PEDRO DATABASE: Brain Injur* totale: 87

AU - Trevena L, Cameron I, Porwal M
TI - Clinical practice guidelines for the care of people living with traumatic brain injury in the community [with systematic review]
SO -
METHOD - practice guideline
METHOD SCORE - This is a clinical practice guideline. Clinical practice guidelines are not rated.
AB -
NOTE -
URL - http://www.maa.nsw.gov.au/default.aspx?MenuID=188
LG - English
ASSOCIATION - University of Sydney
DATABASE - Downloaded from PEDro http://www.pedro.org.au


AU - Trevena L, Cameron I, Porwal M
TI - Clinical practice guidelines for the care of people living with traumatic brain injury in the community: summary of key points [quick reference guide for clinicians]
SO -
METHOD - practice guideline
METHOD SCORE - This is a clinical practice guideline. Clinical practice guidelines are not rated.
AB -
NOTE -
URL - http://www.maa.nsw.gov.au/default.aspx?MenuID=188
LG - English
ASSOCIATION - University of Sydney
DATABASE - Downloaded from PEDro http://www.pedro.org.au


AU - McNaughton H, Ardagh M, Beattie A, Dharan V, Dudley M, Dyson C, Niumata-Faleafa M, Finucane G, Hale B, Hall K, Harwood M, Kenworthy B, Larking P, Larkins B, Leathem J, Levack W, Limmer J, Lynch K, MacFarlane M, Mayhew J, McClure J, Molloy S, Pope H, Reilly S, Rowland E, Ryan B, Sigert R, Stormer P, Browne W, Udy D
TI - Traumatic brain injury: Diagnosis, acute management and rehabilitation [methodology of a clinical practice guideline for clinicians]
SO -
METHOD - practice guideline
METHOD SCORE - This is a clinical practice guideline. Clinical practice guidelines are not rated.
AB -
NOTE -
URL - http://www.nzgg.org.nz/guidelines/dsp_guideline_popup.cfm?guidelineCatID=29&guidelineID=129
LG - English
ASSOCIATION - New Zealand Guidelines Group (NZGG), New Zealand Accident Compensation Corporation (ACC)
DATABASE - Downloaded from PEDro http://www.pedro.org.au


AU - McNaughton H, Ardagh M, Beattie A, Dharan V, Dudley M, Dyson C, Niumata-Faleafa M, Finucane G, Hale B, Hall K, Harwood M, Kenworthy B, Larking P, Larkins B, Leathem J, Levack W, Limmer J, Lynch K, MacFarlane M, Mayhew J, McClure J, Molloy S, Pope H, Reilly S, Rowland E, Ryan B, Sigert R, Stormer P, Browne W, Udy D
TI - Traumatic brain injury: Diagnosis, acute management and rehabilitation: Summary [methodology of a clinical practice guideline for clinicians]
SO -
METHOD - practice guideline
METHOD SCORE - This is a clinical practice guideline. Clinical practice guidelines are not rated.
AB -
NOTE -
URL - http://www.nzgg.org.nz/guidelines/dsp_guideline_popup.cfm?guidelineCatID=29&guidelineID=129
LG - English
ASSOCIATION - New Zealand Guidelines Group (NZGG), New Zealand Accident Compensation Corporation (ACC)
DATABASE - Downloaded from PEDro http://www.pedro.org.au


AU - Anonymous
TI - Traumatic brain injury: Diagnosis, acute management and rehabilitation: Evidence tables [quick reference guide for clinicians]
SO -
METHOD - practice guideline
METHOD SCORE - This is a clinical practice guideline. Clinical practice guidelines are not rated.
AB -
NOTE -
URL - http://www.nzgg.org.nz/guidelines/dsp_guideline_popup.cfm?guidelineCatID=29&guidelineID=129
LG - English
ASSOCIATION - New Zealand Guidelines Group (NZGG), New Zealand Accident Compensation Corporation (ACC)
DATABASE - Downloaded from PEDro http://www.pedro.org.au


