Treadmill training is effective for ambulatory adults with stroke: A systematic review

Janaine C. Polese, Louise Ada, Catherine M. Dean, Lucas R. Nascimento, Luci F. Teixeira-Salmela

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Question: Does mechanically assisted walking increase walking speed or distance in ambulatory people with stroke compared with no intervention/non-walking intervention, or with overground walking? Design: Systematic review with meta-analysis of randomised trials. Participants: Ambulatory adults with stroke. Intervention: Mechanically assisted walking (treadmill or gait trainer) without body weight support. Outcome measures: Walking speed measured in m/s during the 10-m Walk Test and walking distance measured in m during the 6-min Walk Test. Results: Nine studies of treadmill training comprising 977 participants were included. Treadmill training resulted in faster walking than no intervention/non-walking intervention immediately after the intervention period (MD 0.14. m/s, 95% CI 0.09 to 0.19) and this was maintained beyond the intervention period (MD -0.12. m/s, 95% CI 0.08 to 0.17). It also resulted in greater walking distance immediately after the intervention period (MD 40. m, 95% CI 27 to 53) and this was also maintained beyond the intervention period (MD 40. m, 95% CI 24 to 55). There was no immediate, statistically significant difference between treadmill training and overground training in terms of walking speed (MD 0.05. m/s, 95% CI 0.12 to 0.21) or distance (MD -6. m, 95% CI -45 to 33). Conclusion: This systematic review provides evidence that, for people with stroke who can walk, treadmill training without body weight support results in faster walking speed and greater distance than no intervention/ non-walking intervention and the benefit is maintained beyond the training period.

LanguageEnglish
Pages73-80
Number of pages8
JournalJournal of Physiotherapy
Volume59
Issue number2
DOIs
Publication statusPublished - Jun 2013

Fingerprint

Walking
Stroke
Body Weight
Gait
Meta-Analysis
Outcome Assessment (Health Care)
Walking Speed
Walk Test

Cite this

Polese, Janaine C. ; Ada, Louise ; Dean, Catherine M. ; Nascimento, Lucas R. ; Teixeira-Salmela, Luci F. / Treadmill training is effective for ambulatory adults with stroke : A systematic review. In: Journal of Physiotherapy. 2013 ; Vol. 59, No. 2. pp. 73-80.
@article{c0b2af187ca542668ed87dceedfbd6ba,
title = "Treadmill training is effective for ambulatory adults with stroke: A systematic review",
abstract = "Question: Does mechanically assisted walking increase walking speed or distance in ambulatory people with stroke compared with no intervention/non-walking intervention, or with overground walking? Design: Systematic review with meta-analysis of randomised trials. Participants: Ambulatory adults with stroke. Intervention: Mechanically assisted walking (treadmill or gait trainer) without body weight support. Outcome measures: Walking speed measured in m/s during the 10-m Walk Test and walking distance measured in m during the 6-min Walk Test. Results: Nine studies of treadmill training comprising 977 participants were included. Treadmill training resulted in faster walking than no intervention/non-walking intervention immediately after the intervention period (MD 0.14. m/s, 95{\%} CI 0.09 to 0.19) and this was maintained beyond the intervention period (MD -0.12. m/s, 95{\%} CI 0.08 to 0.17). It also resulted in greater walking distance immediately after the intervention period (MD 40. m, 95{\%} CI 27 to 53) and this was also maintained beyond the intervention period (MD 40. m, 95{\%} CI 24 to 55). There was no immediate, statistically significant difference between treadmill training and overground training in terms of walking speed (MD 0.05. m/s, 95{\%} CI 0.12 to 0.21) or distance (MD -6. m, 95{\%} CI -45 to 33). Conclusion: This systematic review provides evidence that, for people with stroke who can walk, treadmill training without body weight support results in faster walking speed and greater distance than no intervention/ non-walking intervention and the benefit is maintained beyond the training period.",
author = "Polese, {Janaine C.} and Louise Ada and Dean, {Catherine M.} and Nascimento, {Lucas R.} and Teixeira-Salmela, {Luci F.}",
year = "2013",
month = "6",
doi = "10.1016/S1836-9553(13)70159-0",
language = "English",
volume = "59",
pages = "73--80",
journal = "Journal of Physiotherapy",
issn = "1836-9553",
publisher = "Australian Physiotherapy Association",
number = "2",

}

Treadmill training is effective for ambulatory adults with stroke : A systematic review. / Polese, Janaine C.; Ada, Louise; Dean, Catherine M.; Nascimento, Lucas R.; Teixeira-Salmela, Luci F.

