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

Baque, Emmah, Sakzewski, Leanne, Barber, Lee and Boyd, Roslyn N. (2016) Systematic review of physiotherapy interventions to improve gross motor capacity and performance in children and adolescents with an acquired brain injury. Brain Injury, 30 8: 1-12. doi:10.3109/02699052.2016.1147079


Author Baque, Emmah
Sakzewski, Leanne
Barber, Lee
Boyd, Roslyn N.
Title Systematic review of physiotherapy interventions to improve gross motor capacity and performance in children and adolescents with an acquired brain injury
Journal name Brain Injury   Check publisher's open access policy
ISSN 0269-9052
1362-301X
Publication date 2016-04-27
Year available 2016
Sub-type Article (original research)
DOI 10.3109/02699052.2016.1147079
Open Access Status Not Open Access
Volume 30
Issue 8
Start page 1
End page 12
Total pages 12
Place of publication Abingdon, Oxfordshire, United Kingdom
Publisher Taylor & Francis
Collection year 2017
Language eng
Formatted abstract
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.
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
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Created: Wed, 11 May 2016, 14:11:42 EST by Ms Leanne Sakzewski on behalf of School of Health & Rehabilitation Sciences