Epistemonikos: Database of the best Evidence-Based Health Care

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A unique feature of Epistemonikos is that it connects systematic reviews and their included studies. This allows clustering systematic reviews based on the primary studies they have in common. The concept of 'systematic reviews sharing included studies' is a proxy of 'systematic reviews answering a similar question'.

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19 References (17 Primary studies) Studify

63.2%Randomized controlled trial (RCT)12 / 19

7 Systematic reviews

Systematic reviews ()
Primary studies ()

10 References ( articles) loading

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Aquatic exercise programs for children and adolescents with cerebral palsy: what do we know and where do we go?

Authors » Gorter JW , Currie SJ

Journal » International journal of pediatrics

Year » 2011

Links » Pubmed DOI PubMed Central

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Aquatic exercise programs may be a beneficial form of therapy for children and adolescents with cerebral palsy (CP), particularly for those with significant movement limitations where land-based physical activity is difficult. The most recently published systematic review (2005) on aquatic interventions in children with CP found supportive but insufficient evidence on its effectiveness. The aim of this paper is to review recently published literature since 2005 with a focus on aquatic exercise for children with CP. In total, six new studies were published with a main focus on aerobic aquatic interventions in higher functioning children and adolescents with CP. Swimming is one of the most frequently reported physical activities in children and adolescents with CP. Therefore, information on its safety and benefits is highly needed, for those with more severe CP in particular. Research design issues are discussed to help guide future research and practice.

Effects of Progressive Body Weight Support Treadmill Forward and Backward Walking Training on Stroke Patients' Affected Side Lower Extremity's Walking Ability.

Authors » Kim K , Lee S , Lee K

Journal » Journal of physical therapy science

Year » 2014

Links » Pubmed DOI PubMed Central

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[Purpose] The purpose of the present study was to examine the effects of progressive body weight supported treadmill forward and backward walking training (PBWSTFBWT), progressive body weight supported treadmill forward walking training (PBWSTFWT), progressive body weight supported treadmill backward walking training (PBWSTBWT), on stroke patients' affected side lower extremity's walking ability. [Subjects and Methods] A total of 36 chronic stroke patients were divided into three groups with 12 subjects in each group. Each of the groups performed one of the progressive body weight supported treadmill training methods for 30 minute, six times per week for three weeks, and then received general physical therapy without any other intervention until the follow-up tests. For the assessment of the affected side lower extremity's walking ability, step length of the affected side, stance phase of the affected side, swing phase of the affected side, single support of the affected side, and step time of the affected side were measured using optogait and the symmetry index. [Results] In the within group comparisons, all the three groups showed significant differences between before and after the intervention and in the comparison of the three groups, the PBWSTFBWT group showed more significant differences in all of the assessed items than the other two groups. [Conclusion] In the present study progressive body weight supported treadmill training was performed in an environment in which the subjects were actually walked, and PBWSTFBWT was more effective at efficiently training stroke patients' affected side lower extremity's walking ability.

Impact of backward treadmill training on balance in children with juvenile rheumatoid arthritis: a randomized controlled study

Authors » El Aziz H , Hamada H , El Khatib A

Journal » Biomed Res India

Year » 2017

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Impact of backward treadmill training on balance in children with juvenile rheumatoid arthritis: a randomized controlled study

Authors » El Aziz H , Hamada H , El Khatib A.

Journal »

Year » 2017

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Effects of retrowalking on osteoarthritis of knee in geriatric population

Authors » Wadhwa DN , Hande DN.

Journal »

Year » 2016

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Investigating the Role of Backward Walking Therapy in Alleviating Plantar Pressure of Patients With Diabetic Peripheral Neuropathy.

Authors » Zhang X , Zhang Y , Gao X , Wu J , Jiao X , Zhao J , Lv X

Journal » Archives of physical medicine and rehabilitation

Year » 2014

Links » Pubmed DOI

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Abstract: OBJECTIVE: To investigate the effect of combination therapy of backward walking training and alpha-lipoic acid (ALA) treatment on the distribution of plantar pressure in patients with diabetic peripheral neuropathy (DPN). DESIGN: This study is a double-blinded, randomized controlled trial. The test group was treated with combination therapy of backward walking exercise and ALA (ALA for 2wk, backward walking exercise for 12wk), and the control group only received ALA treatment. SETTING: Clinical and laboratory setting. Participants: Patients with DPN (N=60) were divided into the test group (n=30) or control group (n=30). INTERVENTIONS: Backward walking exercise with ALA treatment for the test group; lipoic acid treatment for the control group. Main Outcome Measure: Plantar pressure before and after treatment was tested and analyzed with the flatbed plantar pressure measurement system. RESULTS: After treatment, peak plantar pressure in the forefoot dropped for both the test and control groups; peak plantar pressure for the test group dropped significantly. Peak plantar pressure in the medial foot slightly increased for the test group, suggesting a more even distribution of plantar pressure in the test group after treatment. CONCLUSIONS: The combination therapy of ALA and backward walking proved to be more effective than ALA monotherapy. Backward walking also proved to have an ameliorating effect on balance ability and muscle strength of patients with DPN.

