Is body weight-support treadmill training effective in increasing muscle trophism after traumatic spinal cord injury? A systematic review.

Research paper by C C CC do Espírito Santo, A A Swarowsky, T L TL Recchia, A P F AP Lopes, J J Ilha

Indexed on: 19 Nov '14Published on: 19 Nov '14Published in: Spinal Cord


Study design:Systematic review.Objective:To determine the effectiveness of body weight-support treadmill training (BWSTT) for muscle atrophy management in people with spinal cord injury (SCI).Setting:Studies from multiple countries were included.Methods:The following databases were consulted from January to October 2013: PubMed, Institute for Scientific Information (ISI), Science Direct and Lilacs. The methodological quality of the articles included was classified according to Jovell and Navarro-Rubio.Results:A total of five studies were included. These studies reported a significant association between BWSTT and increased trophism of the lower limb muscles of humans with SCI, which was observed as an increase in the cross-sectional area. Moreover, improvements in the ability to generate peak torque, contract the knee extensors and ankle plantarflexors with reduction of body weight support were observed after BWSTT.Conclusion:The results were considered inconclusive because of the low methodological quality of the articles, which was because of the absence of sample homogeneity, thereby providing a low level of evidence for clinical practice.Spinal Cord advance online publication, 18 November 2014; doi:10.1038/sc.2014.198.