High-level mobility outcomes following acquired brain injury: A preliminary evaluation

Williams, Gavin; Morris, Meg E.

doi:10.1080/02699050902774170

Cited by 23 publications

(7 citation statements)

References 28 publications

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“…The two case studies illustrated how the conceptual framework could be applied for people with contrasting movement disorders; in this instance one person with hemi-spasticity and one person with ataxia. Williams and Morris [24] also used this conceptual framework to investigate the feasibility of retraining high-level mobility in a cohort of 28 people with a variety of neurological conditions including TBI and stroke. It was demonstrated that clinically significant improvements in high-level mobility can be achieved, even for patients with conditions of longstanding duration.…”

Section: Introductionmentioning

confidence: 99%

Running abnormalities after traumatic brain injury

Williams¹,

Schache²,

Morris³

2013

Brain Injury

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Section: Introductionmentioning

confidence: 99%

Running abnormalities after traumatic brain injury

Williams¹,

Schache²,

Morris³

2013

Brain Injury

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“…11,14 Individuals, months to years after TBI, were able to improve their running abilities after a 3-month running program. 54 Brown and colleagues 55 found that patients with central vestibular dysfunction improved in both subjective and objective measures of balance after physical therapy intervention. Outcome is better for patients with TBI when there is an isolated peripheral vestibular impairment.…”

Section: Discussionmentioning

confidence: 98%

A Case-Oriented Approach Exploring the Relationship Between Visual and Vestibular Disturbances and Problems of Higher-Level Mobility in Persons With Traumatic Brain Injury

Peterson

2010

Journal of Head Trauma Rehabilitation

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Dizziness and impaired balance are common complaints after traumatic brain injury as a result of injuries to many systems. Ambient visual and vestibular system impairments are strong contributors to imbalance and dizziness, often leading to problems with spatial orientation and gaze stability during movement. The purpose of this review is to provide an overview of visual-vestibular impairments common to traumatic brain injury and summarize the contribution impairments in these systems will have on higher-level mobility. Standard visual and vestibular tests and measures are described and summarized, followed by several case presentations discussing the examination and evaluation processes and interventions chosen for visual-vestibular difficulties and their relationship to higher-level mobility.

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“…Miller et al 13 also investigated the use of partial body weight support on a treadmill to improve running ability for a 38-year-old man who had a suffered a stroke. Most recently, Williams and Morris 11 investigated the feasibility of retraining high-level mobility in a cohort of people with a variety of neurological conditions including TBI and stroke. Although it was demonstrated that clinically meaningful improvements in high-level mobility could be made even for patients with conditions of longstanding duration, no details were provided as to the nature of the mobility deficits or the intervention provided.…”

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Evaluation of a Conceptual Framework for Retraining High-Level Mobility Following Traumatic Brain Injury

Williams

Schache

2010

Journal of Head Trauma Rehabilitation

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Traumatic brain injury (TBI) is the primary cause of death and disability for 18- to 45-year-olds. High-level mobility is important for many of the social, leisure, sporting, and employment roles of young adults. The aim of these case reports was to evaluate a conceptual framework for retraining high-level mobility after TBI. The progression of 2 patients who had sustained a severe TBI but had contrasting clinical presentations was monitored over 6 months. Patient 1 presented with left hemiplegia following a TBI 10 years earlier, whereas patient 2 presented with ataxia 2 months following a TBI. Quantitative gait analysis and clinical measures of mobility were used to evaluate outcomes of a 6-month intervention phase. Intervention strategies were based on a conceptual framework comprising 2 main elements: (1) the hierarchical ordering of high-level mobility tasks and (2) the key biomechanical features of able-bodied running. Both patients achieved the ability to run by the end of the intervention phase. Patient 1 displayed improved gait symmetry associated with improved high-level mobility, despite the long-standing duration of his injury. Patient 2 demonstrated improved postural control and stability in gait that resulted in an ability to run, skip, hop, and jump. Findings of these case reports provide evidence supporting "proof of concept" that clinical interventions can lead to improvement in high-level mobility following severe TBI.

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High-level mobility outcomes following acquired brain injury: A preliminary evaluation

Abstract: Significant recovery in high-level mobility was achieved during a 3 month running programme. People with chronic ABI may also expect to benefit from retraining high-level mobility. Clinical trials are needed to assess the effectiveness of training programmes for high-level mobility.

Cited by 23 publications

References 28 publications

Running abnormalities after traumatic brain injury

Running abnormalities after traumatic brain injury

A Case-Oriented Approach Exploring the Relationship Between Visual and Vestibular Disturbances and Problems of Higher-Level Mobility in Persons With Traumatic Brain Injury

Evaluation of a Conceptual Framework for Retraining High-Level Mobility Following Traumatic Brain Injury

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