Changes in postural sway and performance of functional tasks during rehabilitation after traumatic brain injury
Objective: To investigate changes in postural sway while standing, walking parameters, and performance of functional tasks during rehabilitation in a group of traumatic brain injury (TBI) patients. Design: Descriptive. Setting: Inpatient brain injury rehabilitation unit. Participants: Thirteen subje...
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| Veröffentlicht in: | Archives of physical medicine and rehabilitation 1997-10, Vol.78 (10), p.1107-1111 |
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| container_title | Archives of physical medicine and rehabilitation |
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| creator | Wade, Lauren D. Canning, Colleen G. Fowler, Virginia Felmingham, Kim L. Baguley, Ian J. |
| description | Objective: To investigate changes in postural sway while standing, walking parameters, and performance of functional tasks during rehabilitation in a group of traumatic brain injury (TBI) patients.
Design: Descriptive.
Setting: Inpatient brain injury rehabilitation unit.
Participants: Thirteen subjects undergoing rehabilitation after severe TBI.
Outcome Measures: Two assessments were performed, 2 to 6 weeks apart that included the following: postural sway in three stance conditions; temporal and spatial parameters of walking; functional assessments of walking, standing up, reaching while standing, and stair climbing.
Results: There were significant reductions in postural sway in all stance conditions (
p < .05) and significant increases in velocity of walking (
p < .05), stride length (
p < .01), and left and right step lengths (
p < .01). Performance on all functional tasks improved (
p < .05) except for functional reach. There were no significant correlations between changes in postural sway and changes in walking parameters or functional assessments.
Conclusion: This study demonstrated significant improvements in postural sway, walking parameters, and functional tasks during a relatively short period of rehabilitation after severe TBI. Improvements in standing balance appear to be independent of improvements in walking performance, suggesting that different mechanisms underlie improved control of these tasks. |
| doi_str_mv | 10.1016/S0003-9993(97)90136-2 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_79340799</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0003999397901362</els_id><sourcerecordid>79340799</sourcerecordid><originalsourceid>FETCH-LOGICAL-c389t-d7f02a0e109d90cb8e9785a58c429607e17dfa0b5c979c302e64912104ff971f3</originalsourceid><addsrcrecordid>eNqFkE1r3DAQhkVpSTfb_oSADqU0B6f6sC3rVMLSLwj0kBZ6E2N5lCi15a0kN-y_jza77LWnQfM-MyMeQi44u-KMtx9vGWOy0lrLD1pdasZlW4kXZMUbKapO8N8vyeqEvCbnKT2UZ9tIfkbOtJSat3xF5s09hDtM1Ae6nVNeIow0PcKOQhjoFqOb4wTBIp0ddUuw2c-hIBnSn0SHJfpwRyPeQ-9Hn2GfUnAZI80Rlqk0LO0jlO0-PCxx94a8cjAmfHusa_Lry-efm2_VzY-v3zfXN5WVnc7VoBwTwJAzPWhm-w616hpoOlsL3TKFXA0OWN9YrbSVTGBbay44q53Tiju5Ju8Pe7dx_rtgymbyyeI4QsB5SUZpWTNVzKxJcwBtnFOK6Mw2-gniznBm9qLNs2izt2i0Ms-ijShzF8cDSz_hcJo6mi35u2MOycLoYpHo0wkTXa2U2J__dMCwyPjnMZpkPRbfg49osxlm_5-PPAF-YJvg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>79340799</pqid></control><display><type>article</type><title>Changes in postural sway and performance of functional tasks during rehabilitation after traumatic brain injury</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><source>EZB-FREE-00999 freely available EZB journals</source><creator>Wade, Lauren D. ; Canning, Colleen G. ; Fowler, Virginia ; Felmingham, Kim L. ; Baguley, Ian J.</creator><creatorcontrib>Wade, Lauren D. ; Canning, Colleen G. ; Fowler, Virginia ; Felmingham, Kim L. ; Baguley, Ian J.</creatorcontrib><description>Objective: To investigate changes in postural sway while standing, walking parameters, and performance of functional tasks during rehabilitation in a group of traumatic brain injury (TBI) patients.
Design: Descriptive.
Setting: Inpatient brain injury rehabilitation unit.
Participants: Thirteen subjects undergoing rehabilitation after severe TBI.
