Changes in gait variability during different challenges to mobility in patients with traumatic brain injury

Niechwiej-Szwedo, Ewa; Inness, Elizabeth L.; Howe, Jo-Anne; Jaglal, Susan; McIlroy, William E.; Verrier, Mary C.

doi:10.1016/j.gaitpost.2006.01.002

Cited by 47 publications

(37 citation statements)

References 18 publications

(23 reference statements)

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“…In this study step width variability was increased, but not significantly different between the two study groups. Niechwiej-Szwedo et al [34] present the same findings as these in adults post-TBI and healthy controls. The lack of a significant difference in step width variability between the groups may be due to the limited spatial resolution of the GAITRite Õ system.…”

Section: Discussionsupporting

confidence: 65%

Relationship between balance abilities and gait characteristics in children with post-traumatic brain injury

et al. 2008

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Section: Discussionsupporting

confidence: 65%

Relationship between balance abilities and gait characteristics in children with post-traumatic brain injury

et al. 2008

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“…We also observed a trend to increase in base of support of hind limbs in the TBI group that was absent in the xenon treated group. These findings are of particular clinical relevance because deficits in walking speed and base of support are observed in TBI patients [69][70][71]. A recent systematic review of studies in TBI patients found that in all studies that reported speed, TBI patients walked more slowly than healthy controls [72].…”

Section: Locomotor Outcomes 1 Month After Injurymentioning

confidence: 91%

Xenon Improves Neurologic Outcome and Reduces Secondary Injury Following Trauma in an In Vivo Model of Traumatic Brain Injury*

Campos-Pires

Armstrong

Sebastiani

et al. 2015

Critical Care Medicine

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Objectives-To determine the neuroprotective efficacy of the inert gas xenon following traumatic brain injury, and to determine whether application of xenon has a clinically relevant therapeutic time window.Design-Controlled animal study. Setting-University research laboratory. Subjects-Male C57BL/6N mice (n=196)Interventions-75% xenon, 50% xenon or 30% xenon, with 25% oxygen (balance nitrogen) treatment following mechanical brain lesion by controlled cortical impact.Measurements & Main Results-Outcome following trauma was measured using: 1) functional neurological outcome score, 2) histological measurement of contusion volume, 3) analysis of locomotor function and gait. Our study shows that xenon-treatment improves outcome following traumatic brain injury. Neurological outcome scores were significantly (p<0.05) better

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“…[56,68] Dynamic deficiencies have also been described by these methods, and include slowed, maligned or hemiparetic gait, [54,67,69] balance losses during normal gait [54,67] and difficulty stepping over objects during normal gait. [70] Some assessment devices, such as the SMART Balance Master, include several of the aforementioned computerized evaluations as part of one device, and are used by therapists to qualify, quantify and track balance abilities and deficits throughout the rehabilitative stay.…”

Section: Balance Deficit Evaluationmentioning

confidence: 99%

Virtual reality-based therapy for the treatment of balance deficits in patients receiving inpatient rehabilitation for traumatic brain injury

et al. 2014

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Thesis directed by Assistant Clinical Professor Cynthia Harrison-Felix.Balance deficits are one of the most commonly occurring and physically limiting sequlae that result from more severe traumatic brain injury (TBI). The purpose of this study was to evaluate the effectiveness and applicability of using a commercially available virtual reality (VR) system as a treatment of these deficits for patients receiving inpatient rehabilitation for a primary diagnosis of TBI by conducting analyses of data collected as part of a pilot randomized controlled trial. The aims of this thesis were: (1) to examine the relationships between treatment received (VR or Extra Standard of Care) and static and dynamic balance changes over time; (2) to assess the predictive validity of the VR game scores on static and dynamic balance; and (3) to investigate dose response relationships between study treatments and changes in static and dynamic balance.Results indicate that patients receiving either treatment demonstrated significant balance improvements over time; however, neither treatment condition was found to be significantly better than the other. Scores from the VR balance games were found to have some moderately strong associations with the standardized assessment of static balance, with less strong relationships between VR scores and standardized assessments of dynamic balance. The results did not suggest the existence of any relationship between the amount of treatment received and changes in standardized assessments of balance. These data provide an essential first step in the establishment of the use of iv commercially available VR systems as effective tools for treating balance deficits for patients with TBI.The form and content of this abstract are approved. I recommend its publication.

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Changes in gait variability during different challenges to mobility in patients with traumatic brain injury

Cited by 47 publications

References 18 publications

Relationship between balance abilities and gait characteristics in children with post-traumatic brain injury

Relationship between balance abilities and gait characteristics in children with post-traumatic brain injury

Xenon Improves Neurologic Outcome and Reduces Secondary Injury Following Trauma in an In Vivo Model of Traumatic Brain Injury*

Virtual reality-based therapy for the treatment of balance deficits in patients receiving inpatient rehabilitation for traumatic brain injury

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