Archives of Physical Medicine and Rehabilitation
Volume 90, Issue 4 , Pages 587-593 , April 2009

Incidence of Gait Abnormalities After Traumatic Brain Injury

Presented in platform format to the International Brain Injury Association, Lisbon, Portugal, April 9-12, 2008.

  • Gavin Williams, PhD

      Affiliations

    • Epworth Hospital, Melbourne, and Centre for Health Exercise and Sports Medicine, School of Physiotherapy, The University of Melbourne, Melbourne, Australia
    • Corresponding Author InformationCorrespondence to Gavin Williams, PhD, Physiotherapy Dept, Epworth Hospital, 89 Bridge Rd, Richmond, 3121, Victoria, Australia
  • ,
  • Meg E. Morris, PhD

      Affiliations

    • School of Physiotherapy, The University of Melbourne, Melbourne, Australia
  • ,
  • Anthony Schache, PhD

      Affiliations

    • School of Mechanical Engineering, The University of Melbourne, Melbourne, Australia
  • ,
  • Paul R. McCrory, MD

      Affiliations

    • Centre for Health Exercise and Sports Medicine, School of Physiotherapy, The University of Melbourne, Melbourne, Australia

  • Image Result

    Kinematic data for TBI and healthy controls. These graphs demonstrate joint movement during 1 complete gait cycle in each of the 3 planes. Each graph begins at initial foot strike. The vertical dashed

    Kinematic data for TBI and healthy controls. These graphs demonstrate joint movement during 1 complete gait cycle in each of the 3 planes. Each graph begins at initial foot strike. The vertical dashed line represents toe-off for the TBI cohort, and the adjacent vertical solid line represents toe-off for the HCs. The portion of the graph from initial foot strike to the toe-off line represents joint movement during stance phase, while swing phase movement is to the right of the toe-off line. The position of the joint or body segment in degrees is represented along the y-axis. The shaded portion of the graph represents the 95% CIs for movement in the HC population. The solid black line and the lightly dashed lines represent the mean and ±2 SD for the TBI population, respectively. Abbreviations: Abd, abduction; Add, adduction; Ant, anterior; DF, dorsiflexion; Flex, flexion; FS, foot strike; Ev, eversion; Extn, extension; Ext, external; Int, internal; Inv, inversion; PF, plantarflexion; Post, posterior; TO, toe-off; Var, varus; Val, valgus.

  • Image Result
    Pelvic rotation abnormality. (A) A patient with the clinical presentation of ataxia demonstrating substantial variability in performance between trials, yet no asymmetry. (B) A patient with dense hemi

    Pelvic rotation abnormality. (A) A patient with the clinical presentation of ataxia demonstrating substantial variability in performance between trials, yet no asymmetry. (B) A patient with dense hemiparesis demonstrating significant pelvic asymmetry, but little variability, clinically referred to as left pelvic retraction. The left side is represented by solid lines, the right side by dotted lines, and the grey shadow represents the 95% CI for normal pelvic rotation during gait. Abbreviations: Ext, external; FS, foot strike; Int, internal; TO, toe-off.

 Supported by the Victorian Neurotrauma Initiative and Royal Automobile Club Victoria.

 No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit on the authors or on any organization with which the authors are associated.

 Reprints are not available from the author.

PII: S0003-9993(08)01712-7

doi: 10.1016/j.apmr.2008.10.013

Archives of Physical Medicine and Rehabilitation
Volume 90, Issue 4 , Pages 587-593 , April 2009