Nature-based rehabilitation for adults with acquired brain injury: a scoping review

Int J Environ Health Res. 2020 Dec;30(6):661-676. doi: 10.1080/09603123.2019.1620183. Epub 2019 May 27.

Abstract

The objective of this review was to provide an overview of the existing knowledge of the benefits of nature-based rehabilitation for patients with impairments after acquired brain injury. Systematic searches were conducted across PubMed, CINAHL, PsycINFO and Scopus, and seven studies were found to be included for review. Results suggest that nature-based rehabilitation may benefit individuals with acquired brain injury, as both motor - and sensory-motor functions, as well as cognitive functions were significantly improved. Furthermore, two studies found an improvement in quality of life. The benefits on anxiety and depression were not clear. The studies used different approaches, outcome measures and study designs that made comparisons difficult. Recommendations for future studies are offered.

Keywords: Occupational therapy; forest therapy; horticultural therapy; nature guided therapy; wilderness therapy.

Publication types

  • Systematic Review

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Brain Injuries / rehabilitation*
  • Cognition*
  • Humans
  • Middle Aged
  • Quality of Life*
  • Relaxation Therapy / statistics & numerical data*
  • Young Adult