6.2. Body-weight-supported treadmill training (BWSTT)Persons with severe CP are non-ambulatory. Treadmill training has shown positive outcomes
in improving ambulation in CP [42]. Animal studies of supported treadmill training have
demonstrated restoration of coordinated stepping movements in spinalised cats [43]. BWSTT
is an active, repetitive, task-specific approach used to facilitate attainment of stepping and
locomotion and to achieve a more normalised gait pattern. It is a method of task-oriented
ambulatory training using the overhead suspension system and harness to support a percent‐
age of the person’s body weight while walking on a treadmill. Other effects of BWSTT include
increase in walking speed, improved balance and increased endurance [44]. We use an
indigenously constructed BWSTT device to aid persons with severe CP during the gait training
phase of rehabilitation (Figure 4). The body weight support device can facilitate walking, both
on treadmill and on level ground. In addition to its effectiveness in improving the person’s
walking ability, it also reduces the physical workload of physiotherapists and caregivers
handling the persons with severe CP.Figure 4. Body-weight-supported treadmill training.150 Cerebral Palsy - Current Steps