Systematic review of physiotherapy interventions to improve gross motor capacity and performance in children and adolescents with an acquired brain injury

Aim: To systematically review the efficacy of physiotherapy interventions to improve gross motor capacity, performance and societal participation in children aged 5–17 years with an acquired brain injury (ABI). Methods: Randomized and non-randomized controlled trials, cohort, case series, case-contr...

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Main Authors: Baque, E., Sakzewski, L., Barber, L., Boyd, Roslyn
Format: Journal Article
Published: Informa UK Limited 2016
Online Access:http://hdl.handle.net/20.500.11937/10217
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author Baque, E.
Sakzewski, L.
Barber, L.
Boyd, Roslyn
author_facet Baque, E.
Sakzewski, L.
Barber, L.
Boyd, Roslyn
author_sort Baque, E.
building Curtin Institutional Repository
collection Online Access
description Aim: To systematically review the efficacy of physiotherapy interventions to improve gross motor capacity, performance and societal participation in children aged 5–17 years with an acquired brain injury (ABI). Methods: Randomized and non-randomized controlled trials, cohort, case series, case-control and case studies were included and classified according to grades of evidence. Methodological quality of studies was assessed using the Downs and Black (D&B) scale and quantitative data was analysed using effect sizes. Results: Two home-based studies investigated functional strength training (one ’randomized controlled trial, n = 20, level 2b, D&B = 16/32 and one non-randomized self-control study, n = 19, level 4, D&B = 15/32). Four studies evaluated virtual reality including: one pilot study, n = 50, level 4, D&B = 22/32; one single-subject, non-concurrent, randomized multiple baseline study, n = 3, level 4, D&B = 15/32; one case series study, n = 2, level 4, D&B = 15/32; one case study, n = 1, level 4, D&B = 15/32. Effect sizes for the ’randomized controlled trial ranged between 0.30–1.29 for the Functional Reach and Timed Up and Go outcome measures. Conclusion: There is preliminary evidence to support the efficacy of physiotherapy interventions to improve gross motor outcomes in children with an ABI. Both functional strength training and virtual-reality based therapy are potential treatment options for clinicians to prescribe in either home or clinical settings.
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spelling curtin-20.500.11937-102172017-09-13T14:52:05Z Systematic review of physiotherapy interventions to improve gross motor capacity and performance in children and adolescents with an acquired brain injury Baque, E. Sakzewski, L. Barber, L. Boyd, Roslyn Aim: To systematically review the efficacy of physiotherapy interventions to improve gross motor capacity, performance and societal participation in children aged 5–17 years with an acquired brain injury (ABI). Methods: Randomized and non-randomized controlled trials, cohort, case series, case-control and case studies were included and classified according to grades of evidence. Methodological quality of studies was assessed using the Downs and Black (D&B) scale and quantitative data was analysed using effect sizes. Results: Two home-based studies investigated functional strength training (one ’randomized controlled trial, n = 20, level 2b, D&B = 16/32 and one non-randomized self-control study, n = 19, level 4, D&B = 15/32). Four studies evaluated virtual reality including: one pilot study, n = 50, level 4, D&B = 22/32; one single-subject, non-concurrent, randomized multiple baseline study, n = 3, level 4, D&B = 15/32; one case series study, n = 2, level 4, D&B = 15/32; one case study, n = 1, level 4, D&B = 15/32. Effect sizes for the ’randomized controlled trial ranged between 0.30–1.29 for the Functional Reach and Timed Up and Go outcome measures. Conclusion: There is preliminary evidence to support the efficacy of physiotherapy interventions to improve gross motor outcomes in children with an ABI. Both functional strength training and virtual-reality based therapy are potential treatment options for clinicians to prescribe in either home or clinical settings. 2016 Journal Article http://hdl.handle.net/20.500.11937/10217 10.3109/02699052.2016.1147079 Informa UK Limited restricted
spellingShingle Baque, E.
Sakzewski, L.
Barber, L.
Boyd, Roslyn
Systematic review of physiotherapy interventions to improve gross motor capacity and performance in children and adolescents with an acquired brain injury
title Systematic review of physiotherapy interventions to improve gross motor capacity and performance in children and adolescents with an acquired brain injury
title_full Systematic review of physiotherapy interventions to improve gross motor capacity and performance in children and adolescents with an acquired brain injury
title_fullStr Systematic review of physiotherapy interventions to improve gross motor capacity and performance in children and adolescents with an acquired brain injury
title_full_unstemmed Systematic review of physiotherapy interventions to improve gross motor capacity and performance in children and adolescents with an acquired brain injury
title_short Systematic review of physiotherapy interventions to improve gross motor capacity and performance in children and adolescents with an acquired brain injury
title_sort systematic review of physiotherapy interventions to improve gross motor capacity and performance in children and adolescents with an acquired brain injury
url http://hdl.handle.net/20.500.11937/10217