Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
권호 표지
DOI QR코드

DOI QR Code

The Effect of Task-Oriented Treadmill Training on Gait Function in Patients with Stroke: A Systematic Review and Meta-Analysis

과제 지향적 트레드밀 훈련이 뇌졸중 환자의 보행 능력에 미치는 영향: 체계적 고찰 및 메타분석

  • Yong-Gu Han (Institute of Rehabilitation Sciences, Daegu University) ;
  • Myoung-Kwon Kim (Department of Physical Therapy, College of Rehabilitation Sciences, Daegu University)
  • 한용구 (대구대학교 재활과학원) ;
  • 김명권 (대구대학교 재활과학대학 물리치료학과)
  • Received : 2023.12.31
  • Accepted : 2024.01.22
  • Published : 2024.02.28
Download PDF
⟨ Previous Next ⟩

Abstract

PURPOSE: This study was a systematic review and meta-analysis of the literature comparing the differences between task-oriented treadmill training and general treadmill training for stroke patients. METHODS: Literature published in the Cumulated Index to Nursing and Allied Health Literature (CINAHL), Embase, Physiotherapy Evidence Database (PEDro), and PubMed was reviewed. A total of 1,163 studies were initially retrieved, of which eight articles were included in the final review. A quality assessment of the included studies was conducted using the Risk of Bias (RoB) 2.0 tool, and Duval and Tweedie's trim and fill method was used to evaluate publication bias. Data analysis was performed using R studio 4.2.1. RESULTS: According to the quality assessment using RoB 2.0, three articles were evaluated as low risk, two as of some concern, and three as high risk. The overall effect size of task-oriented tradmill training was .35. Regarding gait function, the values were .76, .25, and .40, respectively, for gait endurance, gait speed, and gait pattern. According to Duval and Tweedie's trim and fill method, no publication bias was observed. CONCLUSION: Study findings indicate that task-oriented treadmill training is the most effective intervention for improving gait endurance in patients with stroke. Therefore, applying this intervention to patients with stroke in the community is recommended.

Keywords

Acknowledgement

본 연구는 2023년도 중소벤처기업부의 기술개발사업 지원에 의한 연구임[RS-2023-00227266].

