AIM To identify and analyse ways in which parents are supported to deliver rehabilitation exercises to their child after traumatic brain injury (TBI), conceptualized as strategies. METHOD A systematic search was completed using seven online databases and three grey literature databases, from inception to November 2021. The included studies focused on physical rehabilitation in children after TBI with the involvement of parents as hands-on deliverers or facilitators of rehabilitation (e.g. supervising the exercise). Intervention descriptions were reviewed to identify strategies; this was followed by fine-grained analysis using the Behaviour Change Wheel to identify intervention components. Risk of bias was analysed using the revised Cochrane Risk-of-Bias Tool for Randomized Trials or the Risk Of Bias In Non-randomized Studies - of Interventions. RESULTS Six interventions including 211 participants and one trial protocol met the inclusion criteria. All studies included a proportion of children diagnosed with TBI and four studies included mixed samples of acquired brain injury or cerebral palsy. All interventions included elements of goal setting and instruction. INTERPRETATION Interventions focus heavily on the initiation of physical rehabilitation, but focus less on the longer-term maintenance of rehabilitation delivery. Further research should integrate perspectives from parents to inform the development of new interventions.

中文翻译：

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支持父母进行康复练习以改善儿童脑外伤后运动功能的策略：系统评价。

目的 确定和分析支持父母在创伤性脑损伤 (TBI) 后为孩子进行康复锻炼的方式，并将其概念化为策略。方法 使用七个在线数据库和三个灰色文献数据库完成了从成立到 2021 年 11 月的系统检索。纳入的研究重点是 TBI 后儿童的身体康复，家长作为康复的实际实施者或促进者参与其中（例如监督练习）。审查干预描述以确定策略；随后使用行为改变轮进行细粒度分析，以确定干预措施。使用修订后的随机试验的 Cochrane 偏倚风险工具或非随机研究中的偏倚风险 - 干预措施来分析偏倚风险。结果 6 项干预措施（包括 211 名参与者）和一项试验方案符合纳入标准。所有研究均纳入了部分被诊断患有 TBI 的儿童，四项研究纳入了获得性脑损伤或脑瘫的混合样本。所有干预措施都包括目标设定和指导的要素。解释 干预措施主要侧重于身体康复的启动，但较少关注康复服务的长期维持。进一步的研究应该整合家长的观点，为新干预措施的制定提供信息。