Effect of novel interventions for sitting balance in individuals with spinal cord injury: A systematic review.

Background: Sitting balance is a critical aspect of functional mobility for individuals with spinal cord injuries (SCI). However, limited information is available on effective sitting balance training protocols for individuals with SCI. Objectives: To synthesize and evaluate the effectiveness of eme...

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Publicado en:Physiotherapy Practice & Research Vol. 47; no. 1; pp. 137 - 160
Autores principales: Wadhwa, Garima, Anand, Pooja, Rishi, Priyanka
Formato: meta analysis research systematic review tables/charts Journal Article
Publicado: Sage Publications Inc. Feb2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2026
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      pub: Sage Publications Inc.
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        atl: Effect of novel interventions for sitting balance in individuals with spinal cord injury: A systematic review.
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          Wadhwa, Garima
          Anand, Pooja
          Rishi, Priyanka
        affil: Faculty of Physiotherapy, SGT University, India
      sug:
        subj:
          Spinal Cord Injuries Rehabilitation
          Sitting Physiology
          Balance, Postural Physiology
          Treatment Outcomes
          Human
          Systematic Review
          Meta Analysis
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          Female
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          Adult: 19-44 years
          Male
          Female
      ab: Background: Sitting balance is a critical aspect of functional mobility for individuals with spinal cord injuries (SCI). However, limited information is available on effective sitting balance training protocols for individuals with SCI. Objectives: To synthesize and evaluate the effectiveness of emerging novel interventions for improving sitting balance in individuals with SCI. Methods: A search was performed in Scopus, Physiotherapy Evidence Database (PEDro), PubMed, Cochrane, and BioMed Central from January 2010 until September 2024 for eligible studies that have evaluated the effectiveness of intervention on sitting balance in SCI. PEDro Scale was used to assess the quality of randomized controlled trials (RCTs) while non-RCTs were assessed using the modified Downs and Black tool. Results: Our search yielded 1407 studies, of which only 13 met our inclusion criteria. The mean PEDro score and modified Downs and Black score was 7/10 and 16/27, respectively. Virtual reality, electric stimulation, and Tai-chi exercises were found to be the most commonly used methods for sitting balance training in individuals with SCI. The pooled standardized mean difference for virtual reality-controlled trials on modified functional reach test outcome was 1.84 (95% CI, 1.34 to 2.34; p = 0.31). Conclusion: The findings of this review suggest that novel therapies have the potential to restore sitting balance in individuals with SCI. Moreover, virtual reality training has shown significant improvement in sitting balance post SCI. Given the importance of sitting balance control underpinning all aspects of daily activities, there is a need for further well-designed and appropriately powered RCTs to evaluate specific features of other training interventions to improve sitting balance in SCI.
      pubtype: Academic Journal
      doctype:
        meta analysis
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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