Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/105321
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Type: Journal article
Title: Is there a relationship between postural alignment and mobility for adults after acquired brain injury? A systematic review
Author: Mills, S.
McDonnell, M.
Thewlis, D.
Mackintosh, S.
Citation: Brain Injury, 2017; 31(5):571-580
Publisher: Taylor & Francis Group
Issue Date: 2017
ISSN: 0269-9052
1362-301X
Statement of
Responsibility: 
Simon J. Mills, Michelle N. McDonnell, Dominic Thewlis, and Shylie Mackintosh
Abstract: Primary objective: To examine the relationship between postural alignment and mobility skills for adults after acquired brain injury (ABI). Methods: Systematic review of the literature. Seven electronic databases, grey literature and reference lists of the shortlisted publications were searched. Studies were included if participants were adults with ABI, both postural alignment and mobility were measured and analysis included a relationship between alignment and mobility. Those that met the inclusion criteria were assessed with a critical appraisal tool. The review was registered with PROSPERO, registration number CRD42015019867. Results: Seven observational studies were included that had examined a relationship between postural alignment and mobility after ABI. Critical appraisal scores were moderate to strong. While some studies reported that improved postural alignment was related to improved mobility after ABI, results varied and there was insufficient evidence to answer the primary question. Heterogeneous study designs did not allow meta-regression. Conclusions: A small amount of observational evidence exists for a relationship between postural alignment and mobility after ABI. Results vary, with some studies reporting that a more stable, upright trunk correlates with better mobility, and others providing conflicting or ambiguous results. Further research is needed to establish the relationship between postural alignment and mobility skills after ABI.
Keywords: Head injury; stroke; trunk; posture; walking; standing
Description: Published online: 24 Mar 2017
Rights: © 2017 Taylor & Francis Group, LLC
RMID: 0030069859
DOI: 10.1080/02699052.2017.1283061
Appears in Collections:Orthopaedics and Trauma publications

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