scholarly journals Effects of anterior load carriage on gait parameters: A systematic review with meta-analysis

2022 ◽  
Vol 98 ◽  
pp. 103587
Author(s):  
Caroline Simpkins ◽  
Jiyun Ahn ◽  
Feng Yang
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Load Carriage ◽  
Gait Parameters

Dual-task training on gait, motor symptoms, and balance in patients with Parkinson’s disease: a systematic review and meta-analysis

2020 ◽  
Vol 34 (11) ◽  
pp. 1355-1367
Author(s):  
Zhenlan Li ◽  
Tian Wang ◽  
Haoyang Liu ◽  
Yan Jiang ◽  
Zhen Wang ◽  
...  
Keyword(s):  
Systematic Review ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Dual Task ◽  
Meta Analysis ◽  
Cochrane Library ◽  
Motor Symptoms ◽  
Gait Parameters ◽  
Task Training ◽  
Dual Task Training

Objective: The aim of the present study was to systematically evaluate and quantify the effectiveness of dual-task training on gait parameters, motor symptoms and balance in individuals diagnosed with Parkinson’s disease. Data resources: A systematic review of published literature was conducted until May 2020, using PubMed, EMBASE, Cochrane Library, Web of Science, EBSCO and CNKI databases. Methods: We included randomized controlled trials (RCTs) and non-RCTs to evaluate the effects of dual-task training compared with those of non-intervention or other forms of training. The measurements included gait parameters, motor symptoms and balance parameters. Methodological quality was assessed using the PEDro scale. Outcomes were pooled by calculating between-group mean differences using fixed- or random-effects models based on study heterogeneity. Results: A total of 11 RCTs comprising 322 subjects were included in the present meta-analysis. Results showed that dual-task training significantly improved gait speed (standardized mean difference [SMD], −0.23; 95% confidence interval [CI], −0.38 to −0.08; P = 0.002), cadence (SMD, −0.25; 95% CI, −0.48 to −0.02; P = 0.03), motor symptoms (SMD, 0.56; 95% CI, 0.18 to 0.94; P = 0.004) and balance (SMD, −0.44; 95% CI, −0.84 to −0.05; P = 0.03). However, no significant changes were detected in step length or stride length. Conclusion: Dual-task training was effective in improving gait performance, motor symptoms and balance in patients with Parkinson’s disease relative to other forms of training or non-intervention.

The reliability of gait parameters captured via instrumented walkways: a systematic review and meta-analysis

2022 ◽  
Author(s):  
Monica PARATI ◽  
Emilia AMBROSINI ◽  
Beatrice DE MARIA ◽  
Matteo GALLOTTA ◽  
Laura A. DALLA VECCHIA ◽  
...  
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Gait Parameters

The effectiveness of backward walking as a treatment for people with gait impairments: a systematic review and meta-analysis

2018 ◽  
Vol 33 (2) ◽  
pp. 171-182 ◽  
Author(s):  
Tharani Balasukumaran ◽  
Benita Olivier ◽  
Mokgobadibe Veronica Ntsiea
Keyword(s):  
Systematic Review ◽  
Muscle Strength ◽  
Functional Disability ◽  
Meta Analysis ◽  
Physiotherapy Treatment ◽  
Backward Walking ◽  
Gait Parameters ◽  
Standardized Mean Difference ◽  
Conventional Physiotherapy ◽  
Gait Impairments

Objective: To investigate the effectiveness of backward walking in the treatment of people with gait impairments related to neurological and musculoskeletal disorders. Design: Systematic review and meta-analysis of randomized and quasi-randomized control studies. Data sources: Searched from the date of inception to March 2018, and included PubMed, Scopus, Cochrane Library, PEDro, CINAHL, and the MEDLINE databases. Methods: Investigating the effects of backward walking on pain, functional disability, muscle strength, gait parameters, balance, stability, and plantar pressure in people with gait impairments. The PEDro scale was used to assess the quality. Similar outcomes were pooled by calculating the standardized mean difference. Results: Of the 21 studies (neurological 11 and musculoskeletal 10), 635 participants were included. The average PEDro score was 5.4/10. The meta-analysis demonstrated significant standardized mean difference values in favour of backward walking, with conventional physiotherapy treatment for two to four weeks to reduce pain (−0.87) and functional disability (−1.19) and to improve quadriceps strength (1.22) in patients suffering from knee osteoarthritis. The balance and stability in cases of juvenile rheumatoid arthritis, and gait parameters and muscle strength in anterior cruciate ligament injury improved significantly when backward walking was included as an exercise. There was no significant evidence in favour of backward walking in any of the other conditions. Conclusion: The systematic review and meta-analysis suggests that backward walking with conventional physiotherapy treatment is effective and clinically worthwhile in patients with knee osteoarthritis. Insufficient evidence was available for the remaining gait impairment conditions and no conclusions could be drawn.

scholarly journals Critical spatiotemporal gait parameters for individuals with dementia: A systematic review and meta-analysis

2020 ◽  
pp. 1-14
Author(s):  
Rita Chiaramonte ◽  
Matteo Cioni
Keyword(s):  
Systematic Review ◽  
Gait Analysis ◽  
Dual Task ◽  
Stride Length ◽  
Meta Analysis ◽  
Time Variability ◽  
Stride Time ◽  
Single Task ◽  
Gait Parameters ◽  
Risk Of Falls

