Please use this identifier to cite or link to this item: http://hdl.handle.net/11434/533
Title: Ankle plantarflexor spasticity does not restrict the recovery of ankle plantarflexor strength or ankle power generation for push-off during walking following traumatic brain injury.
Epworth Authors: Williams, Gavin
Banky, Megan
Olver, John
Keywords: Ankle
Ankle Joint
Ankle Injuries
Injuries, Ankle
Muscle Spasticity
Range of Motion, Articular
Brain Injuries
Trauma, Brain
Injuries, Brain
TBI
Traumatic Brain Injury
Walking
Gait
Ambulation
Muscle Strength
Locomotion
Movement
Motion
Rehabilitation
Recovery of Function
Physiotherapy
Rehabilitation, Mental Health and Chronic Pain Clinical Institute
Epworth HealthCare, Melbourne, Victoria, Australia
Issue Date: Sep-2016
Publisher: Wolters Kluwer
Citation: Journal of Head Trauma Rehabilitation. 2016 Sep.
Abstract: Objective: The main aim of this project was to determine the impact of plantarflexor spasticity on muscle performance for ambulant people with traumatic brain injury (TBI). Setting: A large metropolitan rehabilitation hospital. Participants: Seventy-two ambulant people with TBI who were attending physiotherapy for mobility limitations. Twenty-four participants returned for a 6-month follow-up reassessment. Design: Cross-sectional cohort study. Main Measures: Self-selected walking speed, Tardieu scale, ankle plantarflexor strength, and ankle power generation (APG). Results: Participants with ankle plantarflexor spasticity had significantly lower self-selected walking speed; however, there was no significant difference in ankle plantarflexor strength or APG. Participants with ankle plantarflexor spasticity were not restricted in the recovery of self-selected walking speed, ankle plantarflexor strength, or APG, indicating equivalent ability to improve their mobility over time despite the presence of spasticity. Conclusion: Following TBI, people with ankle plantarflexor spasticity have significantly greater mobility limitations than those without spasticity, yet retain the capacity for recovery of self-selected walking speed, ankle plantarflexor strength, and APG.
URI: http://hdl.handle.net/11434/533
DOI: 10.1097/HTR.0000000000000166
PubMed URL: http://www.ncbi.nlm.nih.gov/pubmed/26394293
ISSN: 0885-9701
1550-509X
Journal Title: Journal of Head Trauma Rehabilitation
Type: Journal Article
Affiliated Organisations: Department of Physiotherapy, University of Melbourne, Melbourne, Victoria, Australia.
Type of Clinical Study or Trial: Cross-Sectional Study
Appears in Collections:Neurosciences
Rehabilitation

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