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

References 

  1. Thurman D, Alverson C, Browne D, et al. Traumatic brain injury in the United States: a report to Congress. 1999;http://www.cdc.gov/NCIPC/tbi/tbi_congress/tbi_congress.htmAccessed December 16, 2008
  2. Hirtz D, Thurman DJ, Gwinn-Hardy K, Mohamed M, Chaudhuri AR, Zalutsky R. How common are the “common” neurologic disorders?. Neurology. 2007;68:326–337
  3. Medley A, Thompson M, French J. Predicting the probability of falls in community dwelling persons with brain injury: a pilot study. Brain Inj. 2006;20:1403–1408
  4. Bateman A, Culpan FJ, Pickering AD, Powell JH, Scott OM, Greenwood RJ. The effect of aerobic training on rehabilitation outcomes after recent severe brain injury: a randomized controlled evaluation. Arch Phys Med Rehabil. 2001;82:174–182
  5. Powell J, Heslin J, Greenwood R. Community based rehabilitation after severe traumatic brain injury: a randomised controlled trial. J Neurol Neurosurg Psychiatry. 2002;72:193–202
  6. Cassidy JD, Carroll LJ, Peloso PM, et al. Incidence, risk factors and prevention of mild traumatic brain injury: results of the WHO Collaborating Centre Task Force on Mild Traumatic Brain Injury. J Rehabil Med. 2004;43(Suppl):28–60
  7. Cantin J-F, McFadyen BJ, Doyon J, Swaine B, Dumas D, Vallee M. Can measures of cognitive function predict locomotor behaviour in complex environments following a traumatic brain injury?. Brain Inj. 2007;21:327–334
  8. Gradenigo B. Gait patterns after traumatic brain injury. Eura Medicophys. 2002;38:215–218
  9. Horn TS, Yablon SA, Stokic DS. Effect of intrathecal baclofen bolus injection on temporospatial gait characteristics in patients with acquired brain injury. Arch Phys Med Rehabil. 2005;86:1127–1133
  10. Molteni F. Botulinum toxin and rehabilitation programs in lower limb spasticity. Eur J Neurol. 1995;2:61–67
  11. Pohl M, Mehrholz J. Immediate effects of an individually designed functional ankle-foot orthosis on stance and gait in hemiparetic patients. Clin Rehabil. 2006;20:324–330
  12. Vallee M, McFadyen BJ, Swaine B, Doyon J, Cantin J-F, Dumas D. Effects of environmental demands on locomotion after traumatic brain injury. Arch Phys Med Rehabil. 2006;87:806–813
  13. Lee LW, Kerrigan DC, Della Croce U. Dynamic implications of hip flexion contractures. Am J Phys Med Rehabil. 1997;76:502–508
  14. Kerrigan DC, Deming LC, Holden MK. Knee recurvatum in gait: a study of associated knee biomechanics. Arch Phys Med Rehabil. 1996;77:645–650
  15. Fock J, Galea MP, Stillman BC, Rawicki B, Clark M. Functional outcome following Botulinum toxin A injection to reduce spastic equinus in adults with traumatic brain injury. Brain Inj. 2004;18:57–63
  16. Basford JR, Chou L-S, Kaufman KR, et al. An assessment of gait and balance deficits after traumatic brain injury. Arch Phys Med Rehabil. 2003;84:343–349
  17. Chou L-S, Kaufman KR, Walker-Rabatin AE, Brey RH, Basford JR. Dynamic instability during obstacle crossing following traumatic brain injury. Gait Posture. 2004;20:245–254
  18. Kaufman KR, Brey RH, Chou L-S, Rabatin A, Brown AW, Basford JR. Comparison of subjective and objective measurements of balance disorders following traumatic brain injury. Med Eng Phys. 2006;28:234–239
  19. McFadyen BJ, Swaine B, Dumas D, Durand A. Residual effects of a traumatic brain injury on locomotor capacity—a first study of spatiotemporal patterns during unobstructed and obstructed walking. J Head Trauma Rehabil. 2003;18:512–525
