In Adults Status Post Cerebrovascular Accident, is Bodyweight Supported Treadmill Training More Effective Than Gait Training Without Bodyweight Support in Increasing Gait Speed?
Author | : Denis Long |
Publisher | : |
Total Pages | : 36 |
Release | : 2012 |
ISBN-10 | : OCLC:1126663819 |
ISBN-13 | : |
Rating | : 4/5 (19 Downloads) |
Book excerpt: ABSTRACT: Background: The purpose of this evidence in practice literature review is to determine if, in adults status post cerebrovascular accident (CVA), bodyweight supported treadmill training (BWSTT) is more effective than gait training without bodyweight support (BWS) in increasing gait speed.Method: A comprehensive, systematic review was performed through MEDLINE, Trip, andCINAHL. The search terms used in the three databases were “stroke”, “body weight support”,“BWS”, “bodyweight treadmill training”, “gait”, “treadmill”, NOT “electrical stimulation”,body weight supported treadmill training”. Inclusion criteria consisted of: articles with a control group, evaluated gait speed as a dependent variable, and BWSTT and overground training as independent variables. Exclusion criteria consisted of: articles that included patients younger than 19 years old, and chronicity of CVA greater than six months.Results: Three articles met our inclusion and exclusion criteria and were established as best evidence for answering our clinical question. Discussion/Conclusion: Based on our research, we would choose to use this intervention in adults status post CVA. Even though two out of three articles did not show superiority of BWSTT in regards to gait speed, one study of high quality did. There are also other viable benefits to this intervention that would benefit our patient specifically.