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TREADMILL TRAINING WITH/WITHOUT WEIGHT SUPPORT

Neurology

TREADMILL TRAINING WITH/WITHOUT WEIGHT SUPPORT

1. Treadmill training without body weight support can be used when standard over-ground gait training is not available or appropriate.

2. The evidence however, does not support treadmill training as necessarily more effective than standard gait training.

3. There is strong evidence that treadmill training either in combination with conventional therapy or delivered alone, may improve gait velocity, stride length and lower limb functional mobility; however, it may not improve balance.

4. The evidence of PBWS and treadmill training is mixed, requires equipment and can be therapist intensive.

5. There is strong evidence that partial body weight support treadmill training may not improve gait or balance outcomes compared to conventional or other gait training interventions based on the most definitive trial, the LEAPs trial (Duncan et al. 2011). Treatment does require equipment and is labour intensive.

6. PBWSTT can be considered for patients with low ambulatory function especially when other mobility strategies are inappropriate or unsafe.


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REFERENCES

1. Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press.
2. Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
3. Image: no reference available.

Ⓒ A. Manickam 2018

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