References

  1. Chen IH, Yang YR, Chan RC, et al. Turning-based treadmill training improves turning performance and gait symmetry after stroke. Neurorehabil. Neural Repair. 2014;28(1):45-55. https://doi.org/10.1177/1545968313497102
  2. Choi W, Lee G, Lee S. Effect of the cognitive-motor dual-task using auditory cue on balance of surviviors with chronic stroke: a pilot study. Clin. Rehabil. 2015;29(8):763-70. https://doi.org/10.1177/0269215514556093
  3. Gama GL, de Lucena Trigueiro LC, Simao CR, et al. Effects of treadmill inclination on hemiparetic gait: controlled and randomized clinical trial. American journal of physical medicine & rehabilitation / Association of Academic Physiatrists. 2015;94(9):718-27. https://doi.org/10.1097/PHM.0000000000000240
  4. Kwon OH, Woo Y, Lee JS, et al. Effects of task-oriented treadmill-walking training on walking ability of stoke patients. Top. Stroke Rehabil. 2015;22(6):444-52. https://doi.org/10.1179/1074935715Z.00000000057
  5. Jeong Y-G, Koo J-W. The effects of treadmill walking combined with obstacle-crossing on walking ability in ambulatory patients after stroke: a pilot randomized controlled trial. Top. Stroke Rehabil. 2016;23(6):406-12. https://doi.org/10.1080/10749357.2016.1168592
  6. Chen IH, Yang Y-R, Lu C-F, et al. Novel gait training alters functional brain connectivity during walking in chronic stroke patients: a randomized controlled pilot trial. J Neuroeng Rehabil. 2019;16(1):N.PAG-N.PAG.
  7. Hornby TG, Henderson CE, Plawecki A, et al. Contributions of stepping intensity and variability to mobility in individuals poststroke: a randomized clinical trial. Stroke. 2019;50(9):2492-9. https://doi.org/10.1161/STROKEAHA.119.026254
  8. Meester D, Al-Yahya E, Dennis A, et al. A randomised controlled trial of a walking training with simultaneous cognitive demand (dual task) in chronic stroke. European Journal of Neurology. 2019;26(3):435-41.
  9. Baek CY, Chang WN, Park BY, et al. Effects of dual-task gait treadmill training on gait ability, dual-task interference, and fall efficacy in people with stroke: a randomized controlled trial. Phys. Ther. 2021;101(6).
  10. Cho W-S, Park S-J, Hyun J-W. The effects of whole body vibration exercise on balance and gait ability in stroke patients: a meta-analysis. KAIS. 2021;22(5):171-9.
  11. Zhang B, Li D, Liu Y, et al. Virtual reality for limb motor function, balance, gait, cognition and daily function of stroke patients: A systematic review and meta-analysis. J. Adv. Nurs. 2021;77(8):3255-73. https://doi.org/10.1111/jan.14800
  12. Moradian N , Ko M, Hurt CP, et al. Effects of backward-directed resistance on propulsive force generation during split-belt treadmill walking in non-impaired individuals. Front. Hum. Neurosci. 2023;17.
  13. Han Y-G, Kim M-K. Effectiveness of whole-body vibration in patients with cerebral palsy: A systematic review and meta-analysis. Medicine. 2023;102(48):e36441.
  14. Han Y, Park S. Effectiveness of virtual reality on activities of daily living in children with cerebral palsy: a systematic review and meta-analysis. PeerJ. 2023;11:e15964.
  15. Sarkis-Onofre R, Catala-Lopez F, Aromataris E, et al. How to properly use the PRISMA Statement. Systematic Reviews. 2021;10(1):1-3.
  16. Eriksen MB, Frandsen TF. The impact of patient, intervention, comparison, outcome (PICO) as a search strategy tool on literature search quality: a systematic review. J Med Libr Assoc. 2018;106(4):420.
  17. Eldridge S, Campbell M, Campbell M, et al. Revised cochrane risk of bias tool for randomized trials (RoB 2.0): additional considerations for cluster-randomized trials. Cochrane Methods. Cochrane Database Syst Rev. 2016;10.
  18. Borenstein M, Hedges LV, Higgins JP, et al. Introduction to meta-analysis. John Wiley & Sons. 2021.
  19. Schwarzer G, Carpenter JR, Rucker G, et al. Small-study effects in meta-analysis. Meta-analysis with R. 2015:107-41.
  20. Mastos M, Miller K, Eliasson A-C, et al. Goal-directed training: linking theories of treatment to clinical practice for improved functional activities in daily life. Clin. Rehabil. 2007;21(1):47-55. https://doi.org/10.1177/0269215506073494
  21. French B, Thomas LH, Coupe J, et al. Repetitive task training for improving functional ability after stroke. Cochrane Database Syst. Rev. 2016(11).
  22. Han Y-G, Yun C-K. Effectiveness of treadmill training on gait function in children with cerebral palsy: meta-analysis. J Exerc Rehabil. 2020;16(1):10.
  23. Mehrholz J, Thomas S, Elsner B. Treadmill training and body weight support for walking after stroke. Cochrane Database Syst. Rev. 2017(8).
  24. Robinson AG, Dennett AM, Snowdon DA. Treadmill training may be an effective form of task-specific training for improving mobility in people with Parkinson's disease and multiple sclerosis: a systematic review and meta-analysis. Physiotherapy. 2019;105(2):174-86. https://doi.org/10.1016/j.physio.2018.11.007
  25. Zhen K, Zhang S, Tao X, et al. A systematic review and meta-analysis on effects of aerobic exercise in people with Parkinson's disease. npj Parkinson's Disease. 2022;8(1):146.