An assessment of gait and balance deficits after traumatic brain injury

Jeffrey R. Basford, Li Shan Chou, Kenton R. Kaufman, Robert H. Brey, Ann Walker, James F. Malec, Anne M. Moessner, Allen W. Brown

Research output: Contribution to journalArticle

162 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)343-349
Number of pages7
JournalArchives of physical medicine and rehabilitation
Volume84
Issue number3 SUPPL. 1
DOIs
StatePublished - Mar 1 2003

Keywords

  • Balance
  • Brain injuries
  • Gait
  • Rehabilitation
  • Vestibular function tests

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

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    Basford, J. R., Chou, L. S., Kaufman, K. R., Brey, R. H., Walker, A., Malec, J. F., Moessner, A. M., & Brown, A. W. (2003). An assessment of gait and balance deficits after traumatic brain injury. Archives of physical medicine and rehabilitation, 84(3 SUPPL. 1), 343-349. https://doi.org/10.1053/apmr.2003.50034