  20. DeLuca PA, Davis RB, Ounpuu S, Rose S, Sirkin R. Alterations in surgical decision making in patients with cerebral palsy based on three-dimensional gait analysis. J Pediatr Orthop. 1997;17:608–614
  21. Kay RM, Dennis S, Rethlefsen S, Reynolds RA, Skaggs DL, Tolo VT. The effect of preoperative gait analysis on orthopaedic decision making. Clin Orthop Relat Res. 2000;217–222
  22. Fuller DA, Keenan MA, Esquenazi A, Whyte J, Mayer NH, Fidler-Sheppard R. The impact of instrumented gait analysis on surgical planning: treatment of spastic equinovarus deformity of the foot and ankle. Foot Ankle Int. 2002;23:738–743
  23. Schache AG, Baker R. On the expression of joint moments during gait. Gait Posture. 2007;25:440–452
  24. Harrington ME, Zavatsky AB, Lawson SE, Yuan Z, Theologis TN. Prediction of the hip joint centre in adults, children, and patients with cerebral palsy based on magnetic resonance imaging. J Biomech. 2007;40:595–602
  25. Williams GP, Robertson V, Greenwood KM, Goldie PA, Morris ME. The high-level mobility assessment tool (HiMAT) for traumatic brain injury: part 2: content validity and discriminability. Brain Inj. 2005;19:833–843
  26. Williams G, Robertson V, Greenwood K, Goldie P, Morris ME. The concurrent validity and responsiveness of the high-level mobility assessment tool for measuring the mobility limitations of people with traumatic brain injury. Arch Phys Med Rehabil. 2006;87:437–442
  27. Ochi F, Esquenazi A, Hirai B, Talaty M. Temporal-spatial feature of gait after traumatic brain injury. J Head Trauma Rehabil. 1999;14:105–115
  28. Shores EA, Marosszeky JE, Sandanam J, Batchelor J. Preliminary validation of a clinical scale for measuring the duration of post-traumatic amnesia. Med J Aust. 1986;144:569–572
  29. Esquenazi A. Evaluation and management of spastic gait in patients with traumatic brain injury. J Head Trauma Rehabil. 2004;19:109–118
  30. Chua KS, Kong KH. Clinical and functional outcome after alcohol neurolysis of the tibial nerve for ankle-foot spasticity. Brain Inj. 2001;15:733–739
  31. Perry J. The use of gait analysis for surgical recommendations in traumatic brain injury. J Head Trauma Rehabil. 1999;14:116–135
  32. Griffith ER, Mayer NH. Hypertonicity and movement disorders. In:  Rosenthal M,  Griffith ER,  Bond MR,  Miller JD editor. Rehabilitation of the adult and child with traumatic brain injury. 2nd ed.. Philadelphia: F. A. Davis; 1990;p. 127–147
  33. Bracewell RM, Balasubramaniam R, Wing AM. Interlimb coordination deficits during cyclic movements in cerebellar hemiataxia. Neurology. 2005;64:751–752
  34. De Bujanda E, Nadeau S, Bourbonnais D, Dickstein R. Associations between lower limb impairments, locomotor capacities and kinematic variables in the frontal plane during walking in adults with chronic stroke. J Rehabil Med. 2003;35:259–264
  35. Liu MQ, Anderson FC, Pandy MG, Delp SL. Muscles that support the body also modulate forward progression during walking. J Biomech. 2006;39:2623–2630
  36. Kerrigan DC, Bang M, Burke DT. An algorithm to assess stiff-legged gait in traumatic brain injury. J Head Trauma Rehabil. 1999;14:136–145
  37. Niechwiej-Szwedo E, Inness EL, Howe JA, Jaglal S, McIlroy WE, Verrier MC. Changes in gait variability during different challenges to mobility in patients with traumatic brain injury. Gait Posture. 2007;25:70–77

 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

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