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Title: Systematic review of high-level mobility training in people with a neurological impairment.
Epworth Authors: Williams, Gavin
Aldous, Sara
Other Authors: Spencer, Tanja
Fahey, Michael
Keywords: Running
Motor Skills
Neurological Disorder
Efficacy of Interventions
Neurological Impairment
American Academy of Cerebral Palsy and Developmental Medicine
Physiotherapy Evidence Database Scale
PEDro Scale
Treadmill Training
Three-Phase Programme
High-Level Mobility Group
Plyometric Training
Running Technique Coaching
Walk Training
Department of Physiotherapy, Epworth Healthcare, Victoria, Australia
Epworth Rehabilitation, Epworth Healthcare, Richmond, Victoria, Australia
Issue Date: Feb-2018
Publisher: Taylor & Francis
Citation: Brain Inj. 2018;32(4):403-415
Abstract: Aim: The objective of this paper was to systematically review the efficacy of interventions targeting high-level mobility skills in people with a neurological impairment. Methods: A comprehensive electronic database search was conducted. Study designs were graded using the American Academy of Cerebral Palsy and Developmental Medicine (AACPDM) system and methodological quality was described using the Physiotherapy Evidence Database (PEDro) scale. Results: Twelve exploratory studies (AACPDM levels IV/V), of limited methodological quality (PEDro scores of 2–3 out of 10), were included. Interventions included treadmill training, a three-phase programme, a high-level mobility group, plyometric training, running technique coaching and walk training with blood flow restriction. Diagnoses included acquired brain injury, cerebral palsy, incomplete spinal cord injury and neurofibromatosis type 1. There were difficulties generalizing results from exploratory designs with a broad range of participants, interventions and outcome measures. However, it seems that people with a neurological impairment have the capacity to improve high-level mobility skills, running speed and distance with intervention. There were no adverse events that limited participation. Conclusion: There is preliminary evidence to support the efficacy of interventions to improve high-level mobility skills in people with neurological impairments. Well-controlled research with a larger sample is required to provide sufficient evidence to change clinical practice.
DOI: 10.1080/02699052.2018.1429656
PubMed URL:
ISSN: 1362-301X
Journal Title: Brain Injury
Type: Journal Article
Affiliated Organisations: Victorian Paediatric Rehabilitation Service , Monash Children's Hospital , Melbourne , Australia.
Department of Paediatrics , Monash University , Melbourne , Australia.
Department of Physiotherapy , University of Melbourne , Melbourne , Australia.
Type of Clinical Study or Trial: Systematic Reviews
Appears in Collections:Neurosciences

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