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(Stroke. 2003;34:3006.)
© 2003 American Heart Association, Inc.

Cochrane Corner

Treadmill Training and Body Weight Support for Walking After Stroke

From the Rehabilitation Studies Unit (A.M.M., I.D.C.), Faculty of Medicine, University of Sydney, Ryde NSW, Australia; School of Physiotherapy (A.S.), University of Sydney, Lidcombe NSW, Australia; and Stroke Therapy Evaluation Programme (A.P.), Academic Department of Geriatric Medicine, Glasgow Royal Infirmary, Glasgow, UK.

Correspondence to Dr Anne M. Moseley, Rehabilitation Studies Unit, Faculty of Medicine, University of Sydney, PO Box 6, Ryde NSW 1680, Australia. E-Mail amoseley@mail.usyd.edu.au

An extract of the first 250 words of the full text is provided, because this article has no abstract.

Background

Treadmill training, with body weight partially supported using a harness, is a method of treating walking after stroke. Systematic review is required to assess the effectiveness of this treatment.

Objective

To assess the effectiveness of treadmill training and/or body weight support in the treatment of walking after stroke. The primary outcomes investigated were walking speed and walking dependency.

Search Strategy

We searched the Cochrane Stroke Group Trials Register, the Cochrane Central Register of Controlled Trials, and PEDro to March 21, 2003, as well as MEDLINE (1966 to March 2003), EMBASE (1980 to March 2003), and CINAHL (1982 to February 2003). In addition, we hand-searched relevant conference proceedings, screened reference lists, and contacted trialists to identify further published and unpublished trials.

Selection Criteria

Randomized (or quasi-randomized) controlled trials and randomized (or quasi-randomized) crossover trials that used treadmill training and/or body weight support for the treatment of walking after stroke were eligible.

Data Collection and Analysis

Using an a priori protocol, 2 reviewers independently selected trials and extracted data. Trialists were contacted for additional information. A fixed effects model was used for analysis, but if heterogeneity existed a random effects model was used.

Main Results

The searches retrieved about 1400 references, of which 11 trials (458 participants) were included in the analysis. There were no statistically significant differences between treadmill training with body weight support and other interventions for walking dependence for participants who were dependent walkers at the start of treatment (relative risk [RR] 1.05, 95% CI 0.84 to 1.31; fixed effects). There was a slight trend toward effectiveness of treadmill training . . . [Full Text of this Article]

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