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|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.|
Range of Motion, Articular
Traumatic Brain Injury
Recovery of Function
Rehabilitation, Mental Health and Chronic Pain Clinical Institute, Epworth HealthCare, Victoria, Australia
Epworth HealthCare, Melbourne, Victoria, Australia
|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.|
|Journal Title:||Journal of Head Trauma Rehabilitation|
|Affiliated Organisations:||Department of Physiotherapy, University of Melbourne, Melbourne, Victoria, Australia.|
|Type of Clinical Study or Trial:||Cross-Sectional Study|
|Appears in Collections:||Neurosciences|
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