Evidence map›Paper›PMID 19265768›Full record

SynthesisJournal of neurologic physical therapy : JNPT2009

A systematic review of the effectiveness of treadmill training and body weight support in pediatric rehabilitation.

Diane L Damiano, Stacey L DeJong

3 registry-linked trialsAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Journal of neurologic physical therapy : JNPT, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 61 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 11 pooled it
6.5field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01564433 early_phase1completednot on this mapstarted 2011, after this paper: background citation

The Effects of an Electromechanical Gait Trainer in Gait Impairments and Endurance in Patients With Cerebral Palsy: a Randomized Control Trial

TypeinterventionalSponsorUniversita di VeronaRan2011 to 2012Enrolled20ConditionsCerebral PalsyArmsDevice: Electromechanical gait trainer, Convetional control treatment
NCT03744884 naunknown statusnot on this mapstarted 2018, after this paper: background citation

Movement Impairment Characterization and Rehabilitation for Spastic/Dystonic Cerebral Palsy Using Robotic Haptic Feedback in Virtual Reality

TypeinterventionalSponsorUniversity of Illinois at Urbana-ChampaignRan2018 to 2021Enrolled68ConditionsCerebral Palsy, Mixed, Cerebral Palsy, SpasticArmsForce efforts with haptic feedback in virtual reality.
NCT05444387 naunknown statusnot on this mapstarted 2022, after this paper: background citation

The Effect of Upper Limb Loading With External Weights During Partial Body Weight Support Treadmill Training on Gait and Trunk Control in Ambulatory Children With Cerebral Palsy: A Randomized Controlled Trial

TypeinterventionalSponsorAlya Abdelghafour AlkhajehRan2022 to 2022Enrolled30ConditionsCerebral PalsyArmsUpper limb loading
3 · Its place in the literature

Who cites it

61 citing papers in PubMed, 11 syntheses or guidelines pooled it, 194 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Pooled it
  9. Pooled it
  10. Pooled it
  11. Pooled it
  12. Trial
  13. Trial
  14. Trial
  15. Trial
  16. Trial
  17. Trial
  18. Trial
  19. Trial
  20. Body Weight Support Treadmill Training for Children With Developmental Delay Who Are Ambulatory.Pediatric physical therapy : the official publication of the Section on Pediatrics of the American Physical Therapy Association · 2015
    Trial

1 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

Diane L DamianoRehabilitation Medicine Department, National Institutes of Health, Bethesda, Maryland, USA. damianod@cc.nih.gov
Stacey L DeJong
National Institutes of Health · US

Funding

DOCTORAL TRAINING PROGRAM IN MOVEMENT SCIENCET32HD007434 · NICHD · WASHINGTON UNIVERSITY · PI Michael D Harris, Catherine Lang · 1993 to 2026
$4.2M
Intramural NIH HHS Z99 CL999999NICHD NIH HHS T32 HD007434NICHD NIH HHS T32HD007434
6 · The paper itself

Abstract

background and purposeGiven the extensive literature on body weight-supported treadmill training (BWSTT) in adult rehabilitation, a systematic review was undertaken to explore the strength, quality, and conclusiveness of evidence supporting use of treadmill training and body weight support in those with pediatric motor disabilities. A secondary goal was to ascertain whether protocol guidelines for BWSTT are available to guide pediatric physical therapy practice.

methodsThe database search included MEDLINE, EMBASE, CINAHL Plus, PEDro, Cochrane Library databases, and ERIC from January 1, 1980 to May 31, 2008 for articles that included treadmill training and body weight support for individuals under 21 years of age, with or at risk for a motor disability. We identified 277 unique articles from which 29 met all inclusion criteria.

resultsEfficacy of treadmill training in accelerating walking development in Down syndrome has been well demonstrated. Evidence supporting efficacy or effectiveness of BWSTT in pediatric practice for improving gait impairments and level of activity and participation in those with cerebral palsy, spinal cord injury, and other central nervous system disorders remains insufficient, although many studies noted positive effects. DISCUSSION AND

conclusionThe original evidence demonstrates efficacy of BWSTT in children with Down syndrome, but large-scale controlled trials are needed to support the use of BWSTT in other pediatric subgroups. Increased use of randomized designs, studies with treadmill training-only groups, and dosage studies are needed before practice guidelines can be formulated. Neural changes in response to training warrant exploration, especially given the capacity for change in developing nervous systems.

Indexed as

WalkingWeight-BearingBrain DiseasesChildChildren with DisabilitiesDown SyndromeExercise TherapyGuidelines as TopicHumansOrthotic DevicesPediatrics

Identifiers

PMID19265768
PMCPMC2982788
OpenAlexW1997696072

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.