AU - Anonymous
TI - Traumatic brain injury: Diagnosis, acute management and rehabilitation: Search strategy [quick reference guide for clinicians]
SO -
METHOD - practice guideline
METHOD SCORE - This is a clinical practice guideline. Clinical practice guidelines are not rated.
AB -
NOTE -
URL - http://www.nzgg.org.nz/guidelines/dsp_guideline_popup.cfm?guidelineCatID=29&guidelineID=129
LG - English
ASSOCIATION - New Zealand Guidelines Group (NZGG), New Zealand Accident Compensation Corporation (ACC)
DATABASE - Downloaded from PEDro http://www.pedro.org.au


AU - Turner-Stokes L, Nair A, Sedki I, Disler PB, Wade DT
TI - Multi-disciplinary rehabilitation for acquired brain injury in adults of working age (Cochrane review) [with consumer summary]
SO - Cochrane Database of Systematic Reviews 2009;Issue 3
METHOD - systematic review
METHOD SCORE - This is a systematic review. Systematic reviews are not rated.
AB - BACKGROUND: Evidence from systematic reviews demonstrates that multi-disciplinary rehabilitation is effective in the stroke population where older adults predominate. However, the evidence base for the effectiveness of rehabilitation following acquired brain injury (ABI) in younger adults is not yet established, perhaps because there are different methodological challenges. OBJECTIVES: To assess the effects of multi-disciplinary rehabilitation following ABI in adults aged 16 to 65 years. To explore approaches that are effective in different settings and the outcomes that are affected. SEARCH STRATEGY: We searched CENTRAL (The Cochrane Library 2008, Issue 2), MEDLINE (Ovid SP), EMBASE (Ovid SP), ISI Web of Science: Science Citation Index Expanded (SCI-EXPANDED), ISI Web of Science: Conference Proceedings Citation Index-Science (CPCI-S), and Internet-based trials registers: ClinicalTrials.gov, Current Controlled Trials, and RehabTrials.org. We also checked reference lists of relevant papers and contacted study authors in an effort to identify published, unpublished, and ongoing trials. Searches were last updated in April 2008. SELECTION CRITERIA: Randomised controlled trials (RCTs) comparing multi-disciplinary rehabilitation with either routinely available local services or lower levels of intervention; or trials comparing an intervention in different settings or at different levels of intensity. Quasi-randomised and quasi-experimental designs were also included provided that they met pre-defined methodological criteria. DATA COLLECTION AND ANALYSIS: Two authors independently selected trials and rated their methodological quality. A third review author arbitrated when disagreements could not be resolved by discussion. We performed a 'best evidence' synthesis by attributing levels of evidence based on methodological quality. We subdivided trials in terms of severity of brain injury, the setting, and type of rehabilitation offered. MAIN RESULTS: We identified 11 trials of good methodological quality and five of lower quality. Within the subgroup of predominantly mild brain injury, 'strong evidence' suggested that most patients made a good recovery with provision of appropriate information, without additional specific intervention. For moderate to severe injury, there was 'strong evidence' of benefit from formal intervention. For patients with moderate to severe ABI already in rehabilitation, there was strong evidence that more intensive programmes are associated with earlier functional gains, and 'moderate evidence' that continued outpatient therapy could help to sustain gains made in early post-acute rehabilitation. There was '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. AUTHORS' CONCLUSIONS: Problems following ABI vary. Consequently, different interventions and combinations of interventions are required to suit the needs of patients with different problems. Patients presenting acutely to hospital with moderate to severe brain injury should be routinely followed up to assess their needs for rehabilitation. Intensive intervention appears to lead to earlier gains. The balance between intensity and cost-effectiveness has yet to be determined. Patients discharged from in-patient rehabilitation should have access to out-patient or community-based services appropriate to their needs. Those with milder brain injury benefit from follow up and appropriate information and advice. Not all questions in rehabilitation can be addressed by randomised controlled trials or other experimental approaches. Some questions include which treatments work best for which patients over the long term, and which models of service represent value for money in the context of life-long care. In future, such questions will need to be set alongside practice-based evidence gathered from large systematic, longitudinal cohort studies conducted in the context of routine clinical practice. Residents of some countries have free access to the full text of the systematic reviews in the Cochrane Library at: http://www.thecochranelibrary.com
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LG - English
ASSOCIATION -
DATABASE - Downloaded from PEDro http://www.pedro.org.au


