Zwicker Jill G, Mayson Tanja A
Developmental Neurosciences and Child Health, Child and Family Research Institute, University of British Columbia, Vancouver, British Columbia, Canada.
Pediatr Phys Ther. 2010 Winter;22(4):361-77. doi: 10.1097/PEP.0b013e3181f92e54.
The purpose of this review was to synthesize current evidence from systematic reviews on the effectiveness of treadmill training (TT), including partial body-weight support (PBWS) TT (PBWSTT), TT only, robotic-assist PBWSTT, and mixed TT, in children with motor impairments.
Systematic literature searches were conducted in 10 databases through May 2010. Two reviewers independently selected titles, abstracts (k = 0.78), and full-text articles (k = 1.0). Of the 1166 titles retrieved, 5 studies met the inclusion criteria. Quality of included studies was assessed using AMSTAR criteria.
Results of each systematic review were tabulated on the basis of levels of evidence, with outcomes categorized according to the International Classification of Functioning, Disability, and Health framework. Conflicting interpretations of outcomes were found between reviews, yet conclusions were similar.
TT demonstrates encouraging results, but more rigorous research is needed before clinicians can be confident of its effectiveness and clinical guidelines can be developed.
本综述旨在综合系统评价中关于跑步机训练（TT）有效性的现有证据，包括部分体重支持（PBWS）跑步机训练（PBWSTT）、单纯跑步机训练、机器人辅助PBWSTT以及混合跑步机训练，用于运动功能障碍儿童。
截至2010年5月，在10个数据库中进行了系统的文献检索。两名评审员独立筛选标题、摘要（κ = 0.78）和全文文章（κ = 1.0）。在检索到的1166个标题中，有5项研究符合纳入标准。采用AMSTAR标准评估纳入研究的质量。
每项系统评价的结果根据证据水平制成表格，结果根据《国际功能、残疾和健康分类》框架进行分类。各综述之间对结果存在相互矛盾的解释，但结论相似。
跑步机训练显示出令人鼓舞的结果，但在临床医生能够确信其有效性并制定临床指南之前，还需要更严格的研究。
