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Journal Article

Citation

Dennett AM, Taylor NF. J. Rehabil. Med. 2014; 47(1): 18-30.

Affiliation

Physiotherapy, Eastern Health, 3152 Wantirna, Australia . Amy.Dennett@easternhealth.org.au.

Copyright

(Copyright © 2014, Foundation for Rehabilitation Information)

DOI

10.2340/16501977-1899

PMID

25296901

Abstract

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.


Language: en

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