Rehabilitation Centre Amsterdam, Academic Medical Centre, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
J Rehabil Med. 2010 Jun;42(6):513-9. doi: 10.2340/16501977-0525.
To evaluate the effect of body weight-supported gait training on restoration of walking, activities of daily living, and quality of life in persons with an incomplete spinal cord injury by a systematic review of the literature.
Cochrane, MEDLINE, EMBASE, CINAHL, PEDro, DocOnline were searched and identified studies were assessed for eligibility and methodological quality and described regarding population, training protocol, and effects on walking ability, activities of daily living and quality of life. A descriptive and quantitative synthesis was conducted.
Eighteen articles (17 studies) were included. Two randomized controlled trials showed that subjects with injuries of less than one year duration reached higher scores on the locomotor item of the Functional Independence Measure (range 1-7) in the over-ground training group compared with the body weight-supported treadmill training group. Only for persons with an American Spinal Injury Association Impairment Scale C or D was the mean difference significant, with 0.80 (95% confidence interval 0.04-1.56). No differences were found regarding walking velocity, activities of daily living or quality of life.
Subjects with subacute motor incomplete spinal cord injury reached a higher level of independent walking after over-ground training, compared with body weight-supported treadmill training. More randomized controlled trials are needed to clarify the effectiveness of body weight-supported gait training on walking, activities of daily living, and quality of life for subgroups of persons with an incomplete spinal cord injury.
通过系统评价文献，评估减重支持步态训练对不完全性脊髓损伤患者步行功能恢复、日常生活活动能力和生活质量的影响。
检索 Cochrane、MEDLINE、EMBASE、CINAHL、PEDro、DocOnline，并对符合条件的研究进行评估，评估内容包括纳入人群、训练方案以及对步行能力、日常生活活动能力和生活质量的影响。进行描述性和定量综合分析。
纳入了 18 篇文章（17 项研究）。2 项随机对照试验显示，损伤时间不到 1 年的受试者在地面训练组中，在功能性独立测量的运动项目（范围 1-7）中得分更高，而在减重支持跑步机训练组中得分较低。只有美国脊髓损伤协会损伤分级 C 或 D 的受试者，平均差异有统计学意义，为 0.80（95%置信区间 0.04-1.56）。在步行速度、日常生活活动或生活质量方面没有差异。
与减重支持跑步机训练相比，亚急性运动性不完全性脊髓损伤患者在地面训练后能够达到更高水平的独立行走。需要更多的随机对照试验来阐明减重支持步态训练对不同亚组不完全性脊髓损伤患者的步行、日常生活活动和生活质量的有效性。
