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Efficacy of restitutive interventions for oculomotor deficits in adults with mild traumatic brain injury: a systematic review and meta-analysis.
- Source :
-
Brain Injury . 2024, Vol. 38 Issue 7, p499-513. 15p. - Publication Year :
- 2024
-
Abstract
- Mild traumatic brain injury (mTBI) can cause persistent symptoms suggestive of oculomotor deficits. This research synthesized evidence on restitutive interventions for reducing oculomotor deficits in adults with mTBI to understand if these interventions have clinical utility for improving recovery. Medline, EMBASE, CINHAL, PsychInfo, and Scopus, databases were searched for experimental studies published in English. We rated risk of bias (RoB) using recommended tools, and the certainty of the evidence according to GRADE guidelines. We conducted meta-analyses for similar outcomes reported in at least two studies. Out of 5,328 citations, 12 studies (seven case series and five crossover design), with a combined sample size of 354 participants; (43% males) met the inclusion criteria and were analyzed. The analysis revealed a trend toward improvement of oculomotor deficits and visual tasks in response to restitutive intervention. None of the studies addressed sex or gender effects. All studies had high RoB, suggesting low certainty in the reported results. Restitutive interventions may be beneficial for adults with oculomotor deficits after mTBI, however overall certainty of the evidence remains low. Future efforts must include enhancing attention to study methodology and reporting, sex and gender analyses, and reaching a consensus on outcome measures. CRD42022352276 [ABSTRACT FROM AUTHOR]
- Subjects :
- *MEDICAL information storage & retrieval systems
*RESEARCH funding
*CINAHL database
*TREATMENT effectiveness
*META-analysis
*SYSTEMATIC reviews
*MEDLINE
*POSTCONCUSSION syndrome
*BRAIN injuries
*CONFIDENCE intervals
*HEALTH outcome assessment
*CRANIAL nerve diseases
*PSYCHOLOGY information storage & retrieval systems
*DISEASE complications
*ADULTS
Subjects
Details
- Language :
- English
- ISSN :
- 02699052
- Volume :
- 38
- Issue :
- 7
- Database :
- Academic Search Index
- Journal :
- Brain Injury
- Publication Type :
- Academic Journal
- Accession number :
- 177218354
- Full Text :
- https://doi.org/10.1080/02699052.2024.2320163