Article

OBJECTIVE: To determine the effectiveness of computer-based electronic devices
that provide feedback in improving mobility and balance and reducing falls. DATA
SOURCES: Randomized controlled trials were searched from the earliest available
date to August 2013. DATA EXTRACTION: Standardized mean differences were used to
complete meta-analyses, with statistical heterogeneity being described with the
I-squared statistic. The GRADE approach was used to summarize the level of
evidence for each completed meta-analysis. Risk of bias for individual trials was
assessed with the (Physiotherapy Evidence Database) PEDro scale. DATA SYNTHESIS:
Thirty trials were included. There was high-quality evidence that computerized
devices can improve dynamic balance in people with a neurological condition
compared with no therapy. There was low-to-moderate-quality evidence that
computerized devices have no significant effect on mobility, falls efficacy and
falls risk in community-dwelling older adults, and people with a neurological
condition compared with physiotherapy. CONCLUSION: There is high-quality evidence
that computerized devices that provide feedback may be useful in improving
balance in people with neurological conditions compared with no therapy, but
there is a lack of evidence supporting more meaningful changes in mobility and
falls risk
- chute

Langue : ANGLAIS