AU - Mumford N, Wilson PH
TI - Virtual reality in acquired brain injury upper limb rehabilitation: evidence-based evaluation of clinical research
SO - Brain Injury 2009 Mar;23(3):179-191
METHOD - systematic review
METHOD SCORE - This is a systematic review. Systematic reviews are not rated.
AB - PRIMARY OBJECTIVE: Acquired brain injury (ABI) is associated with significant cognitive, behavioural, psychological and physical impairment. Hence, it has been important to leverage assessment approaches in rehabilitation by using current and emerging technologies, including virtual reality (VR). A number of VR rehabilitation programmes have been designed in recent years, mainly to improve upper limb function. However, before this technology gains widespread use, evaluation of the scientific evidence supporting VR-assisted rehabilitation is needed. The present review aimed to assess the rationale, design and methodology of research investigating the clinical impact of VR on ABI upper-limb rehabilitation. RESEARCH DESIGN: A total of 22 studies were surveyed using a Cochrane-style review. RESEARCH METHODS: Studies were classified on a number of key criteria: theoretical bases and aims, sample populations and recruitment procedures, characteristics of the VR systems, evaluation design including control procedures and statistical analysis of results. Studies were rated using the Downs and Black (DB) scale. RESULTS: The review demonstrated that few studies used a conventional randomized controlled study design. Moderate support was shown for both teacher-animation and game-like systems. CONCLUSION: While VR-assisted rehabilitation shows early promise, clinicians are advised to be cautious about adopting these technologies before adequate data is available. Full text may be available at: http://journalsonline.tandf.co.uk/openurl.asp?genre=journal&issn=0269-9052
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LG - English
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DATABASE - Downloaded from PEDro http://www.pedro.org.au


AU - Devine JM, Zafonte RD
TI - Physical exercise and cognitive recovery in acquired brain injury: a review of the literature
SO - PM&R 2009 Jun;1(6):560-575
METHOD - systematic review
METHOD SCORE - This is a systematic review. Systematic reviews are not rated.
AB - Abstract and full text may be available via PubMed at: http://www.ncbi.nlm.nih.gov/entrez/query/static/citmatch.html
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LG - English
ASSOCIATION -
DATABASE - Downloaded from PEDro http://www.pedro.org.au


AU - Ashford J, McCabe D, Wheeler-Hegland K, Frymark T, Mullen R, Musson N, Schooling T, Hammond CS
TI - Evidence-based systematic review: oropharyngeal dysphagia behavioral treatments. Part III -- impact of dysphagia treatments on populations with neurological disorders
SO - Journal of Rehabilitation Research and Development 2009;46(2):195-204
METHOD - systematic review
METHOD SCORE - This is a systematic review. Systematic reviews are not rated.
AB - Abstract and full text may be available at: http://www.vard.org/jour/jourindx.htm
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LG - English
ASSOCIATION -
DATABASE - Downloaded from PEDro http://www.pedro.org.au


