Review Article

Treadmill Training in Multiple Sclerosis: Can Body Weight Support or Robot Assistance Provide Added Value? A Systematic Review

Table 4

Effect size calculations (Cohen’s d).

OutcomeBaseline mean ± SDAfter training mean ± SDEffect size (Cohen’s d)

RATT group
10 MWT 0 . 5 2 ± 0 . 3 2 0 . 5 7 ± 0 . 3 4 0.151
Vaney et al. (2011) [30]3 MWT 0 . 5 8 ± 0 . 3 8 0 . 6 1 ± 0 . 4 1 0.076
CWT group
10 MWT 0 . 6 ± 0 . 3 4 0 . 6 9 ± 0 . 4 1 0.239*
3 MWT 0 . 6 5 ± 0 . 3 7 0 . 7 6 ± 0 . 4 3 0.274*
T2 (week 4)T3 (month 3)T4 (month 6)
RATT group
EDSS 6 . 2 ± 0 . 5 5 . 9 ± 0 . 6 6 . 0 ± 0 . 7 6 . 0 ± 0 . 7 6 T1-T2: 0.543**
T1-T3: 0.329*
T1-T4: 0.311*
10 MWT 0 . 4 9 ± 0 . 3 0 . 4 5 ± 0 . 3 0 . 4 6 ± 0 . 3 0 . 4 7 ± 0 . 3 T1-T2: 0.133
T1-T3: 0.100
T1-T4: 0.067
6 MWT 1 2 5 . 8 ± 7 4 . 7 1 3 3 . 4 ± 8 5 . 1 1 2 0 . 3 ± 8 4 . 9 1 2 1 . 1 ± 8 2 . 1 T1-T2: 0.095
T1-T3: 0.069
T1-T4: 0.060

Schwartz et al. (2011) [31]CWT group
EDSS 6 . 0 ± 0 . 6 5 . 7 ± 0 . 7 5 . 7 ± 0 . 7 5 . 8 ± 0 . 6 T1-T2: 0.460**
T1-T3: 0.460**
T1-T4: 0.333*
10 MWT 0 . 5 3 ± 0 . 3 1 0 . 6 3 ± 0 . 4 0 . 6 ± 0 . 4 0 . 5 ± 0 . 3 T1-T2: 0.279*
T1-T3: 0.196
T1-T4: 0.098
6 MWT 1 5 1 . 5 ± 9 2 . 0 1 7 5 . 7 ± 1 1 9 . 0 1 6 0 . 7 ± 1 1 8 . 0 1 4 0 . 0 ± 1 1 6 . 4 T1-T2: 0.228*
T1-T3: 0.087
T1-T4: 0.110
EDSS 4 . 9 ± 1 . 2 3 . 9 ± 0 . 7 1.018***
T2 (week 7)T4 (week 12)
L o k o m a t - B W S T T
T25 FW 8 . 8 ± 3 . 1 7 . 4 ± 3 . 8 6 . 6 ± 2 . 3 T1-T2: 0.404*
T2-T4: 0.255*
T1-T4: 0.806***
6 MWT 1 6 6 ± 5 7 . 6 2 1 7 . 3 ± 6 5 . 9 2 4 9 . 2 ± 9 8 T1-T2: 0.829***
T2-T4: 0.382*
T1-T4: 1.035***
DST 3 0 . 1 ± 5 . 4 2 8 . 4 ± 7 . 4 2 6 ± 6 . 4 T1-T2: 0.262*
T2-T4: 0.347*
T1-T4: 0.692**

Lo and Triche (2008) [32]BWSTT-Lokomat
T25 FW 1 0 . 9 ± 5 6 . 8 ± 3 7 ± 3 . 6 T1-T2: 0.994***
T2-T4: 0.060
T1-T4: 0.895***
6 MWT 2 6 6 . 9 ± 1 0 2 3 3 9 ± 1 3 5 . 8 3 5 0 . 4 ± 1 2 4 T1-T2: 0.600**
T2-T4: 0.088
T1-T4: 0.735**
DST 3 5 . 8 ± 9 . 3 2 8 . 7 ± 7 . 5 2 9 . 2 ± 9 . 7 T1-T2: 0.840***
T2-T4: 0.058
T1-T4: 0.695**

IT Group
10 MWS 1 7 . 8 ± 5 . 4 1 7 . 2 ± 6 . 2 0.103
2 MWS 7 1 . 0 ± 2 2 . 8 7 4 . 5 ± 3 3 . 9 0.121
Van den Berg et al. (2006) [33]DT Group
10 MWS 1 4 . 0 ± 5 . 5 1 3 . 1 ± 6 . 5 0.149
2 MWS 9 9 . 5 ± 3 0 . 0 1 0 6 . 8 ± 3 6 . 7 0.218*
10 MWT 1 5 . 6 ± 5 . 6 1 3 . 9 ± 5 . 3 0.312*
2 MWT 8 8 . 2 ± 3 2 . 2 9 4 . 3 ± 3 2 . 2 0.189
% Time in swing (wk) 3 3 ± 9 . 3 3 6 ± 4 . 5 0.411*
% Time in stance (wk) 6 7 ± 9 . 3 6 3 . 8 ± 4 . 5 0.438*

Newman et al. (2007) [34]% Time in swing (str) 3 3 . 5 ± 5 . 1 3 3 . 3 ± 7 . 1 0.032
% Time in stance (str) 6 6 . 5 ± 5 . 1 6 6 . 6 ± 7 . 1 0.016
Stride length (str) 9 8 . 7 ± 2 1 1 0 4 . 0 ± 2 1 0.252
Stride length (wk) 9 8 . 6 ± 2 1 . 9 1 0 3 . 2 ± 2 1 . 5 0.212
Cadence 9 2 ± 2 1 9 1 ± 1 7 0.052

Pilutti et al. (2011) [35]EDSS 6 . 9 ± 1 . 0 7 6 . 8 ± 1 . 0 3 0.095

effect size calculation (Cohen’s d). In two studies the calculation of the Cohen’s d was not possible. In Beer et al. (2008) [29] no mean scores and SD were reported and in Giesser et al. (2007) [36] only the individual scores were reported. *Small effect, **Moderate effect, ***Large effect.