Physiotherapy after traumatic brain injury: A systematic review of the literature

@article{Hellweg2008PhysiotherapyAT,
  title={Physiotherapy after traumatic brain injury: A systematic review of the literature},
  author={Stephanie Hellweg and S{\"o}nke Johannes},
  journal={Brain Injury},
  year={2008},
  volume={22},
  pages={365 - 373}
}
PRIMARY OBJECTIVES At present there are no standardized recommendations concerning physiotherapy of individuals with traumatic brain injury (TBI) resulting in a high variability of methods and intensity. [...] Key MethodMETHOD literature review: data bases: PubMed, PEDro, OT-Seeker, Cochrane and Cinahl. KEYWORDS brain injury (in PEDro, OT-Seeker, Cochrane), brain injury AND physical therapy (in PubMed and Cinahl). Expand
Effectiveness of Physiotherapy and Occupational Therapy after Traumatic Brain Injury in the Intensive Care Unit
TLDR
It can be concluded from three studies that physiotherapy for the prevention or treatment of ventilator-associated pneumonia is not effective and the proof of effectiveness for other physiotherapeutic and occupational therapy interventions must still be demonstrated. Expand
Physical Therapy Management and Recovery of an Individual with a Severe Traumatic Brain Injury: A Case Report
TLDR
Preliminary support is provided for the use of a comprehensive rehabilitation program for severe TBI with significant improvement in mobility during his stay in an inpatient rehabilitation facility, despite multiple medical complications and negative prognostic factors. Expand
Upper Limb Motor Improvement after Traumatic Brain Injury: Systematic Review of Interventions.
TLDR
There is preliminary evidence that using some interventions may enhance UL motor improvement after a TBI, and answers to emergent questions can help select the most appropriate interventions in this population. Expand
Interventions for managing skeletal muscle spasticity following traumatic brain injury.
TLDR
It was difficult to draw conclusions about the effectiveness of these interventions due to poor reporting, small study size and the fact that participants with TBI were usually only a proportion of the overall total. Expand
Effectiveness of physical therapy for improving gait and balance in individuals with traumatic brain injury: A systematic review
TLDR
The state of evidence for gait and balance interventions in patients with mild-to-moderate TBI is surprisingly poor and 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. Expand
Development and Preliminary Validation of the Acute Brain Injury Physiotherapy Assessment (ABIPA)
TLDR
The ABIPA is a promising tool for detecting incremental changes in neuro-motor recovery early after severe brain injury. Expand
Physical Therapy Rehabilitation after Traumatic Brain Injury
TLDR
There are no major differences between the various methods of treatment and all of them improve the patients’ functional status and evidence suggests that community integration should be the primary goal of rehabilitation for people after a TBI. Expand
Factors Influencing Functional Recovery during Rehabilitation after Severe Acquired Brain Injuries: A Retrospective Analysis
Severe acquired brain injuries (sABI) represent one of the main causes of disability and limitation in social life participation that need an intensive rehabilitation approach. The purpose of thisExpand
How do physiotherapists treat patients with traumatic brain injury?
TLDR
There is a need for new assessment and outcome evaluation methods that are able to capture all aspects of rehabilitation and pay more consideration to quality of life and functional performance. Expand
Upper Limb Motor Improvement after TBI: SystematicReview of Interventions
TLDR
Using these interventions can reduce UL motor impairment and improve activity performance after a TBI, according to limited understanding on the use of interventions for upper limb (UL) motor improvements. Expand
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References

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Do Patients with Severe Traumatic Brain Injury Benefit from Physiotherapy? A Review of the Evidence
TLDR
A reasonable body of evidence was identified and there was a noticeable shortage of studies investigating the effectiveness of functional skills training, i.e. physiotherapy to reinstate functional motor activity. Expand
Ambulation Training With and Without Partial Weightbearing After Traumatic Brain Injury: Results of a Randomized, Controlled Trial
TLDR
Results did not support the hypothesis that 8 wks of partial weight-bearing gait retraining improves functional ambulation to a greater extent than traditional physical therapy in individuals after traumatic brain injury based on common clinical measures. Expand
Sensory stimulation for brain injured individuals in coma or vegetative state.
TLDR
It is indicated that there is no reliable evidence to support, or rule out, the effectiveness of multisensory programmes in patients in coma or vegetative state. Expand
The use of casts in the management of joint mobility and hypertonia following brain injury in adults: a systematic review.
TLDR
A systematic review was undertaken to find studies that quantified the effectiveness of casting in adults with brain injury and a grade B recommendation is given for the use of casting to increase passive range of motion or to prevent its loss. Expand
Does intensive rehabilitation improve the functional outcome of patients with traumatic brain injury? Interim result of a randomized controlled trial
TLDR
The interim results showed that there was a trend of more patients in the study group achieving full FIM scores, and good GOS at 2 and 3 months, but the control group appeared to be catching up towards 6 months, which indicates that the study should be continued. Expand
Multi-disciplinary rehabilitation for acquired brain injury in adults of working age.
TLDR
There is 'limited evidence' that specialist in-patient rehabilitation and specialist multi-disciplinary community rehabilitation may provide additional functional gains, but the studies serve to highlight the particular practical and ethical restraints on randomisation of severely affected individuals for whom there are no realistic alternatives to specialist intervention. Expand
The effect of aerobic training on rehabilitation outcomes after recent severe brain injury: a randomized controlled evaluation.
TLDR
The benefits of improved cardiovascular fitness did not appear to extend to measurable change in function or psychologic state in recently brain-injured inpatients. Expand
The effects of increased rehabilitation therapy after brain injury: results of a prospective controlled trial
TLDR
Investigating the effect of increased intensity of rehabilitation therapy provided to brain-injured subjects on the rate at which independence was regained and the duration of hospital admission found no evidence of any ceiling effect of therapeutic intensity. Expand
A randomized controlled trial of botulinum toxin on lower limb spasticity following acute acquired severe brain injury
TLDR
Active intervention with casting prevents talipes equinovarus deformities in patients losing ankle movement following severe brain injury and the role of additional botulinum toxin needs further investigation, but is safe in these patients. Expand
Arm ability training for stroke and traumatic brain injury patients with mild arm paresis: a single-blind, randomized, controlled trial.
TLDR
The AAT reduces focal disability among stroke and TBI patients with mild central arm paresis and a functional benefit existed at 1-year follow-up. Expand
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