ABSTRACT

Objective

To systematically review the effects of exercise interventions that may enhance quality of life (QOL) in individuals with traumatic brain injury (TBI).

Methods

A systematic search was conducted using five databases up to April 2018. Studies were included if QOL was quantified following an exercise programme for people with a TBI. Methodological quality was assessed using a validated scoring checklist. Two independent reviewers assessed study inclusion and methodological quality.

Results

Thirteen studies met the inclusion criteria (seven RCTs, six non-RCTs). The median total scores for the quality assessment tool were 26.1 (RCTs), and 21.3 (non-RCTs), out of 33. Eight out of the 13 studies reported improved QOL following an exercise programme. The duration of the interventions varied from 8-12 weeks. The most common programmes involved moderate to vigorous exercise; with a frequency and duration of 3–5 times/week for 30–60 minutes.

Conclusion

Due to the diversity of the exercise training interventions, heterogeneity of patient characteristics, multitude of QOL instruments and outcome domains assessed, it was not possible to draw any definitive conclusion about the effectiveness of exercise interventions. However, this review identified positive trends to enhance various aspects of QOL measured using a range of assessment tools.

中文翻译：

---

运动对脑外伤患者生活质量的影响：系统评价

摘要

目的

为了系统地审查运动干预措施的效果，该措施可能会提高脑外伤（TBI）患者的生活质量（QOL）。

方法

截至2018年4月，使用五个数据库进行了系统搜索。纳入了针对TBI患者的运动计划后是否量化QOL的研究。使用经过验证的评分清单评估方法学质量。两名独立评论者评估了研究的纳入和方法学质量。

结果

十三项研究符合纳入标准（七项RCT，六项非RCT）。质量评估工具的平均总分中值为33分的26.1（RCTs）和21.3分（非RCTs）。13项研究中有8项报告说，锻炼计划后生活质量得到改善。干预的持续时间为8-12周。最常见的计划包括中度到剧烈运动；每周进行3至5次，持续30至60分钟。

结论

由于运动训练干预措施的多样性，患者特征的异质性，大量的QOL手段和评估的结果域，因此无法就运动干预措施的有效性得出任何明确的结论。但是，本次审查发现了积极趋势，可以使用一系列评估工具来提高QOL的各个方面。