Please use this identifier to cite or link to this item:
http://hdl.handle.net/10397/89901
Title: | Economic evaluations of physiotherapy interventions for neurological disorders : a systematic review | Authors: | Winser, S Lee, SH Law, HS Leung, HY Bello, UM Kannan, P |
Issue Date: | 2020 | Source: | Disability and rehabilitation, 2020, v. 42, no. 7, p. 892-901 | Abstract: | Purpose: To identify the existing evidence evaluating the cost-effectiveness of physiotherapy treatments for people with neurological disorders. Methods: Multiple databases were searched from database inception until July 2018. Studies estimating the cost-effectiveness as incremental cost-effectiveness ratios, cost per quality-adjusted life year, cost per disability-adjusted life year and cost per other measurable results were included. Physiotherapy Evidence Database scale, and Consensus on Health Economic Criteria list were used for rating the quality of the evidence. Results: Ten studies involving 1462 participants were included. Aerobic training, progressive strength training, and a pragmatic physiotherapy program (combination of stretching, strength, and balance training) were reported as potentially cost-effective for older adults with vascular cognitive impairment, falls prevention in Parkinson’s disease and multiple sclerosis respectively. Physiotherapy as an adjuvant for pain control was also reported as cost-effective for reflex sympathetic dystrophy. One study testing extra physiotherapy-by-physiotherapy assistant in cerebral palsy and two studies testing extra therapy using a robotic arm and Wii therapy for hand rehabilitation in stroke were reported as not cost-effective. Conclusions: There are limited studies that have evaluated the cost-effectiveness of physiotherapy treatments in neurological disorders. Three studies that combined extra physiotherapy-by-physiotherapy assistant and novel interventions with conventional physiotherapy were found not cost-effective.Implications for Rehabilitation Progressive muscle strengthening exercise over a period of 6-month is reported to be cost-effective for falls prevention in people with Parkinson’s disease Aerobic training is reported as potentially cost-effective for older adults with vascular cognitive impairment Physiotherapy given as an adjuvant treatment is reported to be potentially cost-effective for reflex sympathetic dystrophy of less than 1-year duration One study reported physiotherapy involving static stretching, aerobic exercise, strengthening exercise, and balance training as cost-effective for people with multiple sclerosis Additional physiotherapy-by-physiotherapy assistant or family member for improving motor development in cerebral palsy and the use of novel physiotherapy techniques such as robotics or Wii plus conventional physiotherapy for improving arm function in stroke are found not cost-effective Group therapy for improving physical activity in mild Alzheimer’s disease is found not cost-effective. |
Keywords: | Cost-effectiveness DALY Economic analyses Neurorehabilitation Physical therapy treatments QALY |
Publisher: | Taylor & Francis | Journal: | Disability and rehabilitation | ISSN: | 0963-8288 | EISSN: | 1464-5165 | DOI: | 10.1080/09638288.2018.1510993 | Rights: | © 2018 Informa UK Limited, trading as Taylor & Francis Group This is an Accepted Manuscript of an article published by Taylor & Francis in Disability and Rehabilitation on 07 Jan 2019 (Published online), available online: http://www.tandfonline.com/10.1080/09638288.2018.1510993. |
Appears in Collections: | Journal/Magazine Article |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
a0771-n10_1572.pdf | Pre-Published version | 845.97 kB | Adobe PDF | View/Open |
Page views
38
Last Week
0
0
Last month
Citations as of Apr 28, 2024
Downloads
22
Citations as of Apr 28, 2024
SCOPUSTM
Citations
11
Citations as of Apr 5, 2024
WEB OF SCIENCETM
Citations
13
Citations as of May 2, 2024
Google ScholarTM
Check
Altmetric
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.