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Title: Incidence of gait abnormalities after traumatic brain injury.
Epworth Authors: Williams, Gavin
Other Authors: Morris, Meg
Schache, Anthony
McCrory, Paul
Keywords: Brain Injuries
Traumatic Brain Injury
Gait Disorders
Gait Deviations
Walking Speed
Biomechanical Phenomena
Gait Analysis
Physiotherapy Department, Epworth Hospital, Richmond, Victoria, Australia
Issue Date: Apr-2009
Publisher: Elsevier
Citation: Arch Phys Med Rehabil. 2009 Apr;90(4):587-93.
Abstract: OBJECTIVE: To identify the most common gait abnormalities presenting after traumatic brain injury (TBI) and quantify their incidence rate. DESIGN: Case series. SETTING: Biomechanics laboratory. PARTICIPANTS: A convenience sample of 41 people with TBI receiving therapy for gait abnormalities, and a sample of 25 healthy controls. INTERVENTION: Three-dimensional gait analysis. MAIN OUTCOME MEASURES: spatiotemporal, kinematic, and kinetic data at a self-selected walking speed. RESULTS: People with TBI walked with a significantly slower speed than matched healthy controls. There was a significant difference between groups for cadence, step length, stance time on the affected leg, double support phase, and width of base of support. The most frequently observed biomechanical abnormality was excessive knee flexion at initial foot contact. Other significant gait abnormalities were increased trunk anterior/posterior amplitude of movement, increased anterior pelvic tilt, increased peak pelvic obliquity, reduced peak knee flexion at toe-off, and increased lateral center of mass displacement. Ankle equinovarus at foot-contact occurred infrequently. CONCLUSIONS: People with TBI were found to have multijoint gait abnormalities. Many of these abnormalities have not been previously reported in this population.
DOI: 10.1016/j.apmr.2008.10.013
PubMed URL:
ISSN: 0003-9993
Journal Title: Archives of Physical Medicine and Rehabilitation
Type: Journal Article
Affiliated Organisations: Centre for Health Exercise and Sports Medicine, School of Physiotherapy, The University of Melbourne, Melbourne
School of Mechanical Engineering, The University of Melbourne, Melbourne
School of Physiotherapy, The University of Melbourne, Melbourne,
Type of Clinical Study or Trial: Case Series and Case Reports
Appears in Collections:Neurosciences

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