Effectiveness of backward walking training on balance performance: A systematic review and meta-analysis

Wang, Junjie; Xu, Jian; An, Ruopeng

doi:10.1016/j.gaitpost.2019.01.002

Cited by 38 publications

(32 citation statements)

References 46 publications

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“…BW training caused changes in movement control system and gait characteristics and exerted a positive effect on postural stability. Furthermore, because of little dependence on vision, BW training participants had to rely more on neuromuscular proprioceptive and vestibular senses to maintain postural stability [ 40 ]. It was proved that BW training is more effective in improving gait speed and stride length [ 41 ].…”

Section: Discussionmentioning

confidence: 99%

The Efficacy of Backward Walking on Static Stability, Proprioception, Pain, and Physical Function of Patients with Knee Osteoarthritis: A Randomized Controlled Trial

Chen

Wang

et al. 2021

Evidence-Based Complementary and Alternative Medicine

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Objective. Impaired static stability and proprioception have been observed in individuals with knee osteoarthritis (KOA), which serves as a major factor increasing risk of fall. This study aimed to investigate the effects of backward walking (BW) on static stability, proprioception, pain, and physical function in KOA patients. Methods. Thirty-two subjects with knee osteoarthritis were randomly assigned to either an BW group (BG, n = 16) or a control group (CG, n = 16). The participants in the BG received combination treatment of a 4-week BW training and conventional treatments, while those in the CG was treated with conventional treatments alone. All the participants were tested for the assessment of static stability [center of pressure (COP) sway, including sway length (SL, mm) and sway area (SA, mm2)] and proprioception [average trajectory error (ATE, %) and completion time (CT, second)]. Additionally, pain and knee function scores were measured by the numerical rating scale (NRS) and the Western Ontario and McMaster Universities Osteoarthritis (WOMAC) Index, respectively. The assessments were conducted before and after intervention. Results. The COP sway (SA and SL), ATE, NRS, and WOMAC showed a significant decline at week 4 in the two groups in contrast to their baseline ( P < 0.05 ). Moreover, after 4-week intervention, the SA [(610.50 ± 464.26) mm2 vs. (538.69 ± 420.52) mm2], NRS [(1.56 ± 0.63) vs. (2.25 ± 0.86)], and WOMAC [(11.69 ± 2.50) vs. (16.19 ± 3.94)] showed a significantly greater decrease in the BG compared to the CG ( P < 0.05 , respectively). However, the proprioception (ATE and CT) was closely similar between both groups at week 4 ( P > 0.05 ). Conclusion. BW is an effective adjunct to conventional treatment in reducing pain, improving physical function and static stability for KOA patients. It should be taken into consideration when developing rehabilitation programs for people with KOA.

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Section: Discussionmentioning

confidence: 99%

The Efficacy of Backward Walking on Static Stability, Proprioception, Pain, and Physical Function of Patients with Knee Osteoarthritis: A Randomized Controlled Trial

Chen

Wang

et al. 2021

Evidence-Based Complementary and Alternative Medicine

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“…Several studies have been conducted on balance, such the effect of core stability, dual tasking, and sensory strategies programs on balance 6) ; the effect of backward walking training on balance performance 3) ; the effect of PNF on the balance of older adults with chronic stroke 8) ; and the effect of aquatic exercise on balance 9) . Moreover, studies have analyzed the effect of PNF pattern exercise on the changes in the thickness of the abdominis 7) and on postural changes 10) .…”

Section: The Journal Of Physical Therapy Science the Journal Of Physimentioning

confidence: 99%

“…Balance is considered one of the key risk factors for fall, especially in older adults and those with postural control dysfunction 3) . It is the capability of maintaining the body's center of gravity within the base of support while one maintains a static position, makes a voluntary movement, or reacts to external disruptions.…”

Section: Introductionmentioning

confidence: 99%

Effects of dynamic exercise utilizing PNF patterns on the balance of healthy adults

Gong

2020

J Phys Ther Sci

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The purpose of this study is to examine the effects of dynamic exercise utilizing the proprioceptive neuromuscular facilitation patterns accompanied by the abdomen drawing-in on balance of healthy adults. [Participants and Methods] The total number of participants was 30, and 15 were randomly placed in the training group (TG) and 15 in the control group (CG). The participants in the TG have conducted the 3 sets to 5 sets of dynamic exercise utilizing the proprioceptive neuromuscular facilitation patterns per day, 3 times a week for 6 weeks. The balance was measured by the Terax, a balance-measuring device with force plates. [Results] Comparing the TG's balance pre-test and post-test, there was a statistical significance in stability score (SS), weight distribution index (WDI), CD force plates and AC force plates (A: left rearfoot, B: left forefoot, C: right rearfoot, D: right forefoot). [Conclusion] Dynamic trunk stabilization exercise utilizing the proprioceptive neuromuscular facilitation patterns seem to help increase the balance of healthy adults.

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“…There are 4 meta-analyses studies on BW in the previous articles. [ 19 – 22 ] It is reported that BW training can not only be a potentially useful tool to improve balance performance, [ 19 ] but also to change the spatial-temporal gait characteristics and useful for neurological rehabilitation. [ 20 ] And Elnahhas AM et al [ 21 ] reported that backward gait training had a good effect on improving motor function, balance, walking velocity and step length in children with cerebral palsy.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of backward walking for people affected by stroke

Chen

et al. 2020

Medicine

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Effectiveness of backward walking training on balance performance: A systematic review and meta-analysis

Cited by 38 publications

References 46 publications

The Efficacy of Backward Walking on Static Stability, Proprioception, Pain, and Physical Function of Patients with Knee Osteoarthritis: A Randomized Controlled Trial

The Efficacy of Backward Walking on Static Stability, Proprioception, Pain, and Physical Function of Patients with Knee Osteoarthritis: A Randomized Controlled Trial

Effects of dynamic exercise utilizing PNF patterns on the balance of healthy adults

Effectiveness of backward walking for people affected by stroke

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