Effectiveness of physical therapy for improving gait and balance in individuals with traumatic brain injury: a systematic review.
Effectiveness of physical therapy for improving gait and balance in individuals with traumatic brain injury: a systematic review.
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DOI：
10.3109/02699052.2011.576306
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发表时间：
2011
期刊：
影响因子：
1.9
通讯作者：
Damiano DL
中科院分区：
文献类型：
--
作者：
Bland DC;Zampieri C;Damiano DL
Given the major impact of traumatic brain injury (TBI) on society and the fact that effective therapies for common deficits in balance and gait are not known, the purpose of this review was to investigate the efficacy or effectiveness of non-aerobic exercise interventions to improve balance and gait in functionally mild to moderate individuals with TBI (those who demonstrate the ability or capacity to ambulate) and to provide evidence-based guidelines for clinical practice. We searched eight databases (limits: January 1980 to December 2009) for papers including exercise interventions to improve gait and balance post TBI. Out of 984 unique citations, 20 fully met inclusion criteria. The methodological quality of studies was determined by the Physiotherapy Evidence Database (PEDro) scale and strength by Sackett's Levels of Evidence. We found limited evidence of the positive effects of balance, gait, or the combination of both interventions, in TBI rehabilitation. Most studies included small sample sizes with heterogeneous groups, and the interventions were variable and lacked standardization. The outcome measures were variable and low in quality. These limitations make it difficult to draw useful evidence-based recommendations for clinical practice. The state of evidence for gait and balance interventions in patients with mild to moderate TBI is surprisingly poor. Greater consideration and conformity in the choice of outcome measures and attention in the design and standardization treatment approaches are essential in future research to advance practice.
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影响因子：
2.4
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通讯作者：
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影响因子：
1.9
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