A systematic review of the rehabilitation of moderate to severe acquired brain injuries

Teasell, Robert; Bayona, Nestor A.; Marshall, Shawn; Cullen, Nora; Bayley, Mark; Chundamala, Josie; Villamere, Jimmy; Mackie, David; Rees, Laura; Hartridge, Cheryl; Lippert, Corbin; Hilditch, Maureen; Welch-West, Penny; Weiser, Margaret; Ferri, Connie; McCabe, Pat; McCormick, Anna; Aubut, Jo-Anne; Comper, Paul; Salter, Katherine; Reekum, Robert van; Collins, David M.; Foley, Norine; Nowak, Jozef; Jutai, Jeffrey W.; Speechley, Mark; Hellings, Chelsea; Tu, Linh

doi:10.1080/02699050701201524

Cited by 157 publications

(107 citation statements)

References 12 publications

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“…Downs and Black (1998) stated that health care research must use a nonrandomized method and a checklist for non-RCT studies because current checklists lack detailed subscales and ignore the external validity of trials. Their checklist is now used for systematic reviews in rehabilitation (McCabe et al, 2007;Robbins, Houghton, Woodbury, & Brown, 2006;Teasell et al, 2007) and other fields (Hartling, Brison, Crumley, Klassen, & Pickett, 2004;Malcomson, Dunwoody, & Lowe-Strong, 2007). The Downs and Black checklist consists of 27 questions with four subscales: Reporting, External Validity, Bias, and Confounding.…”

Section: Methodological Quality Assessmentsmentioning

confidence: 99%

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Effectiveness of Rehabilitation in Enhancing Community Integration After Acute Traumatic Brain Injury: A Systematic Review

Kim

Colantonio

2010

The American Journal of Occupational Therapy

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OBJECTIVE.We assessed evidence for post-acute traumatic brain injury (TBI) rehabilitation interventions used to enhance community integration (CI) relevant to occupational therapy.METHOD. We conducted a systematic review of intervention studies on TBI rehabilitation from 1990 to 2007. RESULTS. We analyzed and summarized 10 studies that met the inclusion criteria. Of 10 studies, 7 found that post-acute TBI rehabilitation benefits CI; all effective studies involved occupational therapy or involved interventions occupational therapists can do.CONCLUSION. Many CI programs show positive results and should be studied more rigorously. Such promising programs should also be considered when decisions about post-acute TBI rehabilitation services for clients are being made. To further establish that post-acute TBI rehabilitation interventions improve CI, future studies should include intervention strategies based on injury severity, a control group, and longer term follow-up. The role of occupational therapy in these effective programs should be further explored. Kim, H., & Colantonio, A. (2010). Effectiveness of rehabilitation in enhancing community integration after acute traumatic brain injury: A systematic review.

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Section: Methodological Quality Assessmentsmentioning

confidence: 99%

“…For appraisal and interpretation of the methodological quality of the studies, we adopted an approach used in reports from the Evidence-Based Review of Moderate to Severe Acquired Brain Injury Group (Teasell et al, 2005(Teasell et al, , 2007.…”

Section: Methodsmentioning

confidence: 99%

Effectiveness of Rehabilitation in Enhancing Community Integration After Acute Traumatic Brain Injury: A Systematic Review

Kim

Colantonio

2010

The American Journal of Occupational Therapy

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“…The final item on the DB checklist, relating to power calculations, was omitted due to lack of clarity in scoring despite contacting the author (Downs) and consulting a biostatistician for clarification. 36,37 Instead, the effect size (ES) was calculated as a tool to determine whether a given study had the power to establish clinically important effects; this is also a condition for comparisons across studies. ES is based on differences between two groups; therefore, single-group pre-post designs were not included in this analysis.…”

Section: Data Extraction and Quality Assessmentmentioning

confidence: 99%

A Systematic Review of Yoga for Balance in a Healthy Population

Jeter

Nkodo

Moonaz

et al. 2014

The Journal of Alternative and Complementary Medicine

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Objective: A systematic review was done of the evidence on yoga for improving balance. Design: Relevant articles and reviews were identified in major databases (PubMed, MEDLINE Ò , IndMed, Web of Knowledge, EMBASE, EBSCO, Science Direct, and Google Scholar), and their reference lists searched. Key search words were yoga, balance, proprioception, falling, fear of falling, and falls. Included studies were peerreviewed articles published in English before June 2012, using healthy populations. All yoga styles and study designs were included. Two (2) raters individually rated study quality using the Downs & Black (DB) checklist. Final scores were achieved by consensus. Achievable scores ranged from 0 to 27. Effect size (ES) was calculated where possible. Results: Fifteen (15) of 152 studies (age range 10-93, n = 688) met the inclusion criteria: 5 randomized controlled trials (RCTs), 4 quasi-experimental, 2 cross-sectional, and 4 single-group designs. DB scores ranged from 10 to 24 (RCTs), 14-19 (quasi-experimental), 6-12 (cross-sectional), and 11-20 (single group). Studies varied by yoga style, frequency of practice, and duration. Eleven (11) studies found positive results ( p < 0.05) on at least one balance outcome. ES ranged from -0.765 to 2.71 (for 8 studies) and was not associated with DB score. Conclusions: Yoga may have a beneficial effect on balance, but variable study design and poor reporting quality obscure the results. Balance as an outcome is underutilized, and more probing measures are needed.

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“…Further, much intervention research is based on single-case or small group designs, limiting the generalizability of results. Consistent with this, Teasell and colleagues [66] reported that across all ages, less than 30% of studies used randomized controlled trial (RCT) designs.…”

Section: Interventionsmentioning

confidence: 67%

Adult outcomes of pediatric traumatic brain injury

Beauchamp¹,

Dooley²,

Anderson³

2010

Principles and Practice of Lifespan Developmental Neuropsychology

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A systematic review of the rehabilitation of moderate to severe acquired brain injuries

Abstract: Only 28% of the interventional studies were RCTs. Over half of the 275 interventional studies were single group interventions, pointing to the need for studies of improved methodological quality into ABI rehabilitation.

Cited by 157 publications

References 12 publications

Effectiveness of Rehabilitation in Enhancing Community Integration After Acute Traumatic Brain Injury: A Systematic Review

Effectiveness of Rehabilitation in Enhancing Community Integration After Acute Traumatic Brain Injury: A Systematic Review

A Systematic Review of Yoga for Balance in a Healthy Population

Adult outcomes of pediatric traumatic brain injury

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