École de Réadaptation, Faculté de Médecine, Université de Montréal, Montréal, Québec, Canada (Mr Alarie and Dr Swaine); Institut Universitaire sur la Réadaptation Physique de Montréal (IURDPM)-Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain (CRIR), Montréal, Québec, Canada (Messrs Alarie and Quilico and Dr Swaine); School of Physical and Occupational Therapy, Faculty of Medicine, McGill University, Montréal, Québec, Canada (Drs Gagnon and Teel); Trauma Center and Pediatric Emergency Medicine, Montreal Children's Hospital, McGill University Health Center, Montréal, Québec, Canada (Dr Gagnon); and Rehabilitation Science Institute, University of Toronto, Toronto, Canada (Mr Quilico).
J Head Trauma Rehabil. 2021;36(3):205-223. doi: 10.1097/HTR.0000000000000639.
To document the characteristics, measured outcomes, and effectiveness of physical activity (PA) interventions designed to improve health-related outcomes in individuals with a mild traumatic brain injury (mTBI) to assist in rehabilitation quality improvement efforts of a TBI rehabilitation program.
A scoping review following a 6-step iterative framework search across 5 databases (MEDLINE, CINAHL, PsycINFO, SPORTDiscuss, and EMBASE) and the gray literature (Google) was performed. Selected PA interventions were designed for individuals of all ages and any mechanism of injury (eg, sports-related and falls). Data were charted, collated, and summarized according to the Consensus on Exercise Reporting Template checklist and domains of the International Classification of Functioning, Disability and Health. Involvement of clinical experts ensured tailoring of the knowledge synthesis to meet clinical needs.
Thirty-five articles and 14 gray literature records were retained. Five types of PA interventions were identified with the majority being multimodal. Reporting of PA intervention characteristics was highly variable across studies; many details necessary for intervention replication are missing. Study outcomes focused primarily on improving body functions and symptoms of mTBI, and less frequently on activities, participation, and health-related quality of life. The methodological quality of studies varies.
Identified PA intervention types offer various management options for healthcare providers. PA interventions may improve a wide range of health-related outcomes supporting the inclusion of PA in the management of individuals of all ages with mTBI. Higher-quality research and better reporting about intervention characteristics is however needed.
记录旨在改善轻度创伤性脑损伤（mTBI）个体健康相关结局的身体活动（PA）干预措施的特征、测量结果和效果，以协助改善 TBI 康复计划的康复质量。
我们采用 6 步迭代框架，在 5 个数据库（MEDLINE、CINAHL、PsycINFO、SPORTDiscuss 和 EMBASE）和灰色文献（Google）中进行了范围综述。选择的 PA 干预措施针对所有年龄段和任何损伤机制（如运动相关和跌倒）的个体设计。根据《运动报告模板共识清单》和《国际功能、残疾和健康分类》的领域，对数据进行图表记录、整理和总结。临床专家的参与确保了知识综合的定制，以满足临床需求。
保留了 35 篇文章和 14 篇灰色文献记录。确定了 5 种 PA 干预类型，其中大多数为多模式。研究之间对 PA 干预特征的报告差异很大，许多干预复制所需的详细信息缺失。研究结果主要集中在改善 mTBI 的身体功能和症状，较少关注活动、参与和与健康相关的生活质量。研究的方法学质量存在差异。
确定的 PA 干预类型为医疗保健提供者提供了各种管理选择。PA 干预可能会改善广泛的健康相关结局，支持将 PA 纳入所有年龄段 mTBI 个体的管理中。然而，需要进行更高质量的研究和更好地报告干预特征。