A Backward Walking Training Program to Improve Balance and Mobility in Acute Stroke: A Pilot Randomized Controlled Trial.

Authors » Rose DK , DeMark L , Fox EJ , Clark DJ , Wludyka P

Journal » Journal of neurologic physical therapy : JNPT

Year » 2018

Links » Pubmed DOI

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Background and PURPOSE: Strategies to address gait and balance deficits early poststroke are minimal. The postural and motor control requirements of Backward Walking Training (BWT) may provide benefits to improve balance and walking speed in this population. This pilot study (1) determined the feasibility of administering BWT during inpatient rehabilitation and (2) compared the effectiveness of BWT to Standing Balance Training (SBT) on walking speed, balance, and balance-related efficacy in acute stroke. METHODS: Eighteen individuals 1-week poststroke were randomized to eight, 30-minute sessions of BWT or SBT in addition to scheduled therapy. Five-Meter Walk Test, 3-Meter Backward Walk Test, Activities-Specific Balance Confidence Scale, Berg Balance Scale, Sensory Organization Test, and Function Independence Measure--Mobility were assessed pre- and postintervention and at 3 months poststroke. RESULTS: Forward gait speed change (BWT: 0.75 m/s; SBT: 0.41 m/s), assessed by the 5-Meter Walk Test, and backward gait speed change (BWT: 0.53 m/s; SBT: 0.23 m/s), assessed by the 3-Meter Backward Walk Test, preintervention to 1-month retention were greater for BWT than for SBT (P < 0.05). Group difference effect size from preintervention to 1-month retention was large for Activities-Specific Balance confidence Scale, moderate for Berg Balance Scale and Function Independence Measure--Mobility, and small for Sensory Organization Test. Discussion and CONCLUSIONS: Individuals 1-week poststroke tolerated 30 min/d of additional therapy. At 1-month postintervention, BWT resulted in greater improvements in both forward and backward walking speed than SBT. Backward walking training is a feasible important addition to acute stroke rehabilitation. Future areas of inquiry should examine BWT as a preventative modality for future fall incidence. Video Abstract available for more insights from the authors (see Video, Supplemental Digital Content 1, http://links.lww.com/JNPT/ A193).

Effect of backward walking training on postural balance in children with hemiparetic cerebral palsy: a randomized controlled study.

Authors » El-Basatiny HM , Abdel-Aziem AA

Journal » Clinical rehabilitation

Year » 2015

Links » Pubmed DOI

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OBJECTIVE: To study the effect of additional backward walking training on postural control in children with hemiparetic cerebral palsy. DESIGN: Randomized controlled study. SETTING: Physical therapy clinics. SUBJECTS: Thirty spastic hemiparetic cerebral palsied children of both sexes (10-14 years, 14 girls and 16 boys). INTERVENTION: Children were randomly assigned into two equal groups: experimental and control groups. Both groups received a traditional physical therapy program for 12 weeks. Experimental group additionally received backward walking training which was provided 25 min/day, 3 days/week for 3 successive months. OUTCOME MEASURES: Baseline and post-treatment assessment for overall, anteroposterior, and mediolateral stability indices were evaluated by using Biodex balance system. RESULTS: After treatment; two way ANOVA revealed significant improvement in overall, anteroposterior and mediolateral stability indices of experimental group at the most stable level (level 12) and moderately unstable level (level 7) (1.40 ± 0.44 and 1.73 ± 0.51; 1.11 ± 0.34 and 2.13 ± 0.52; 1.93 ± 0.51 and 2.68 ± 0.52) respectively, than control group (1.77 ± 0.44 and 2.17 ± 0.56; 1.44 ± 0.44 and 2.54 ± 0.49; 2.39 ± 0.65 and 3.11 ± 0.49) respectively, (P < 0.05). There were significant improvement in all measured variables for both groups at both levels (P < 0.05). CONCLUSION: Additional backward walking training to traditional physical therapy program yields improvement in postural stability indices in children with spastic hemiparetic cerebral palsy than traditional physical therapy alone.