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Systematic review of the methodological quality and outcome measures utilized in exercise interventions for adults with spinal cord injury

SILVERMAN SR; SCHERTZ LA; YUEN HK; LOWMAN JD; BICKEL CS
SPINAL CORD , 2012, vol. 50, n° 10, p. 718-727
Doc n°: 159410
Localisation : Centre de Réadaptation de Lay St Christophe

D.O.I. : http://dx.doi.org/DOI:10.1038/sc.2012.78
Descripteurs : AE21 - ORIGINE TRAUMATIQUE, JQ - CIF

The primary aims of this
study were to evaluate the methodological quality of exercise intervention
studies in adults with spinal cord injuries (SCIs); and to classify the reported
outcome measures according to the International Classification of Functioning,
Disability and Health (ICF).Methods:Electronic searches of PubMed, CINAHL,
SPORTDiscus, PsychINFO, Scopus and the Cochrane Center Register of Controlled
Trials from 2001 to 2011 were performed. Selected studies were evaluated for
methodological quality using the Downs and Black checklist. Outcome measures were
extracted and linked to categories of the ICF using standardized linking
rules.Results:Two-hundred forty abstracts were retrieved, 57 studies met
eligibility criteria. The mean methodological quality score was 14.7+/-3.2 out of
28 on the Downs and Black checklist. Three-hundred seventy four outcome measures
were extracted with 333 concepts linked to 35 second-level ICF categories across
the four components.Conclusion:Studies of exercise interventions for adults with
SCI included in this review are generally low in methodological quality,
primarily reporting outcomes related to the Body Functions and Body Structures
components of the ICF. It is recommended that studies employ more vigorous
methodological designs to reduce bias and confounding, and include outcome
measures targeting more categories in the Activities and Participation component
so as to reflect the potential benefits of exercise on health and functioning in
this population.

Langue : ANGLAIS

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