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5. What is the evidence for the effectiveness of the following interventions<br />

in improving gait, balance and mobility in patients with brain injuries<br />

(consider also duration of therapy):<br />

y treadmill training<br />

y biofeedback (any type)<br />

y electrostimulation (ES or FEES)<br />

y orthoses (any type)<br />

y task-related training<br />

y neurophysiological training<br />

y physical fitness training<br />

y electromechanical assisted gait training<br />

y repetitive task training<br />

y walking aids (sticks, zimmers, walking frames)<br />

y strengthening<br />

y intensity?<br />

6a. In patients with brain injuries, what is the evidence that the following<br />

interventions lead to reductions in impairment:<br />

y daily/repetitive practice of activities (early/late)?<br />

6b. In patients with brain injuries, what is the evidence that the following<br />

interventions lead to improvement in self management of disability:<br />

y compensatory approaches which would include; electronic aids (ie<br />

neuropage, sense cam, watches, ictaphones, mobile phones, alarms, PDAs),<br />

diaries, environmental modification<br />

y cognitive approaches including errorless learning, enhanced learning,<br />

mnemonics, holistic approach, paper based therapies?<br />

6c. In patients with brain injuries is there any evidence to guide the<br />

assessment and management of insight/awareness of the patient?<br />

7. Which of the following interventions reduce challenging/aggressive<br />

behaviour (eg absconding, non-cooperation, aggression, apathy) in<br />

patients with brain injury:<br />

y any psychological treatment<br />

y any pharmacological treatment?<br />

8. What evidence is there that the following interventions in patients with<br />

brain injuries improve emotional lability, depression and anxiety:<br />

y antidepressants<br />

y anxiolitics<br />

y any psychological therapy?<br />

4.1<br />

5.3-5.7<br />

5.3-5.7<br />

5.2<br />

6.1<br />

6.2<br />

Annexes<br />

| 59

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