Gait Deviations Associated With Concussion: A Systematic Review.

Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine
Thaer S ManaseerJackie L Whittaker

Abstract

Gait deviations resulting from concussion are important to consider in the diagnosis, treatment progression, and return to activity after a concussion. To identify quantifiable gait deviations associated with concussion across populations and time since injury. Six electronic databases were systematically searched from January 1974 to September 2016. Studies selected included original data, had an analytic design, and reported a quantifiable gait parameter in individuals who had sustained a concussion as defined by the American Congress of Rehabilitation Medicine or related definitions. Preferred Reporting Items for Systematic reviews and Meta-Analysis guidelines were followed. Two independent authors assessed study quality [Downs and Black (DB) criteria] and level of evidence (Oxford Center of Evidence-Based Medicine Model). Of 2650 potentially relevant articles, 21 level 4 studies were included. The median DB score was 12/33 (range 10-16). Heterogeneity in gait parameters and timing of postconcussion testing precluded meta-analysis. There is consistent level 4 evidence of increased medial-lateral center-of-mass displacement, and inconsistent level 4 evidence of decreased gait velocity after concussion. Further, there is preli...Continue Reading

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