Outcome Measures: Two assessments were performed, 2 to 6 weeks apart that included the following: postural sway in three stance conditions; temporal and spatial parameters of walking; functional assessments of walking, standing up, reaching while standing, and stair climbing.
Results: There were significant reductions in postural sway in all stance conditions (
p < .05) and significant increases in velocity of walking (
p < .05), stride length (
p < .01), and left and right step lengths (
p < .01). Performance on all functional tasks improved (
p < .05) except for functional reach. There were no significant correlations between changes in postural sway and changes in walking parameters or functional assessments.
Conclusion: This study demonstrated significant improvements in postural sway, walking parameters, and functional tasks during a relatively short period of rehabilitation after severe TBI. Improvements in standing balance appear to be independent of improvements in walking performance, suggesting that different mechanisms underlie improved control of these tasks.</description><identifier>ISSN: 0003-9993</identifier><identifier>EISSN: 1532-821X</identifier><identifier>DOI: 10.1016/S0003-9993(97)90136-2</identifier><identifier>PMID: 9339161</identifier><identifier>CODEN: APMHAI</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Biological and medical sciences ; Brain Injuries - etiology ; Brain Injuries - physiopathology ; Brain Injuries - rehabilitation ; Diseases of the nervous system ; Female ; Gait ; Humans ; Male ; Medical sciences ; Posture ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Task Performance and Analysis ; Walking</subject><ispartof>Archives of physical medicine and rehabilitation, 1997-10, Vol.78 (10), p.1107-1111</ispartof><rights>1997</rights><rights>1997 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c389t-d7f02a0e109d90cb8e9785a58c429607e17dfa0b5c979c302e64912104ff971f3</citedby><cites>FETCH-LOGICAL-c389t-d7f02a0e109d90cb8e9785a58c429607e17dfa0b5c979c302e64912104ff971f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0003-9993(97)90136-2$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,45974</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2847729$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9339161$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wade, Lauren D.</creatorcontrib><creatorcontrib>Canning, Colleen G.</creatorcontrib><creatorcontrib>Fowler, Virginia</creatorcontrib><creatorcontrib>Felmingham, Kim L.</creatorcontrib><creatorcontrib>Baguley, Ian J.</creatorcontrib><title>Changes in postural sway and performance of functional tasks during rehabilitation after traumatic brain injury</title><title>Archives of physical medicine and rehabilitation</title><addtitle>Arch Phys Med Rehabil</addtitle><description>Objective: To investigate changes in postural sway while standing, walking parameters, and performance of functional tasks during rehabilitation in a group of traumatic brain injury (TBI) patients.
Design: Descriptive.
Setting: Inpatient brain injury rehabilitation unit.
Participants: Thirteen subjects undergoing rehabilitation after severe TBI.
Outcome Measures: Two assessments were performed, 2 to 6 weeks apart that included the following: postural sway in three stance conditions; temporal and spatial parameters of walking; functional assessments of walking, standing up, reaching while standing, and stair climbing.
Results: There were significant reductions in postural sway in all stance conditions (
p < .05) and significant increases in velocity of walking (
p < .05), stride length (
p < .01), and left and right step lengths (
p < .01). Performance on all functional tasks improved (
p < .05) except for functional reach. There were no significant correlations between changes in postural sway and changes in walking parameters or functional assessments.
