Please use this identifier to cite or link to this item: http://hdl.handle.net/1959.14/142868
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- Title
- Mechanically assisted walking with body weight support results in more independent walking than assisted overground walking in non-ambulatory patients early after stroke : a systematic review
- Related
- Journal of physiotherapy, Vol. 56, Issue 3, (2010), p.153-161
- Related
- http://ajp.physiotherapy.asn.au/AJP/vol_56/3/volume56_number3.cfm
- Publisher
- Australian Physiotherapy Association
- Date
- 2010
- Author/Creator
- Ada, Louise
- Author/Creator
- Dean, Catherine M
- Author/Creator
- Vargas, Janine
- Author/Creator
- Ennis, Samantha
- Description
- Question: Does mechanically assisted walking with body weight support result in more independent walking and is it detrimental to walking speed or capacity in non-ambulatory patients early after stroke? Design: Systematic review with meta-analysis of randomised trials. Participants: Non-ambulatory adult patients undergoing inpatient rehabilitation up to 3 months after stroke. Intervention: Mechanically assisted walking (eg, treadmill, electromechanical gait trainer, robotic device, servo-motor) with body weight support (eg, harness with or without handrail, but not handrail alone) versus assisted overground walking of longer than 15 min duration. Outcome measures: The primary outcome was the proportion of participants achieving independent walking. Secondary outcomes were walking speed measured as m/s during the 10-m Walk Test and walking capacity measured as distance in m during the 6-min Walk Test. Results: Six studies comprising 549 participants were identified and included in meta-analyses. Mechanically assisted walking with body weight support resulted in more people walking independently at 4 weeks (RD 0.23, 95% CI 0.15 to 0.30) and at 6 months (RD 0.23, 95% CI 0.07 to 0.39), faster walking at 6 months (MD 0.12 m/s, 95% CI 0.02 to 0.21), and further walking at 6 months (MD 55 m, 95% CI 15 to 96) than assisted overground walking. Conclusion: Mechanically assisted walking with body weight support is more effective than overground walking at increasing independent walking in non-ambulatory patients early after stroke. Furthermore, it is not detrimental to walking speed or capacity and clinicians should therefore be confident about implementing this intervention.
- Description
- 9 page(s)
- Subject Keyword
- Stroke
- Subject Keyword
- Treadmill
- Subject Keyword
- Walking
- Subject Keyword
- Systematic review
- Subject Keyword
- Meta-analysis
- Subject Keyword
- Randomised controlled trials
- Resource Type
- journal article
- Organisation
- Macquarie University. Faculty of Human Sciences
- Identifier
- http://hdl.handle.net/1959.14/142868
- Identifier
- ISSN:1836-9553
- Identifier
- mq_res-20110914-12294
- Language
- eng
- Rights
- Copyright the Publisher [2010]. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.
- Full Text
- Reviewed
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