Overview of Cochrane Systematic Reviews for Rehabilitation Interventions in Persons With Spinal Cord Injury: A Mapping Synthesis |
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| Affiliation: | 1. IRCCS Fondazione Don Carlo Gnocchi, Milan;2. Department of Biomedical, Surgical and Dental Sciences, University “La Statale”, Milan;3. IRCCS Istituto Ortopedico Galeazzi, Milan;4. IRCCS MultiMedica, Milan, Italy;1. Department of Psychiatry and Behavioral Sciences, The University of Texas Health Science Center San Antonio, San Antonio, TX;2. Department of Rehabilitation Medicine, The University of Texas Health Science Center at San Antonio, San Antonio, TX;3. South Texas Veterans Health Care System, San Antonio, TX;4. Greater Los Angeles Veterans Health Care System, Los Angeles, CA;5. David Geffen School of Medicine, University of California, Los Angeles, Department of Physical Medicine & Rehabilitation, Los Angeles, CA;6. Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City, UT;7. Department of Anaesthesia, Massachusetts General Hospital, Boston, MA;8. Department of Psychology, The University of Texas at San Antonio, San Antonio, TX;9. Department of Physical Therapy, School of Health Professions, The University of Texas Health Science Center at San Antonio, San Antonio, TX;1. Department of Physiotherapy, Calvary Health Care Bethlehem, Melbourne, Australia;2. School of Primary and Allied Health Care, Faculty of Medicine, Nursing and Health Science, Monash University, Melbourne, Australia;1. From the Department of Physical Medicine and Rehabilitation, University of Pennsylvania—Perelman School of Medicine, Philadelphia, PA;2. Department of Psychiatry, University of Pennsylvania—Perelman School of Medicine, Philadelphia, PA;3. Center for Advancing Population Sciences, Medical College of Wisconsin, Milwaukee, WI;4. Institute for Health and Equity and Collaborative for Healthcare Delivery Science, Medical College of Wisconsin, Milwaukee, WI;1. Division of Palliative Care and Geriatric Medicine, Department of Medicine, Massachusetts General Hospital, Boston, MA;2. Center for Aging and Serious Illness, Mongan Institute, Massachusetts General Hospital, Boston, MA;3. Department of Health Services, Policy & Practice, Brown University, School of Public Health, Providence, RI;4. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN;5. Department of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN;1. Institute for Health and Equity, Medical College of Wisconsin, Milwaukee, WI;2. Department of Physical Medicine and Rehabilitation, University of Pennsylvania, Philadelphia, PA;3. Department of Orthopedic Surgery, Northwestern University, Chicago, IL;4. Department of Orthopedic Surgery, University of Pennsylvania, Philadelphia, PA;5. Bloomberg School of Public Health, the Johns Hopkins University, Baltimore, MD;6. University of Pennsylvania, Phialdelphia, PA;7. Center for Advancing Population Sciences, Medical College of Wisconsin, Milwaukee, WI |
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| Abstract: | ObjectiveThis article aims to describe the evidence on rehabilitation interventions for persons with spinal cord injury (SCI) identified in Cochrane Systematic Reviews (CSRs) selected for inclusion in the World Health Organization Rehabilitation Programme–Package of Interventions for Rehabilitation.Data SourcesThe CSRs search was led by the Cochrane Rehabilitation team, using the tagging process, using the terms “spinal cord injury” and “rehabilitation” in the Cochrane Library.Study SelectionWe performed an overview of all the CSRs according to the inclusion criteria defined with the World Health Organization: rehabilitation interventions in persons with SCI.Data ExtractionThe CSRs identified after the screening process were summarized using an evidence map, grouping outcomes, and comparisons of included CSRs indicating the effect and the quality of evidence to provide a comprehensive view of what is known.Data SynthesisOut of 248 CSRs from the past 10 years tagged in the Cochrane Rehabilitation database, 3 were related to SCI. They provide data on 13 outcomes analyzed within 11 comparisons for a total of 64 primary studies, including 2024 participants with SCI. Of these, 7 outcomes and 1 comparison focused on people with cervical SCI. Rehabilitation interventions might improve respiratory outcomes and pain relief in people with SCI. There is uncertainty whether bodyweight-supported treadmill training, robotic-assisted training, and functional electrostimulation affect walking speed and capacity.ConclusionsThe current evidence needs to be confirmed by better quality research. Therefore, future priorities are the improvement of methodological quality of the studies in people with SCI, particularly considering the complexity of this health condition. Further, there is a need for more CSRs in the field. |
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| Keywords: | Evidence-based practice Walking |
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