Conclusion: This study demonstrated significant improvements in postural sway, walking parameters, and functional tasks during a relatively short period of rehabilitation after severe TBI. Improvements in standing balance appear to be independent of improvements in walking performance, suggesting that different mechanisms underlie improved control of these tasks.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Brain Injuries - etiology</subject><subject>Brain Injuries - physiopathology</subject><subject>Brain Injuries - rehabilitation</subject><subject>Diseases of the nervous system</subject><subject>Female</subject><subject>Gait</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Posture</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Task Performance and Analysis</subject><subject>Walking</subject><issn>0003-9993</issn><issn>1532-821X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE1r3DAQhkVpSTfb_oSADqU0B6f6sC3rVMLSLwj0kBZ6E2N5lCi15a0kN-y_jza77LWnQfM-MyMeQi44u-KMtx9vGWOy0lrLD1pdasZlW4kXZMUbKapO8N8vyeqEvCbnKT2UZ9tIfkbOtJSat3xF5s09hDtM1Ae6nVNeIow0PcKOQhjoFqOb4wTBIp0ddUuw2c-hIBnSn0SHJfpwRyPeQ-9Hn2GfUnAZI80Rlqk0LO0jlO0-PCxx94a8cjAmfHusa_Lry-efm2_VzY-v3zfXN5WVnc7VoBwTwJAzPWhm-w616hpoOlsL3TKFXA0OWN9YrbSVTGBbay44q53Tiju5Ju8Pe7dx_rtgymbyyeI4QsB5SUZpWTNVzKxJcwBtnFOK6Mw2-gniznBm9qLNs2izt2i0Ms-ijShzF8cDSz_hcJo6mi35u2MOycLoYpHo0wkTXa2U2J__dMCwyPjnMZpkPRbfg49osxlm_5-PPAF-YJvg</recordid><startdate>19971001</startdate><enddate>19971001</enddate><creator>Wade, Lauren D.</creator><creator>Canning, Colleen G.</creator><creator>Fowler, Virginia</creator><creator>Felmingham, Kim L.</creator><creator>Baguley, Ian J.</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19971001</creationdate><title>Changes in postural sway and performance of functional tasks during rehabilitation after traumatic brain injury</title><author>Wade, Lauren D. ; Canning, Colleen G. ; Fowler, Virginia ; Felmingham, Kim L. ; Baguley, Ian J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c389t-d7f02a0e109d90cb8e9785a58c429607e17dfa0b5c979c302e64912104ff971f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Brain Injuries - etiology</topic><topic>Brain Injuries - physiopathology</topic><topic>Brain Injuries - rehabilitation</topic><topic>Diseases of the nervous system</topic><topic>Female</topic><topic>Gait</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Posture</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Task Performance and Analysis</topic><topic>Walking</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wade, Lauren D.</creatorcontrib><creatorcontrib>Canning, Colleen G.</creatorcontrib><creatorcontrib>Fowler, Virginia</creatorcontrib><creatorcontrib>Felmingham, Kim L.</creatorcontrib><creatorcontrib>Baguley, Ian J.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of physical medicine and rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wade, Lauren D.</au><au>Canning, Colleen G.</au><au>Fowler, Virginia</au><au>Felmingham, Kim L.</au><au>Baguley, Ian J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Changes in postural sway and performance of functional tasks during rehabilitation after traumatic brain injury</atitle><jtitle>Archives of physical medicine and rehabilitation</jtitle><addtitle>Arch Phys Med Rehabil</addtitle><date>1997-10-01</date><risdate>1997</risdate><volume>78</volume><issue>10</issue><spage>1107</spage><epage>1111</epage><pages>1107-1111</pages><issn>0003-9993</issn><eissn>1532-821X</eissn><coden>APMHAI</coden><abstract>Objective: To investigate changes in postural sway while standing, walking parameters, and performance of functional tasks during rehabilitation in a group of traumatic brain injury (TBI) patients.
Design: Descriptive.
Setting: Inpatient brain injury rehabilitation unit.
Participants: Thirteen subjects undergoing rehabilitation after severe TBI.
Outcome Measures: Two assessments were performed, 2 to 6 weeks apart that included the following: postural sway in three stance conditions; temporal and spatial parameters of walking; functional assessments of walking, standing up, reaching while standing, and stair climbing.
Results: There were significant reductions in postural sway in all stance conditions (
p < .05) and significant increases in velocity of walking (
p < .05), stride length (
p < .01), and left and right step lengths (
p < .01). Performance on all functional tasks improved (
p < .05) except for functional reach. There were no significant correlations between changes in postural sway and changes in walking parameters or functional assessments.
Conclusion: This study demonstrated significant improvements in postural sway, walking parameters, and functional tasks during a relatively short period of rehabilitation after severe TBI. Improvements in standing balance appear to be independent of improvements in walking performance, suggesting that different mechanisms underlie improved control of these tasks.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>9339161</pmid><doi>10.1016/S0003-9993(97)90136-2</doi><tpages>5</tpages></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals; EZB-FREE-00999 freely available EZB journals |
| subjects | Adolescent Adult Biological and medical sciences Brain Injuries - etiology Brain Injuries - physiopathology Brain Injuries - rehabilitation Diseases of the nervous system Female Gait Humans Male Medical sciences Posture Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Task Performance and Analysis Walking |
| title | Changes in postural sway and performance of functional tasks during rehabilitation after traumatic brain injury |
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