Article

OBJECTIVE: To undertake a systematic review and meta-analysis of the
effectiveness of play-based interventions compared to traditional therapy in
rehabilitation of adults with adult-acquired brain injury.
The search was performed using Medline; Cinahl Plus; Health Source (Nursing/Academic
Edition); Psychology and behavioural sciences collection; Biomedical reference
collection (basic).
REVIEW METHODS: Studies included were randomised controlled
trials that investigated the effect of play-based interventions on physical
function of adults with adult acquired brain injury. Two independent reviewers
identified eligible studies and assessed methodological quality using a modified
Downs and Black. Meta-analysis compared standardised differences in means, to
determine effect sizes for grouped functional outcome measures. The GRADE scoring
system was used to determine the level of clinical evidence. RESULTS: Thirty
studies met the inclusion criteria, 13 were considered high quality and 17
moderate quality. Studies predominantly involved post-stroke participants, with
only three studies including participants with traumatic brain injury. When
compared to traditional therapy, dose-matched studies of play-based interventions
showed a significant effect on independence (Effect size (ES) = 0.6) and physical
performance (ES = 0.43), as measured using the Fugl -Meyer. For non-dose matched
studies, play-based interventions showed a significant improvement for balance
(ES = 0.76) compared with traditional therapy. In all studies that measured
participant enjoyment, play-based therapy was rated as more enjoyable than
traditional therapy. CONCLUSION: Play-based interventions for people with adult
acquired brain injury are more effective in improving balance and independence,
which may be due to them being more enjoyable than traditional therapy.

Langue : ANGLAIS