The effect of bed rest on balance control in healthy adults: A systematic scoping review.

Autor:	Saumur TM; Toronto Rehabilitation Institute - University Health Network, Canada.; Rehabilitation Sciences Institute, University of Toronto, Canada.; Evaluative Clinical Sciences, Hurvitz Brain Sciences Program, Sunnybrook Research Institute, Canada., Gregor S; Toronto Rehabilitation Institute - University Health Network, Canada.; Rehabilitation Sciences Institute, University of Toronto, Canada., Mochizuki G; Department of Physical Therapy, University of Toronto, Canada.; School of Kinesiology and Health Science, York University, Canada., Mansfield A; Toronto Rehabilitation Institute - University Health Network, Canada.; Evaluative Clinical Sciences, Hurvitz Brain Sciences Program, Sunnybrook Research Institute, Canada.; Department of Physical Therapy, University of Toronto, Canada., Mathur S; Toronto Rehabilitation Institute - University Health Network, Canada.; Rehabilitation Sciences Institute, University of Toronto, Canada.; Department of Physical Therapy, University of Toronto, Canada.
Jazyk:	angličtina
Zdroj:	Journal of musculoskeletal & neuronal interactions [J Musculoskelet Neuronal Interact] 2020 Mar 03; Vol. 20 (1), pp. 101-113.
Abstrakt:	The objective of this study was to determine the effect of bed rest on balance control and the mechanisms responsible for these changes. Searches were conducted in six databases. Studies had to be conducted on healthy adults who were subjected to bed rest (≥5 days), with balance control measures obtained before and after bed rest in order to be included. Risk of bias was assessed using the NIH Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies. After screening 9,785 articles, 18 were included for qualitative synthesis. Fifteen studies found decrements in at least one balance control measure following bed rest, either compared to baseline or controls, with eight studies observing impairments in >50% of their balance control measures. Of the 14 studies that included an intervention, four (mechanical stimuli, lower-body negative pressure, and training targeting strength, balance and/or aerobic capacity) successfully offset the majority of balance control deficits and targeted the musculoskeletal and cardiovascular systems. The findings of this review support bed rest negatively affecting balance control in healthy individuals. In clinical populations, these deficits may be further accentuated due to various comorbidities that impact balance control systems. PROSPERO Registration: CRD42018098887. Competing Interests: The authors have no conflict of interest.
Databáze:	MEDLINE
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