title: Physical therapy for correcting postural and coordination deficits in patients with mild-to-moderate traumatic brain injury.
abstract: The purpose of this study was to test the effects of a conventional exercise program designed for correcting postural and coordination abnormalities in patients with mild-to-moderate traumatic brain injury (TBI). Using principles of motor learning applied to functional exercise training, exercises were performed while lying, sitting, standing and walking, with the goal of improving intra- and inter-limb coordination in the upper and lower extremities, postural stability and gait pattern. Twenty-two participants with TBI-related deficits received therapy in a supervised outpatient clinic. Therapy included 20 sessions, each approximately 55 to 60 min in duration, scheduled four to five times a week over four consecutive weeks. Each participant was evaluated with a battery of clinical tests at baseline and immediately after therapy. Upon completion of the therapy, participants improved static and dynamic postural stability and gait, evaluated with the Berg Balance Scale (from 45.2 ± 5.9 to 49.2 ± 4.2 points) and the Functional Gait Assessment (from 22.8 ± 4.1 to 26.9 ± 3.4 points). They also reduced truncal, upper and lower extremity ataxia, evaluated with the Ataxia Scale (from 7.3 ± 4.5 to 5.9 ± 4.2 points). Results will be used to refine the current version of the exercise therapy, which focused on whole body coordination and balance, and to design a large-scale clinical trial establishing effectiveness of this intervention and for comparison with other forms of therapy.
authors.affiliation: Doctoral Program in Physical Therapy, Central Michigan University , Mount Pleasant, MI , USA .
authors.forename: Ksenia I
authors.initials: KI
authors.lastname: Ustinova
authors.forename: Ludmila A
authors.initials: LA
authors.lastname: Chernikova
authors.forename: Ann
authors.initials: A
authors.lastname: Dull
authors.forename: Jan
authors.initials: J
authors.lastname: Perkins
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D001930:Brain Injuries / Q000175:diagnosis* / Q000534:rehabilitation*; D015331:Cohort Studies; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D020233:Gait Disorders, Neurologic / Q000175:diagnosis / Q000534:rehabilitation*; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D019957:Motor Skills Disorders / Q000175:diagnosis / Q000534:rehabilitation*; D026741:Physical Therapy Modalities; D004856:Postural Balance; D020127:Recovery of Function; D012189:Retrospective Studies; D018570:Risk Assessment; D012737:Sex Factors; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult
keywords: Ataxia; gait; motor recovery; neurorehabilitation; postural instability; therapeutic exercises; traumatic brain injury