PTRCTAmerican journal of physical medicine & rehabilitation2025

Aquatic Treadmill Walking Lowers Pelvic Motion Irregularity in Typically Developing and Children With Cerebral Palsy.

Oluwaseye P Odanye, Joseph W Harrington, Aaron D Likens and 2 others

PMID 40208608

WHAT IT FOUND

Aquatic treadmill walking made pelvic motion steadier than dry treadmill walking, and slower speeds made it steadier.

Children with cerebral palsy and typically developing children responded similarly. The outcome was motion steadiness, not walking ability.

Key findings

01For mediolateral pelvic motion, sample entropy was 1.03 standard deviations lower in the wet treadmill than in the dry treadmill.

02For axial pelvic motion, sample entropy was 1.30 standard deviations lower in the wet treadmill than in the dry treadmill.

03For mediolateral and axial pelvic motion, the best-fitting models included walking speed and treadmill environment, not participant group.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

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What it does not show

The cerebral palsy group was small and included only children at GMFCS I-II, so it does not represent the wider range of walking ability in cerebral palsy. The study was a single visit, so it cannot show whether any change in pelvic motion would be retained after a rehabilitation program. The outcome was a lab measure of pelvic motion regularity, not a clinical measure of walking, balance, falls, or participation. Each walking trial lasted 3 minutes, so the findings describe short walking trials, not a therapy course.

Declared interests

The authors declared no known competing financial interests or personal relationships that could have influenced the study.

The easy way to misread this

Do not read the steadier pelvic motion values as proof that aquatic treadmill walking improves balance or walking in children with cerebral palsy. The study measured a motion pattern in a single session, the cerebral palsy group was small and limited to GMFCS I-II, and the effect was not specific to children with cerebral palsy.

Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →