Trovato Bruno, Sortino Martina, Roggio Federico, Musumeci Giuseppe
Department of Biomedical and Biotechnological Sciences, Section of Anatomy, Histology and Movement Science, School of Medicine, University of Catania, 95123, Catania, Italy.
Research Center on Motor Activities (CRAM), University of Catania, 95123, Catania, Italy.
Heliyon. 2024 Nov 22;10(23):e40605. doi: 10.1016/j.heliyon.2024.e40605. eCollection 2024 Dec 15.
Musculoskeletal disorders (MSD) comprise a great variety of medical conditions, and the economic and sanitary burdens they cause are a major concern for the sanitary systems worldwide. Conventional rehabilitation is effective; however, with the rise of new technologies, it can be further improved. Anti-gravity treadmills are starting to enter the clinical rehabilitation practice of MSD due to their characteristics, which allow weight support while performing walking and running exercises. Thus, this systematic review aims to explore the effects and use of anti-gravity treadmills in MSD. A systematic search of literature was performed by collecting articles from PubMed, Scopus, and Web of Science on the use of anti-gravity treadmills in MSD management. The PEDro scale tool and the Joanna Briggs Institute checklist were used to assess the methodological quality of the included studies. Relevant data were collected in tables, and the primary outcomes were discussed narratively. Of the 185 articles screened, 11 were included in the qualitative synthesis. The findings of the selected articles encourage the use of anti-gravity treadmills in MSD rehabilitation to improve gait functionality, balance, pain relief rct, range of motion, and fracture healing. The protocols and outcomes evaluated showed high heterogeneity, and quantitative synthesis could not be performed. In conclusion, the anti-gravity treadmill proved feasible, safe, and well tolerated by individuals with different MSD, and greater improvements were seen in participants who performed anti-gravity exercises than in those who performed only conventional rehabilitation.
肌肉骨骼疾病（MSD）包含多种多样的病症，其造成的经济和卫生负担是全球卫生系统的主要关切问题。传统康复方法是有效的；然而，随着新技术的兴起，其效果可以进一步提高。反重力跑步机因其特点开始进入MSD的临床康复实践，这些特点使得在进行步行和跑步锻炼时能够提供体重支撑。因此，本系统综述旨在探讨反重力跑步机在MSD中的效果和应用。通过从PubMed、Scopus和Web of Science收集关于反重力跑步机在MSD管理中的应用的文章，对文献进行了系统检索。使用PEDro量表工具和乔安娜·布里格斯研究所核对清单来评估纳入研究的方法学质量。相关数据收集在表格中，并对主要结果进行了叙述性讨论。在筛选的185篇文章中，11篇被纳入定性综合分析。所选文章的研究结果鼓励在MSD康复中使用反重力跑步机，以改善步态功能、平衡、缓解疼痛、增加关节活动范围和促进骨折愈合。所评估的方案和结果显示出高度异质性，无法进行定量综合分析。总之，反重力跑步机被证明对患有不同MSD的个体是可行、安全且耐受性良好的，与仅进行传统康复的参与者相比，进行反重力锻炼的参与者有更大的改善。
