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A Scoping Review of the Characteristics of Activity-based Therapy Interventions Across the Continuum of Care for People Living With Spinal Cord Injury or Disease

Résumé Objective
To identify the characteristics of activity-based therapy (ABT) that individuals with spinal cord injury and disease (SCI/D) participate in across the continuum of care.
Data Sources
A search of 8 databases was conducted from inception to 4 March 2020: Medline, CINAHL, Embase, Emcare, PEDro, APA PsycINFO, Cochrane Database of Systematic Reviews, and the CENTRAL. The search strategy used terms identifying the population (SCI/D) and concept (ABT).
Study Selection
Original studies involving individuals with SCI/D ≥16 years of age participating in ABT interventions for >1 session were included in the review. The Joanna Briggs Institute guidelines for scoping reviews were followed. The initial search produced 2306 records. Title, abstract, and full-text screening by 2 independent reviewers yielded 140 articles.
Data Extraction
Data extraction was conducted by 3 independent reviewers and charted according to key themes. Data fields included participant demographics, ABT interventions, exercises, parameters, technology, and setting. Data synthesis included frequency counts and descriptive analysis of key themes.
Data Synthesis
Eighty percent of participants were male. Eighty-seven percent of studies included individuals with tetraplegia (26% exclusive). Fifty-six percent of studies occurred in a research lab. Fifty-four percent of studies were single modality interventions encompassing the whole body (71%). Sixteen main types of ABT exercises were identified. The most common were treadmill training (59%), muscle strengthening (36%), and overground walking (33%). Electrical stimulation (50%) and virtual reality (6%) were used in combination with an ABT exercise. Eighty-four types of parameters were identified. Six were general intervention parameters and 78 were specific to the type of ABT exercise. Sixteen main categories of technology were reported. The most common were motorized treadmills (47%) and transcutaneous electrical stimulation (44%).
Conclusions
The characteristics of ABT are diverse in scope. The results will inform the content to include in tools that track ABT participation and performance.
AuteursAnita Kaiser, Katherine Chan, Maureen Pakosh, Shane McCullum, Chris Rice, José Zariffa, Kristin E. Musselman
Titre de revue/journal, volume et numéroArchives of Rehabilitation Research and Clinical Translation, Volume 4, Numéro 4.
Langue de la publication et/ou de traductionAnglais
Année de parution2022
PaysCanada
Institutions affiliéesToronto Rehabilitation Institute, Toronto; Stan Cassidy Centre for Rehabilitation, Fredericton;
Lien vers la publicationhttps://reader.elsevier.com/reader/sd/pii/S2590109522000465?token=ED645BB45589AAFDF1279A11B0D1CC3F59C4C10DC5350FE09
F12526199A222249E83C50C599EA44E7711F6BEA4F9A74A&originRegion=us-east-1&originCreation=20230104171903
Type d’accès à la publicationGratuit
Mots clésRehabilitation Review, Spinal cord injuries
Autres informations
* Décharge de responsabilité: MÉMO-Qc n’endosse pas la responsabilité des informations contenues dans les publications du répertoire de recherche.

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