Dataset for meta-analysis on body weight supported gait training for mobility and quality of life in adults with non-progressive brain injuries

Published: 11 July 2023| Version 1 | DOI: 10.17632/xssh7963jv.1
Contributors:
Morten Pedersen, Anders Holsgaard-Larsen

Description

Question: What are the effects and harms associated with bodyweight-supported (BWS) gait training in adults with acquired and congenital brain injuries (ABI and CBI) according to measures of mobility, health-related quality of life (HRQoL), and adverse events? Design: Systematic review and meta-analysis of randomised controlled trials. Participants: Adults with ABI and CBI. Intervention: BWS gait training compared to any type of other intervention. Outcome measures: Gait function, walking speed, walking capacity, gait pathology, HRQoL, withdrawals, adverse events, serious adverse events. Results: A total of 99 studies (5,150 participants) were identified for inclusion. Compared with control conditions, BWS gait training improved gait function (2.28 units [0–24 point scale] on the Dynamic Gait Index [95% CI, 1.30, 3.22]), walking speed (0.27 m/s on the 10-meter walk test [95% CI, 0.17, 0.37]), walking capacity (27.71 meters on the 6-minute walk test [95% CI, 8.91, 48.51]), gait pathology (4.99 degrees [0–100 degree scale] on the Gait Profile Score [95% CI, 3.08, 6.86]), and HRQoL (3.74 units [0–100 unit scale] on Short Form 36 Physical Component [95% CI, 0.80, 6.68]). No adverse effects related to BWS were identified. Conclusion: BWS gait training appears to be safe and has a positive effect on measures of mobility and HRQoL in adults with nonprogressive ABI and CBI. The certainty of evidence was low to very low. Subgroup analyses indicated that the magnitude of the effect depends on the type of unloading mechanism used when employing BWS. Trial registration: PROSPERO (CRD42021282642)

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Institutions

Odense Universitetshospital Ortopaedkirurgisk Afdeling, Syddansk Universitet Det Sundhedsvidenskabelige Fakultet

Categories

Traumatic Brain Injury, Stroke, Cerebral Palsy, Gait, Physical Rehabilitation, Rehabilitation Robotics, Locomotor Rehabilitation

Funding

Syddansk Universitet

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