An assessment of gait and balance deficits after traumatic brain injury

被引:201
作者
Basford, JR
Chou, LS
Kaufman, KR
Brey, RH
Walker, A
Malec, JF
Moessner, AM
Brown, AW
机构
[1] Mayo Clin & Mayo Fdn, Dept Phys Med & Rehabil, Rochester, MN 55905 USA
[2] Mayo Clin & Mayo Fdn, Dept Otorhinolaryngol, Rochester, MN 55905 USA
[3] Mayo Clin & Mayo Fdn, Mot Anal Lab, Dept Orthoped Surg, Rochester, MN 55905 USA
[4] Mayo Clin & Mayo Fdn, Sect Neuropsychol & Rehabil Psychol, Rochester, MN 55905 USA
[5] Univ Oregon, Dept Exercise & Movement Sci, Eugene, OR 97403 USA
来源
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION | 2003年 / 84卷 / 03期
关键词
balance; brain injuries; gait; rehabilitation; vestibular function tests;
D O I
10.1053/apmr.2003.50034
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Objective: To assess the sensations of instability that many patients report after traumatic brain injury (TBI). Design: A controlled study. Setting: A motion analysis and vestibular and balance laboratory. Participants: Twenty subjects, 10 with TBI and complaints of instability, and 10 without TBI. Interventions: Balance and gait analysis. Main Outcome Measures: Dizziness Handicap Inventory (DHI), caloric irrigation, optokinetic testing, Dix-Hallpike Test, posturography, and center of mass (COM) movement. Results: Subjects were well matched in terms of age, height, weight, and gender. DHI scores of those with and without TBI differed significantly (32.2+/-23.0 vs 0.2+/-0.63, P<.001). Caloric and optokinetic circularvection testing were abnormal only in subjects with TBI (8/10 and 4/10, respectively). Benign paroxysmal positioning vertigo was present in only 3 subjects with TBI, and this either resolved spontaneously (n=1) or was successfully treated (n=2). Composite posturography scores of those with and without TBI differed significantly (69.6±35.8 vs 79.5±40.5, P=.02). Gait parameters also differed significantly between the groups (P=.05), with the subjects with TBI having lower anterior and posterior and higher medial and lateral COM displacements and velocities. Conclusion: Patients' complaints of instability after TBI may have objective correlates and may be rectifiable. Balance and gait testing in these patients is warranted.
引用
收藏
页码:343 / 349
页数:7
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