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

Objective: To conduct a systematic review of the rehabilitation literature of moderate to severe acquired brain injuries (ABI) from traumatic and non-traumatic causes. Methods: A review of the literature was conducted for studies looking at interventions in ABI rehabilitation. The methodological qua...

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Published in:Brain injury 2007, Vol.21 (2), p.107-112
Main Authors: Teasell, Robert, Bayona, Nestor, 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, Foley, Norine, Nowak, Jozef, Jutai, Jeff, Speechley, Mark, Hellings, Chelsea, Tu, Linh
Format: Article
Language:English
Subjects:
Brain
brain injuries
Brain Injuries - etiology
Brain Injuries - rehabilitation
Cognitive Therapy - methods
craniocerebral trauma
Data Interpretation, Statistical
evidence-based medicine
Humans
Outcome Assessment (Health Care)
Randomized Controlled Trials as Topic
rehabilitation
Reproducibility of Results
review literature
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Summary:Objective: To conduct a systematic review of the rehabilitation literature of moderate to severe acquired brain injuries (ABI) from traumatic and non-traumatic causes. Methods: A review of the literature was conducted for studies looking at interventions in ABI rehabilitation. The methodological quality of each study was determined using the Downs and Black scale for randomized controlled trials (RCTs) and non-RCTs as well as the Physiotherapy Evidence Database (PEDro) scale for RCTs only. Results: Almost 14 000 references were screened from which 1312 abstracts were selected. A total of 303 articles were chosen for careful review of which 275 were found to be interventional studies but only 76 of these interventional studies were RCTs. From this, 5 levels of evidence were determined with 177 conclusions drawn; however of the 177 conclusions only 7 were supported by two or more RCTs and 41 were supported by one RCT. Conclusion: 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.
ISSN:0269-9052
1362-301X
DOI:10.1080/02699050701201524