AU - Hassett LM, Moseley AM, Tate R, Harmer AR
TI - Fitness training for cardiorespiratory conditioning after traumatic brain injury (Cochrane Review) [with consumer summary]
SO - Cochrane Database of Systematic Reviews 2008;Issue 2
METHOD - systematic review
METHOD SCORE - This is a systematic review. Systematic reviews are not rated.
AB - BACKGROUND: Cardiorespiratory deconditioning is a common sequelae after traumatic brain injury (TBI). Clinically, fitness training is implemented to address this impairment, however this intervention has not been subject to rigorous review. OBJECTIVES: The primary objective was to evaluate whether fitness training improves cardiorespiratory fitness in people who have sustained a TBI. SEARCH STRATEGY: We searched ten electronic databases (Cochrane Injuries Group Trials Register; Cochrane Central Register of Controlled Trials (CENTRAL); EMBASE; PubMed (MEDLINE); CINAHL; AMED; SPORTDiscus; PsycINFO; PEDro and PsycBITE) and two clinical trials registers (TrialsCentral and Current Controlled Trials). The last search was August 2007. In addition we screened reference lists from included studies and contacted trialists to identify further studies. SELECTION CRITERIA: Randomised controlled studies with TBI participants were eligible if they compared an exercise programme incorporating cardiorespiratory fitness training to usual care, a non-exercise intervention or no intervention. DATA COLLECTION AND ANALYSIS: Two authors independently screened the search output, extracted data and assessed quality. All trialists were contacted for additional information. Mean difference and 95% confidence intervals (CI) were calculated for continuous data and risk difference or odds ratio and 95% CI were calculated for dichotomous data. Data were pooled when there were sufficient studies with clinical and statistical homogeneity. MAIN RESULTS: Six studies, incorporating 303 participants, were included. The participants were primarily males, in their mid thirties who had sustained a severe TBI. The studies were clinically diverse with regard to the interventions, time post-injury and the outcome measures used; therefore, the primary outcome could not be pooled. Three of the six studies indirectly assessed change in cardiorespiratory fitness after fitness training using the peak power output obtained during cycle ergometry (either at volitional fatigue or at a predetermined endpoint, that is, a percentage of predicted heart rate maximum). Cardiorespiratory fitness was improved after fitness training in one study (mean difference 59 watts, 95% CI 24 to 94), whilst there was no significant improvement in the other two studies. Four of the six studies had no drop-outs from their intervention group and no adverse events were reported in any study. AUTHORS' CONCLUSIONS: There is insufficient evidence to draw any definitive conclusions about the effects of fitness training on cardiorespiratory fitness. Whilst it appears to be a safe and accepted intervention for people with TBI, more adequately powered and well-designed studies are required to determine the effects across a range of outcome measures. Residents of some countries have free access to the full text of the systematic reviews in the Cochrane Library at: http://www.thecochranelibrary.com
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LG - English
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DATABASE - Downloaded from PEDro http://www.pedro.org.au


AU - Hellweg S, Johannes S
TI - Physiotherapy after traumatic brain injury: a systematic review of the literature
SO - Brain Injury 2008 May;22(5):365-373
METHOD - systematic review
METHOD SCORE - This is a systematic review. Systematic reviews are not rated.
AB - 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. The aim of this literature review is to develop recommendations concerning physiotherapy in the post-acute phase after TBI on the basis of scientific evidence. METHOD: 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). RESULTS: Fourteen studies met the inclusion criteria and were grouped into sub-groups: sensory stimulation, therapy intensity, casting/splinting, exercise or aerobic training and functional skill training. While for sensory stimulation evidence could not be proven, a strong evidence exists that more intensive rehabilitation programmes lead to earlier functional abilities. The recommendation due to casting for the improvement of passive range of motion is a grade B, while only a C recommendation is appropriate concerning tonus reduction. Strong evidence exists that intensive task-orientated rehabilitation programmes lead to earlier and better functional abilities. CONCLUSION: Although some recommendations for the effectiveness of physical therapy interventions could be expressed, there are many questions concerning the treatment of humans with TBI which have not been investigated so far. Especially on the level of activity and participation only a few studies exist. Full text may be available at: http://journalsonline.tandf.co.uk/openurl.asp?genre=journal&issn=0269-9052
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LG - English
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DATABASE - Downloaded from PEDro http://www.pedro.org.au