Do any physiotherapy interventions increase spinal cord independence measure or functional independence measure scores in people with spinal cord injuries? A systematic review.

Spinal Cord
L A HarveyJackie Chu

Abstract

Systematic review. To determine whether any physiotherapy interventions increase Spinal Cord Independence Measure or Functional Independence Measure scores (SCIM/FIM) in people with spinal cord injury (SCI), with the overall aim of determining whether any physiotherapy interventions need to be controlled for in studies examining the effects of novel experimental interventions on SCIM/FIM. A systematic review was conducted to identify all randomised controlled trials examining the effect of any physiotherapy intervention on SCIM/FIM in people with SCI. PEDro scores were used to rate risk of bias. The results of similar trials and comparisons were pooled using meta-analyses. Thirty-three trials met the inclusion criteria but only 27 provided useable data. The median (IQR) PEDro score was 6.0 (4.0-7.0). A meta-analysis of four trials comparing robotic gait training with overground gait training that used a combination of FIM/SCIM indicated a pooled mean (95% CI) between-group difference of 0.38 standardised mean difference (SMD; 95% CI, 0.08-0.67). A second meta-analysis of two trials comparing upper limb training with and without functional electrical stimulation using FIM indicated a pooled (95% CI) between-group difference of 1...Continue Reading

References

Mar 1, 2006·Neurology·B DobkinUNKNOWN Spinal Cord Injury Locomotor Trial Group
Jun 16, 2012·Neurorehabilitation and Neural Repair·Mónica Alcobendas-MaestroJosé Luis R Martín
Nov 19, 2013·Topics in Spinal Cord Injury Rehabilitation·Naaz KapadiaMilos R Popovic
Dec 18, 2013·Archives of Physical Medicine and Rehabilitation·Kelli G SharpStephen J Page
Mar 13, 2014·Journal of Back and Musculoskeletal Rehabilitation·Gulseren DostNese Ozgirgin
Aug 8, 2014·Archives of Physical Medicine and Rehabilitation·Michael L JonesSarah Morrison
Jan 8, 2015·Annals of Rehabilitation Medicine·Ji Cheol ShinNa Young Kim
Mar 24, 2016·Journal of Back and Musculoskeletal Rehabilitation·Adem YildirimNeşe Özgirgin
Nov 9, 2016·European Journal of Physical and Rehabilitation Medicine·Halil AkkurtTimur Kose
Oct 4, 2017·Journal of Physiotherapy·Lisa A HarveyUNKNOWN Spinal Cord Injury Physical Activity (SCIPA) Hands On Trial Collaborators
Jan 6, 2019·Journal of Neurosurgery. Spine·Jetan H BadhiwalaMichael G Fehlings
May 28, 2019·Turkish Journal of Medical Sciences·Mustafa Aziz YıldırımGökşen Gökşenoğlu
Sep 10, 2019·Annals of Rehabilitation Medicine·Joo Hwan JungSu Jeong Lee

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