In: Journal of Physiotherapy, Vol. 59, No. 2, 06.2013, p. 73-80.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Treadmill training is effective for ambulatory adults with stroke

T2 - Journal of Physiotherapy

AU - Polese, Janaine C.

AU - Ada, Louise

AU - Dean, Catherine M.

AU - Nascimento, Lucas R.

AU - Teixeira-Salmela, Luci F.

PY - 2013/6

Y1 - 2013/6

N2 - Question: Does mechanically assisted walking increase walking speed or distance in ambulatory people with stroke compared with no intervention/non-walking intervention, or with overground walking? Design: Systematic review with meta-analysis of randomised trials. Participants: Ambulatory adults with stroke. Intervention: Mechanically assisted walking (treadmill or gait trainer) without body weight support. Outcome measures: Walking speed measured in m/s during the 10-m Walk Test and walking distance measured in m during the 6-min Walk Test. Results: Nine studies of treadmill training comprising 977 participants were included. Treadmill training resulted in faster walking than no intervention/non-walking intervention immediately after the intervention period (MD 0.14. m/s, 95% CI 0.09 to 0.19) and this was maintained beyond the intervention period (MD -0.12. m/s, 95% CI 0.08 to 0.17). It also resulted in greater walking distance immediately after the intervention period (MD 40. m, 95% CI 27 to 53) and this was also maintained beyond the intervention period (MD 40. m, 95% CI 24 to 55). There was no immediate, statistically significant difference between treadmill training and overground training in terms of walking speed (MD 0.05. m/s, 95% CI 0.12 to 0.21) or distance (MD -6. m, 95% CI -45 to 33). Conclusion: This systematic review provides evidence that, for people with stroke who can walk, treadmill training without body weight support results in faster walking speed and greater distance than no intervention/ non-walking intervention and the benefit is maintained beyond the training period.

AB - Question: Does mechanically assisted walking increase walking speed or distance in ambulatory people with stroke compared with no intervention/non-walking intervention, or with overground walking? Design: Systematic review with meta-analysis of randomised trials. Participants: Ambulatory adults with stroke. Intervention: Mechanically assisted walking (treadmill or gait trainer) without body weight support. Outcome measures: Walking speed measured in m/s during the 10-m Walk Test and walking distance measured in m during the 6-min Walk Test. Results: Nine studies of treadmill training comprising 977 participants were included. Treadmill training resulted in faster walking than no intervention/non-walking intervention immediately after the intervention period (MD 0.14. m/s, 95% CI 0.09 to 0.19) and this was maintained beyond the intervention period (MD -0.12. m/s, 95% CI 0.08 to 0.17). It also resulted in greater walking distance immediately after the intervention period (MD 40. m, 95% CI 27 to 53) and this was also maintained beyond the intervention period (MD 40. m, 95% CI 24 to 55). There was no immediate, statistically significant difference between treadmill training and overground training in terms of walking speed (MD 0.05. m/s, 95% CI 0.12 to 0.21) or distance (MD -6. m, 95% CI -45 to 33). Conclusion: This systematic review provides evidence that, for people with stroke who can walk, treadmill training without body weight support results in faster walking speed and greater distance than no intervention/ non-walking intervention and the benefit is maintained beyond the training period.

UR - http://www.scopus.com/inward/record.url?scp=84879822110&partnerID=8YFLogxK

U2 - 10.1016/S1836-9553(13)70159-0

DO - 10.1016/S1836-9553(13)70159-0

M3 - Article

VL - 59

SP - 73

EP - 80

JO - Journal of Physiotherapy

JF - Journal of Physiotherapy

SN - 1836-9553

IS - 2

ER -