Instrumented gait analysis allows for the identification of walking parameters to predict cognitive decline and the worsening of dementia. The aim of this study was to perform a meta-analysis to better clarify which gait parameters are affected or modified with the progression of the dementia in a larger sample, as well as which gait assessment conditions (single-task or dual-task conditions) would be more sensitive to reflect the influence of dementia. Literature searches were conducted with the keywords “quantitative gait” OR “gait analysis” AND “dementia” AND “single-task” AND “dual-task,” and for “quantitative gait” OR “gait analysis” AND “dementia” AND “fall risk” on PubMed, EMBASE, the Cochrane Library, Scopus, and Web of Science. The results were used to perform a systematic review focussing on instrumental quantitative assessment of the walking of patients with dementia, during both single and dual tasks. The search was performed independently by two authors (C. R. and C. M.) from January 2018 to April 2020 using the PICOS criteria. Nine publications met the inclusion criteria and were included in the systematic review. Our meta-analysis showed that during a single task, most of the spatiotemporal parameters of gait discriminated best between patients with dementia and healthy controls, including speed, cadence, stride length, stride time, stride time variability, and stance time. In dual tasks, only speed, stride length, and stride time variability discriminated between the two groups. In addition, compared with spatial parameters (e.g. stride length), some temporal gait parameters were more correlated to the risk of falls during the comfortable walking in a single task, such as cadence, stride time, stride time variability, and stance time. During a dual task, only the variability of stride time was associated with the risk of falls.

The Influence of a Cognitive Dual Task on the Gait Parameters of Healthy Older Adults: A Systematic Review and Meta-Analysis

2017 ◽  
Vol 25 (4) ◽  
pp. 671-686 ◽  
Author(s):  
Erin Smith ◽  
Tara Cusack ◽  
Caitriona Cunningham ◽  
Catherine Blake
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Dual Task ◽  
Gait Speed ◽  
Meta Analysis ◽  
Data Sets ◽  
Dual Task Condition ◽  
Healthy Older Adults ◽  
Gait Parameters ◽  
Task Assessment

This review examines the effect of a dual task on the gait parameters of older adults with a mean gait speed of 1.0 m/s or greater, and the effect of type and complexity of task. A systematic review of Web of Science, PubMed, SCOPUS, Embase, and PsycINFO was performed in July 2016. Twenty-three studies (28 data sets) were reviewed and pooled for meta-analysis. The effect size on seven gait parameters was measured as the raw mean difference between single- and dual-task performance. Gait speed significantly reduced with the addition of a dual task, with increasing complexity showing greater decrements. Cadence, stride time, and measures of gait variability were all negatively affected under the dual-task condition. In older adults, the addition of a dual task significantly reduces gait speed and cadence, with possible implications for the assessment of older people, as the addition of a dual task may expose deficits not observed under single-task assessment.

The Effect of Backpack Carriage on the Biomechanics of Walking: A Systematic Review and Preliminary Meta-Analysis

2016 ◽  
Vol 32 (6) ◽  
pp. 614-629 ◽  
Author(s):  
Bernard Liew ◽  
Susan Morris ◽  
Kevin Netto
Keyword(s):  
Systematic Review ◽  
Injury Risk ◽  
Performance Enhancement ◽  
Meta Analysis ◽  
Reaction Force ◽  
Load Carriage ◽  
Trunk Flexion ◽  
Qualitative Synthesis ◽  
Posterior Displacement ◽  
The Impact

The aim of this systematic review was to evaluate the impact of bilaterally symmetrical backpack systems borne on the posterior trunk on walking biomechanics, as backpacks represent the most prevalent method of load carriage in the military and civilian population. A search of electronic databases was performed for studies that only investigated posteriorly-borne backpack carriage during level-grade walking (treadmill and over ground). Methodology of studies was assessed, and both meta-analysis and qualitative synthesis were completed. Fifty-four studies were included in this review. In summary, the available literature showed that backpack carriage in walking was associated with an increased trunk flexion angle, increased hip and ankle range of motion, increased vertical and horizontal ground reaction force, increased cadence, and reduced stride length. Several variations in backpack carriage protocols could explain between-study variations in results, including: walking speed, backpack carriage skill level, the use of a hip belt, and posterior displacement of the load away from the trunk. The findings of this systematic review will inform backpack carriage practices in the area of injury risk assessment and physical performance enhancement.

The effects of low-ratio n-6/n-3 PUFA on biomarkers of inflammation: a systematic review and meta-analysis

2021 ◽  
Author(s):  
Yali Wei ◽  
Yan Meng ◽  
Na Li ◽  
Qian Wang ◽  
Liyong Chen
Keyword(s):  
Systematic Review ◽  
Fatty Acid ◽  
Polyunsaturated Fatty Acid ◽  
Meta Analysis ◽  
Chain Polyunsaturated Fatty Acid ◽  
Inflammation Markers ◽  
Pufa Supplementation ◽  
Long Chain

The purpose of the systematic review and meta-analysis was to determine if low-ratio n-6/n-3 long-chain polyunsaturated fatty acid (PUFA) supplementation affects serum inflammation markers based on current studies.

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