Abstract
Changes in gait after traumatic brain injury (TBI) are very important for evaluation, clinical reasoning and forintervention programs. Most studies analyze gait during acute phase, but there is lack of information during post-acute period. The aim of the research was to determine gait biomechanical joint angles and centre of mass displacement changes during post-acute TBI rehabilitation. Participant was a 21-year-old male, after severe TBI, 2 years after trauma. Biomechanical joints angles and centre of mass displacement changes were observed during 3D gait analysis. The subject was asked to walk straight 6 meters, 18 times at his preferred comfortable pace. During walking 1–2 minute breaks were made. Intensive 5 week program was composed of physiotherapy (3 times per week) and yoga (2 times per week). Physiotherapy included stretching, coordination, balance and weight-bearing exercises. Yoga was performed to built core stability, train flexibility and diminish muscle tone. After 5 week rehabilitation statistically significant changes were observed in the centre of mass displacement and in lower extremities and lumbar biomechanics (p < 0.05). After procedures trunk flexion and trunk lateral flexion, lateral pelvic tilt increased, while anterior pelvic tilt decreased (p < 0.05). Hip extension at terminal stance increased, as well while hip adduction in stance phase decreased (p < 0.05). Statistically significant reduction was observed in knee flexion at initial contact, mid-stance and midswing phase (p < 0.05). Prevalent knee flexion at initial contact, observed before rehabilitation, decreased after it (p < 0.05). After the procedure lateral centre of mass displacement decreased and vertical centre of mass displacement increased (p < 0.05). Five weeks of rehabilitation composed of traditional physiotherapy and yoga is effective for gait quality treatment. However, further research is necessary to determine gait biomechanical joint angles and dynamic balance improvements during severe post-acute TBI.Keywords: head injury, walking, balance.
Highlights
Daugeliu tyrimø apraðomi eisenos pokyèiai per ûmià stadijà, o poûmiu laikotarpiu eisena ir jos rodikliai yra menkai iðnagrinëti
Five weeks of rehabilitation composed of traditional physiotherapy and yoga is effective for gait quality treatment
Summary
Įvertinant procedūras, klinikinį mąstymą ir sudarant intervencines programas svarbu po galvos smegenų traumų (GST) nustatyti eisenos pokyčius. Tyrimo tikslas – nustatyti eisenos kinematinių rodiklių kaitą po sunkios galvos smegenų traumos poūmiu reabilitacijos laikotarpiu. Po penkių savaičių reabilitacijos statistiškai reikšmingai pakito tiek masės centro svyravimo amplitudės, tiek kojų ir juosmens biomechaninės ypatybės (p < 0,05). Sudaryta iš tradicinės kineziterapijos ir jogos, yra veiksminga priemonė gerinant eisenos kokybę po sunkios GST. Visgi norint apibrėžti eisenos biomechaninius sąnarių kampų ypatumus ir pusiausvyros pokyčių gerėjimą poūmiu GST laikotarpiu būtini didesnės populiacijos tolesni tyrimai. Klinikinio màstymo ir intervenciniø programø sudarymo metu svarbu nustatyti eisenos pokyèius po GST [7]. Daugeliu tyrimø apraðomi eisenos pokyèiai per ûmià stadijà, o poûmiu laikotarpiu eisena ir jos rodikliai yra menkai iðnagrinëti. Tyrimo tikslas – nustatyti eisenos kinematiniø rodikliø kaità po sunkios galvos smegenø traumos poûmiu reabilitacijos laikotarpiu
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: Reabilitacijos mokslai: slauga, kineziterapija, ergoterapija
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
