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Title: | Action observation training for rehabilitation in brain injuries: a systematic review and meta-analysis | Authors: | Buchignani, Bianca Beani, Elena Pomeroy, Valerie Iacono, Oriana Sicola, Elisa Perazza, Silvia Bieber, Eleonora Feys, Hilde KLINGELS, Katrijn Cioni, Giovanni Sgandurra, Giuseppina |
Issue Date: | 2019 | Publisher: | BMC | Source: | BMC NEUROLOGY, 19 (1) | Abstract: | BackgroundTo systematically review and analyse the effects of Action Observation Training on adults and children with brain damage.MethodsSeven electronic databases (Cochrane, EBSCO, Embase, Eric, PubMed, Scopus and Web of Science) were searched up to 16 September 2018 to select Randomized Controlled Trials focused on adults and children with brain damage that included AOT training on upper and/or lower limb carried out for at least 1week. Identification of studies and data extraction was conducted with two reviewers working independently. Oxford Centre for Evidence-based Medicine (March2009) - Levels of Evidence and Physiotherapy Evidence Database scale were used to grade studies. The data collected from the articles were analysed using software R, version 3.4.3. Hedge's g values were calculated and effect size estimates were pooled across studies. Separate meta-analyses were carried out for each ICF domain (i.e. body function and activity) for upper and lower limb.ResultsOut of the 210 records identified after removing duplicates, 22 were selected for systematic review and 19 were included in the meta-analysis. Thirteen studies included in the meta-analysis focused on upper limb rehabilitation (4 in children and 9 in adults) and 6 on lower limb rehabilitation (only studies in adults). A total of 626 patients were included in the meta-analysis. An overall statistically significant effect size was found for upper limb body function (0.44, 95% CI: [0.24, 0.64], p<0.001) and upper limb activity domain (0.47, 95% CI: [0.30, 0.64], p <0.001). For lower limb, only the activity domain was analysed, revealing a statistically significant overall effect size (0.56, 95% CI: [0.28, 0.84], p <0.001).ConclusionsAction Observation Training (AOT) is an innovative rehabilitation tool for individuals with brain damage, which shows promising results in improving the activity domain for upper and lower limbs, and also the body function domain for the upper limb. However, the examined studies lack uniformity and further well-designed, larger controlled trials are necessary to determine the most suitable type of AOT particularly in children. | Notes: | Sgandurra, G (reprint author), IRCCS Fdn Stella Maris, Dept Dev Neurosci, Viale Tirreno 331, I-56128 Pisa, Italy.; Sgandurra, G (reprint author), Univ Pisa, Dept Clin & Expt Med, Pisa, Italy. g.sgandurra@fsm.unipi.it |
Other: | Sgandurra, G (reprint author), IRCCS Fdn Stella Maris, Dept Dev Neurosci, Viale Tirreno 331, I-56128 Pisa, Italy, Univ Pisa, Dept Clin & Expt Med, Pisa, Italy. g.sgandurra@fsm.unipi.it | Keywords: | Brain damage;Mirror neurons;Neurological rehabilitation;Upper limb;Lower limb | Document URI: | http://hdl.handle.net/1942/30585 | e-ISSN: | 1471-2377 | DOI: | 10.1186/s12883-019-1533-x | ISI #: | WOS:000504743800004 | Rights: | The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. | Category: | A1 | Type: | Journal Contribution |
Appears in Collections: | Research publications |
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