TY - JOUR
T1 - Body-weight-supported treadmill walking training improves functional walking and balance in stroke survivors at any poststroke stage
T2 - A systematic review
AU - Chumacero-Polanco, Erik
AU - Yang, James
AU - James, C. Roger
AU - Wu, Ming
N1 - Publisher Copyright:
© 2018 by Begell House, Inc.
Copyright:
Copyright 2019 Elsevier B.V., All rights reserved.
PY - 2018
Y1 - 2018
N2 - The objective of this systematic review was to investigate the effectiveness of body-weight-supported treadmill walking training (BWS-TWT) to improve functional walking and balance in any poststroke stage. Clinical studies where BWS-TWT was administered to stroke patients in any poststroke stage were considered. Pre-and a postintervention measurements of walking speed (WS), cadence, Berg balance scale (BBS), distance in the six-minute walking test (6minWT), and time in the timed-up-and-go test (TUGT) were analyzed. After performing BWS-TWT, acute patients increased WS by 16.6%, BBS score by 98.7%, and distance in the 6minWT by 42.3%. Subacute patients increased WS by 84%, cadence by 32.23%, and score in the BBS by 57.6%. Chronic patients increased WS by 39.07%, cadence by 48.16%, BBS score by 5.07%, and distance in the 6minWT by 22.9%; TUGT time decreased by 3.8 s. There is strong evidence that BWS-TWT increases WS, cadence, balance, and endurance of stroke survivors at any stage poststroke, but the intervention better impacts acute patients, who may show more deficits.
AB - The objective of this systematic review was to investigate the effectiveness of body-weight-supported treadmill walking training (BWS-TWT) to improve functional walking and balance in any poststroke stage. Clinical studies where BWS-TWT was administered to stroke patients in any poststroke stage were considered. Pre-and a postintervention measurements of walking speed (WS), cadence, Berg balance scale (BBS), distance in the six-minute walking test (6minWT), and time in the timed-up-and-go test (TUGT) were analyzed. After performing BWS-TWT, acute patients increased WS by 16.6%, BBS score by 98.7%, and distance in the 6minWT by 42.3%. Subacute patients increased WS by 84%, cadence by 32.23%, and score in the BBS by 57.6%. Chronic patients increased WS by 39.07%, cadence by 48.16%, BBS score by 5.07%, and distance in the 6minWT by 22.9%; TUGT time decreased by 3.8 s. There is strong evidence that BWS-TWT increases WS, cadence, balance, and endurance of stroke survivors at any stage poststroke, but the intervention better impacts acute patients, who may show more deficits.
KW - Body-weight-supported treadmill
KW - Meta-analyses
KW - Poststroke stage
KW - Randomized trial
KW - Therapy
UR - http://www.scopus.com/inward/record.url?scp=85070550297&partnerID=8YFLogxK
U2 - 10.1615/CritRevPhysRehabilMed.2018028897
DO - 10.1615/CritRevPhysRehabilMed.2018028897
M3 - Article
AN - SCOPUS:85070550297
VL - 30
SP - 303
EP - 322
JO - Critical Reviews in Physical and Rehabilitation Medicine
JF - Critical Reviews in Physical and Rehabilitation Medicine
SN - 0896-2960
IS - 4
ER -