill training exercise program on impairment and function for children with cerebral palsy. Dev Med Child Neurol. 53(8):742-750. DOI: https://doi.org/10.1111/j.1469-8749.2011.03990.x
Chrysagis N, Skordilis EK, Stavrou N, et al. (2012) The effect of treadmill training on gross motor function and walking speed in ambulatory adolescents with cerebral palsy: a randomized controlled trial. Am J Phys Med Rehabil.91:747-760. DOI: https://doi.org/10.1097/PHM.0b013e3182643eba
Su IY, Chung KK, Chow DH. (2013) Treadmill training with partial body weight support compared with conventional gait training for low-functioning children and adolescents with nonspastic cerebral palsy: a two-period crossover study. Prosthet Orthot Int. 37(6):445-453. DOI: https://doi.org/10.1177/0309364613476532
Cohen, J. (1988a)Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Erlbaum.
Prel Jd, Hommel G, Röhrig B, et al. (2009) Confidence Interval or P-Value? Part 4 of a Series on Evaluation of Scientific Publications. Dtsch Arztebl Int. 106(19):335-339. DOI: https://doi.org/10.3238/arztebl.2009.0335
Mattern-Baxter K. (2009) Effects of partial body weight supported treadmill training on children with cerebral palsy. Pediatr Phys Ther. 21(1):12-22. DOI: https://doi.org/10.1097/PEP.0b013e318196ef42
Mutlu A, Krosschell K, Spira DG. (2009) Treadmill training with partial body-weight support in children with cerebral palsy: a systematic review. Dev Med Child Neurol. 51(4):268-275. DOI: https://doi.org/10.1111/j.1469-8749.2008.03221.x
Valentin-Gudiol M, Mattern-Baxter K, Girabent-Farrés M, et al. (2011) Treadmill interventions with partial body weight support in children under six years of age at risk of neuromotor delay. Cochrane Database Syst Rev. Dec 7;(12):CD009242. DOI: https://doi.org/10.1002/14651858.CD009242.pub2
Valentin-Gudiol M, Bagur-Calafat C, Girabent-Farrés M, et al. (2013) Treadmill interventions with partial body weight support in children under six years of age at risk of neuromotor delay: a report of a Cochrane systematic review and meta-analysis. Eur J Phys Rehabil Med. 49(1):67-91.
Grecco LAC, Tomita SM, Christovão TCL, et al. (2013) Effect of treadmill gait training on static and functional balance in children with cerebral palsy: a randomized controlled trial. Braz J Phys Ther. 17(1):17-23. DOI: https://doi.org/10.1590/S1413-35552012005000066
Borggraefe I, Klaiber M, Schuler T, et al. (2010b) Safety of robotic-assisted treadmill therapy in children and adolescents with gait impairment: A bi-centre survey. Dev Neurorehabil. 13(2):114-119. DOI: https://doi.org/10.3109/17518420903321767
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