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  4. Interventions to Improve Standing Balance in Individuals With Incomplete Spinal Cord Injury: A Systematic Review and Meta-Analysis

Interventions to Improve Standing Balance in Individuals With Incomplete Spinal Cord Injury: A Systematic Review and Meta-Analysis

Top Spinal Cord Inj Rehabil, 2023 · DOI: 10.46292/sci21-00065 · Published: July 1, 2023

Spinal Cord InjuryRehabilitation

Simple Explanation

Incomplete spinal cord injuries often lead to balance problems, making it hard to stand and move. This review looks at different therapies to improve standing balance after such injuries. The review analyzes studies on treatments like body weight-supported training and virtual reality to see how well they work for people with incomplete spinal cord injuries. The study found some evidence that virtual reality-based training can help, but more research is needed to confirm these findings and to find the best ways to improve balance.

Study Duration
Not specified
Participants
222 participants in RCTs and 967 participants in pre-post trials
Evidence Level
Systematic Review and Meta-Analysis

Key Findings

  • 1
    Body weight-supported training alone shows weak evidence for improving balance over regular training.
  • 2
    Combining body weight-supported training with stimulation shows promising results for balance improvement.
  • 3
    Virtual reality-based balance training shows significant improvements in standing balance, but further research is needed.

Research Summary

This systematic review and meta-analysis examined the effectiveness of various rehabilitation interventions for improving standing balance in individuals with incomplete spinal cord injury (iSCI). The study found weak evidence to support the use of body weight-supported training (BWST) alone, but a combination of BWST with stimulation showed promising results. Virtual reality (VR)-based balance training demonstrated significant improvements in standing balance post iSCI; however, further well-designed RCTs are needed to draw definitive conclusions.

Practical Implications

Rehabilitation Strategies

Consider combining BWST with stimulation for better balance outcomes in individuals with iSCI.

Future Research

Conduct more well-designed and appropriately powered RCTs to evaluate specific features of training interventions, especially VR-based training, to improve standing balance function in iSCI.

Personalized Interventions

Understand the impairments contributing to balance dysfunction in individuals with iSCI, such as deficient motor responses and noisy somatosensory feedback, to design more appropriate and focused rehabilitation interventions.

Study Limitations

  • 1
    Limited to English language literature.
  • 2
    Small sample sizes and underpowered studies.
  • 3
    Heterogeneity in intervention protocols and participant characteristics.

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