Products, Education and Rehabilitation Solutions

      Coordination of Dynamic Balance During Gait Training in People With Acquired Brain Injury

      JC12Q4
      On-demand
      $10

      Webinar Description

      Clark RA, Williams G, Fini N, Moore L, Bryant AL (2012) Coordination of Dynamic Balance During Gait Training in People With Acquired Brain Injury Arch Phys Med Rehabilitation 2012 Apr;93(4):636-40. Summary by Nechama Karman, PT, MS, PCS 17 people with acquired brain injury (11 severe traumatic brain injury, 5 stroke, 1 multiple sclerosis; range from acute to chronic – 1 month to 10 years post-injury) who could not walk without assistance were subjected to one of 7 gait training conditions in random order. Gait training for each condition with BWS was performed at 30% BWS at the individual’s comfortable walking speed. Familiarization period was provided for each condition, and rest period between conditions. The 7 conditions included: therapist facilitation; Gait assistive device; treadmill training (TT); treadmill training with BWS; TT with BWS and therapist assistance; TT with BWS and Upper Limb (UE) support (handrails); TT with BWS, UE support and therapist assistance. All ABI participants could complete therapist, BWSTT+therapist, BWSTT +UE support and BWSTT+therapist+UE support conditions; 5 participants were excluded from data analysis for inability to complete some component of the protocol (4 could not perform BWSTT, 2 could not perform gait assistive device and 2 could not perform treadmill protocols). Normative data were collected on 25 participants walking over-ground at a comfortable walking speed. OUTCOME MEASURES: Were based on 5 extracted gait cycles performed at comfortable walking speed, analyzed for more impaired limb. They included: ML COM displacement amplitude per stride: mean distance between the most leftward and rightward positions of the COM during ground contact for the more affected limb. Timing (discrete relative phase analysis): Time between ground contact (more affected limb) and peak ML COM displacement with respect to the stride duration for that limb (360 degrees = 1 gait cycle; higher value = later peak). Instrastride stability of of ML COM displacement with respect to stride duration (frequency analysis); higher value = more stable gait pattern.

      CEU Information

      Journal Club CEU Approval

      Contact Hours: 1

      AR | FL CE26-803266 | ID

      Webinar Information

      Contact Hours: 1

      Price: $10

      Instructor: Nechama Karman

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