Associations between Muscle Strength Asymmetry and Impairments in Gait and Posture in Young Brain-Injured Patients

Journal of Neurotrauma
David DrijkoningenStephan P Swinnen

Abstract

Traumatic brain injury (TBI) can lead to deficits in gait and posture, which are often asymmetric. A possible factor mediating these deficits may be asymmetry in strength of the leg muscles. However, muscle strength in the lower extremities has rarely been investigated in (young) TBI patients. Here, we investigated associations between lower-extremity muscle weakness, strength asymmetry, and impairments in gait and posture in young TBI patients. A group of young patients with moderate-to-severe TBI (n=19; age, 14 years 11 months ±2 years) and a group of typically developing subjects (n=31; age, 14 years 1 month±3 years) participated in this study. A force platform was used to measure postural sway to quantify balance control during normal standing and during conditions of compromised visual and/or somatosensory feedback. Spatiotemporal gait parameters were assessed during comfortable and fast-speed walking, using an electronic walkway. Muscle strength in four lower-extremity muscle groups was measured bilaterally using a handheld dynamometer. Findings revealed that TBI patients had poorer postural balance scores across all sensory conditions, as compared to typically developing subjects. During comfortable and fast gait, TBI pa...Continue Reading

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Citations

Oct 19, 2016·Journal of Neurotrauma·David DrijkoningenKaren Caeyenberghs
Jan 24, 2018·Neurorehabilitation and Neural Repair·Karen CaeyenberghsPeter H Wilson
Oct 17, 2017·Journal of Aging and Physical Activity·Hitoshi KodaHidetaka Imagita
Nov 22, 2018·Perceptual and Motor Skills·Dennis KlimaAdam Davey
May 13, 2020·Physical & Occupational Therapy in Pediatrics·Emily A EvansUNKNOWN TRACK-TBI Investigators
Apr 9, 2019·Pediatric Exercise Science·Bhanu Sharma, Brian W Timmons
Feb 7, 2021·Journal of Sport Rehabilitation·Tiffany ToongNick Reed
Sep 15, 2021·Somatosensory & Motor Research·Mariem JardakSonia Sahli
Jul 20, 2017·Brazilian Journal of Physical Therapy·Vitor H F OliveiraRafael Deminice

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Methods Mentioned

BETA
PCA

Software Mentioned

SPSS

Related Concepts

Related Feeds

Brain Injury & Trauma

brain injury after impact to the head is due to both immediate mechanical effects and delayed responses of neural tissues.