Original Title: Interventions en physiothérapie auprès des usagers adultes présentant des symptômes persistants à la suite d’un traumatisme craniocérébral léger (TCCL)

Authors' objectives: The aim of this project was to identify physiotherapy interventions (practices, approaches) for the treatment of adults with symptoms persisting beyond three months following mild traumatic brain injury, especially dizziness without vestibular cause. To achieve this objective, the following evaluation questions were formulated: • What physiotherapy interventions treat persistent symptoms after mild traumatic brain injury? • Are efficient physiotherapy interventions for the treatment of persistent symptoms after mild traumatic brain injury safe?

Authors' results and conclusions: The literature search identified 8 279 documents, including 4 354 from the bibliographic databases and 3 925 documents from the grey literature. At the end of the selection process, 15 documents were selected, including 12 primary studies and three documents from the grey literature. › No document specifically dealing with the treatment of persistent dizziness beyond three months has been retrieved; › Dizziness is often studied in the presence of other symptoms or is sometimes included in a set of symptoms; › In most studies, the origin of the dizziness is not specified (with or without vestibular cause); › Among the interventions identified for the treatment of symptoms persisting beyond three months, vestibular rehabilitation was evaluated in three studies, while the other interventions were the subject of a single study each. › Overall, the interventions identified were effective in improving various persistent symptoms beyond three months, although statistical significance was not always assessed; › The impact of interventions on dizziness has not been specifically measured, but dizziness-related disability has been measured in three studies of vestibular rehabilitation. The reduction in this indicator suggests an effect of this intervention on dizziness; › Five other interventions targeting symptoms persisting for more than three months and including dizziness had an impact on the severity of all symptoms measured; › The safety of interventions was not measured in the studies selected. › Vestibular rehabilitation has shown no adverse effects; progressive increase in walking and interdisciplinary treatment are also considered safe interventions

Authors' methods: A systematic review of the literature was carried out. A search strategy was defined in collaboration with a librarian to query the bibliographic databases Medline (Ovid), Embase (Ovid) and CINHAL (EBSCO). A search of the grey literature was also carried out. The relevant studies published from January 2000 to April 2024 were selected from the PICOTS typology (Samson & Schoelles, 2012). Two professionals split up the tasks after making sure they had a common understanding of the selection and quality assessment criteria. Data extracted using a structured grid were synthesized and analyzed based on the assessment questions

Project Status: Completed

URL for project: https://www.ciusss-capitalenationale.gouv.qc.ca/sites/d8/files/docs/MissionUniversitaire/Publications/SOMMAIRE-EXECUTIF-INTERVENTION-PHYSIOTHERAPIE-ANGLAIS.pdf

Year Published: 2024

URL for published report: https://www.ciusss-capitalenationale.gouv.qc.ca/sites/d8/files/docs/MissionUniversitaire/ETMISSS/Rapport-ETMI-abr%C3%A9gee_Interventions-physiotherapie-adultes-symptomes-persistants-traumatisme-craniocerebral-leger.pdf

English language abstract: There is no English language summary available

Publication Type: Full HTA

Country: Canada

Province: Quebec

Organisation Name: Centre intégré universitaire de santé et de services sociaux de la Capitale-Nationale

Contact Address: 525, boulevard Wilfrid-Hamel, bureau A-122

Contact Name: Sylvie St-Jacques

Contact Email: uetmisss.deau.ciussscn@ssss.gouv.qc.ca