Body Weight Support Treadmill Training – a systematic review of meta-analyses

Marcin Błaszcz, Beata Stach

M.Błaszcz, B. Stach – Body Weight Support Treadmill Training – a systematic review of meta-analyses. Fizjoterapia Polska 2020; 20(1); 66-77

Abstract
Aim. Although the effectiveness of Body Weight Support Treadmill Training has already been confirmed in various patients, its superiority over other physiotherapeutic interventions is unclear. The aim of this review was to compare the effectiveness of BWSTT in relation to other methods in various patients group.
Material and methods. A systematic review of meta-analyses was performed with: Cochrane Database of Systematic Reviews, MEDLINE and PEDro from the beginning until January 2019. 1775 publications were identified, of which 4 metaanalyses and one systematic review were included.
Results. BWSTT was more effective than other physiotherapeutic interventions in short-term increasing gait endurance and speed in stroke patients walking independently, and in improving functionality after hip replacement. In terms of: increasing the chance of independent walking, improving gait endurance and speed in dependent stroke patients; increasing walking distance and speed after a spinal cord injury and increasing the walking speed and cadence and stride length in Parkinson’s disease BWSTT was not more effective than standard physiotherapy.
Conclusion. The use of BWSTT may be beneficial for stroke patients who walk independently and at people after hip replacement. In the other areas, insufficient evidences were found.

Key words:
Body Weight Support Treadmill Training, gait, body weight support, systematic review, meta-analysis

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Influence of body weight support via Parestand system on gait kinematic — a pilot study

Beata Stach, Marcin Błaszcz

B. Stach, M. Błaszcz – Influence of body weight support via Parestand system on gait kinematic — a pilot study; Fizjoterapia Polska 2018; 18(1); 84-94

Abstract

Background. Many studies have recently confirmed the effectiveness of the Body Weight Support (BWS) Treadmill Training in healthy subjects and various clinical conditions. It is rarely practised method in Poland. No study about influence of Polish Parestand system on kinematic parameters of gait have been reported to date.
Material and Methods. The kinematics of the right lower limb of a healthy woman was analysed, while walking on the treadmill without support (0%) and with 25% and 50% BWS via the body weight support system Parestand at velocity of 3; 4 and 5 km/h in the initial contact (IC), loading response (LR), terminal stance (TSt) and mid swing (MSw) phase. The joint angle parameters were collected using the Noraxon system and then subjected to statistical analysis.
Results. BWS via Parestand (25% and 50%) significantly changed hip kinematics at each velocity. Knee kinematics significantly differed at 25% BWS in IC and LR, and at 50% BWS in IC, LR, TSt and MSw at each velocity. Ankle angular values did not differ significantly at 25% BWS at any velocity, and at 50% BWS were significantly different only at 3 km/h in all tested phases.
Conclusions. Increasing of BWS changes gait kinematic in a bigger extent. Even a 25% of body weight support via Parestand could change hip kinematics during gait. 25% BWS via Parestand could change knee kinematic in the early gait phases without modifying the ankle kinematics. A study in this area should be carried out on a larger number of subjects.

Key words:

gait, body weight support, Gait Kinematic, Body Weight Supported Treadmill Training

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