Quilico Enrico, Swaine Bonnie, Alarie Christophe, Colantonio Angela
Rehabilitation Sciences Institute, University of Toronto, Toronto, ON, Canada.
Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain, Montréal, QC, Canada.
JMIR Res Protoc. 2021 Jan 13;10(1):e24689. doi: 10.2196/24689.
Long-term physical, cognitive, and psychosocial problems resulting from moderate to severe traumatic brain injury (TBI) can prevent individuals from returning to preinjury lifestyles because of significant challenges with employment, leisure, and relationships. While physical activity (PA) is proposed as a cost-effective method to alleviate problems after moderate to severe TBI, there is no review to date that synthesizes the evidence for PA in the community-based context. Further, although sex- and gender-based considerations in research are considered requisite to good science, there is no review on PA and TBI that has included this explicit focus.
The purpose of this review is to map and synthesize the current evidence identified through a systematic search of community-based PA interventions for individuals of all ages with moderate to severe TBI and provide an overview of that evidence by asking the following research questions: (1) what are the characteristics of community-based PA programs for individuals with moderate to severe TBI, (2) what are the reported health-related outcomes and measurement tools used to evaluate them, and (3) what considerations have been given to sex and/or gender?
Searches will be conducted of six academic databases for peer-reviewed articles. Two reviewers will independently screen the articles for inclusion and extract data for the analysis. The extracted data will be coded according to the Consensus on Exercise Reporting Template checklist and the Template for Intervention Description and Replication checklist to provide sufficient detail for replication.
The abstract screening was completed by two reviewers and the extracted data were analyzed. A qualitative synthesis and description of community-based PA interventions for individuals with moderate to severe TBI will be provided.
This scoping review will generate new knowledge from published and publicly available literature. Dissemination of the results will include activities related to knowledge transfer for community-based PA after moderate to severe TBI for future research and practice. Evidence-based recommendations, future directions, potential limitations, use of online/digital components, and the possible need for a systematic review will be discussed as well.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/24689.
中度至重度创伤性脑损伤（TBI）导致的长期身体、认知和心理社会问题，会使个体因就业、休闲和人际关系方面的重大挑战而无法恢复到受伤前的生活方式。虽然体育活动（PA）被认为是一种经济有效的方法来缓解中度至重度TBI后的问题，但迄今为止，尚无综述对社区环境下体育活动的证据进行综合。此外，尽管研究中基于性别进行考量被认为是良好科学的必要条件，但尚无关于体育活动与TBI的综述明确关注这一点。
本综述的目的是梳理并综合通过系统检索针对所有年龄段中度至重度TBI个体的社区体育活动干预措施所获得的现有证据，并通过提出以下研究问题来概述该证据：（1）针对中度至重度TBI个体的社区体育活动项目有哪些特点，（2）报告的与健康相关的结果以及用于评估这些结果的测量工具是什么，（3）对性别有哪些考量？
将在六个学术数据库中搜索同行评审文章。两名评审员将独立筛选文章以确定是否纳入，并提取数据进行分析。提取的数据将根据《运动报告模板共识清单》和《干预描述与复制模板清单》进行编码，以提供足够详细的信息用于复制。
两名评审员完成了摘要筛选并对提取的数据进行了分析。将提供对中度至重度TBI个体的社区体育活动干预措施的定性综合和描述。
本范围综述将从已发表和公开可得的文献中产生新知识。结果的传播将包括与中度至重度TBI后社区体育活动的知识转移相关的活动，以用于未来的研究和实践。还将讨论基于证据的建议、未来方向、潜在局限性、在线/数字组件的使用以及可能进行系统综述的必要性。
国际注册报告识别号（IRRID）：DERR1-10.2196/24689
