Can the same be said for stroke? Will it fix my ankle spasticity? I haven't even attempted running yet. Whom is going to followup for stroke? We need a protocol, not just tell us to read the book, 'Teaching Me to Run' by Tommye-K. Mayer.
Deficits in ankle joint mechanics during running can be resolved with rehabilitation in people with traumatic brain injury
| Epworth Authors: | Williams, Gavin |
| Other Authors: | Schache, Anthony |
| Keywords: | Traumatic Brain Injury TBI Lower-Limb Power Generation Running Lower-Limb Joint Mechanics Biomechanical Variables High-Level Mobility Rehabilitation Rehabilitation, Mental Health and Chronic Pain Clinical Institute, Epworth HealthCare, Victoria, Australia Neurosciences Clinical Institute, Epworth HealthCare, Victoria, Australia |
| Issue Date: | Jun-2018 |
| Conference: | Epworth HealthCare Research Week 2018 |
| Conference Location: | Epworth Research Institute, Victoria, Australia |
| Abstract: | Background: Many people with traumatic brain injury experience difficulty running. We recently demonstrated the first-ever evidence for the recovery of lower-limb power generation for walking. The aim of this study was to determine if a period of rehabilitation could also lead to the recovery of lower-limb power generation for running. Specifically the aims were 1) To compare lower-limb joint mechanics during running for people with traumatic brain injury (TBI) to equivalent data obtained from a group of healthy controls (HC); and 2) To determine if deficits identified in biomechanical variables during running for people with TBI were responsive to a six-month period of rehabilitation. Methods: Participants: Twelve ambulant people with extremely-severe TBI who were attending physiotherapy at Epworth Healthcare for mobility limitations, and a comparative sample of 10 healthy controls (HCs). Design: Cross-sectional observational cohort study with six-month follow-up. Main Outcome Measures: Average power (i.e. over time) absorbed and generated at the hip, knee and ankle joints during stance. Results: Compared to HCs, participants with TBI at baseline ran with greater average power absorption at the hip (-0.27 W/kg vs -0.61 W/kg; p<0.05), reduced average power absorption at the knee (-2.03 W/kg vs -1.02 W/kg; p<0.05) and reduced average power generation at the ankle (2.86 W/kg vs 2.06 W/kg; p<0.05). Only average power generation at the ankle improved following six months of rehabilitation for the participants with TBI (2.06 W/kg vs 2.79 W/kg; p<0.05). Conclusion: In the cohort of participants with TBI included in the present study, recovery of running and high-level mobility was related to an improvement in ankle joint mechanics. This is the first-ever evidence for the recovery of lower-limb power generation for running in any adult or paediatric neurological population. |
| URI: | http://hdl.handle.net/11434/1413 |
| Type: | Conference Poster |
| Affiliated Organisations: | School of Physiotherapy, The University of Melbourne. Melbourne, Australia School of Mechanical Engineering, The University of Melbourne. Melbourne, Australia |
| Type of Clinical Study or Trial: | Cross-Sectional Study |
| Appears in Collections: | Rehabilitation |
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