Analysis of Free-Living Mobility in People with Mild Traumatic Brain Injury and Healthy Controls: Quality over Quantity.

作者: Samuel Stuart , Lucy Parrington , Douglas N. Martini , Nicholas Kreter , James C. Chesnutt

DOI: 10.1089/NEU.2019.6450

关键词: Occupational safety and healthTraumatic brain injuryPhysical medicine and rehabilitationBalance (ability)Physical activityInjury preventionHuman factors and ergonomicsPoison controlConcussionMedicine

摘要: Balance and mobility issues are common non-resolving symptoms following mild traumatic brain injury (mTBI). Current approaches for evaluating balance an mTBI can be subjective suboptimal as they may not sensitive to subtle deficits, particularly in those with chronic mTBI. Wearable inertial measurement units (IMU) allow objective quantification of continuous outcomes natural free-living environments. This study aimed explore (physical activity turning) healthy (mTBI) participants using a single IMU. Free-living was examined 23 control (48.56 ± 23.07 years) 29 symptomatic (40.2 ± 12.1 (average 419 days post-injury, persistent complaints) over 1 week, IMU placed at the waist. characterized terms macro volume, pattern variability) micro-level (discrete measures features. Macro-level showed had similar quantities compared controls. Micro-level within walking bouts that impaired quality mobility. Specifically, people made larger turns, longer turning durations, slower average peak velocities (all p < 0.001), greater turn variability Results highlighted rather than quantity differentiated from Our findings support use monitoring enhance understanding specific mTBI-related deficits. Future work is required develop optimal battery across spectrum aid application clinical practice.

参考文章(66)
A. G. Schneiders, S. J. Sullivan, P. Handcock, A. Gray, P. R. McCrory, Sports concussion assessment: the effect of exercise on dynamic and static balance Scandinavian Journal of Medicine & Science in Sports. ,vol. 22, pp. 85- 90 ,(2012) , 10.1111/J.1600-0838.2010.01141.X
Emily Olson, Carlie Badder, Sarah Sullivan, Colin Smith, Kathleen Propert, Susan S. Margulies, Alterations in Daytime and Nighttime Activity in Piglets after Focal and Diffuse Brain Injury. Journal of Neurotrauma. ,vol. 33, pp. 734- 740 ,(2016) , 10.1089/NEU.2015.4085
Arthur Maerlender, Wanda Rieman, Jonathan Lichtenstein, C. Condiracci, Programmed physical exertion in recovery from sports-related concussion: a randomized pilot study Developmental Neuropsychology. ,vol. 40, pp. 273- 278 ,(2015) , 10.1080/87565641.2015.1067706
David Howell, Louis Osternig, Li-Shan Chou, Monitoring recovery of gait balance control following concussion using an accelerometer Journal of Biomechanics. ,vol. 48, pp. 3364- 3368 ,(2015) , 10.1016/J.JBIOMECH.2015.06.014
Lai Yee Leung, Zachary Larimore, Larry Holmes, Casandra Cartagena, Andrea Mountney, Ying Deng-Bryant, Kara Schmid, Deborah Shear, Frank Tortella, The WRAIR Projectile Concussive Impact Model of Mild Traumatic Brain Injury: Re-design, Testing and Preclinical Validation Annals of Biomedical Engineering. ,vol. 42, pp. 1618- 1630 ,(2014) , 10.1007/S10439-014-1014-8
Alexander C.H. Geurts, Gerardus M. Ribbers, Johannes A. Knoop, Jacques van Limbeek, Identification of static and dynamic postural instability following traumatic brain injury Archives of Physical Medicine and Rehabilitation. ,vol. 77, pp. 639- 644 ,(1996) , 10.1016/S0003-9993(96)90001-5
Bara A. Alsalaheen, Anne Mucha, Laura O. Morris, Susan L. Whitney, Joseph M. Furman, Cara E. Camiolo-Reddy, Michael W. Collins, Mark R. Lovell, Patrick J. Sparto, Vestibular rehabilitation for dizziness and balance disorders after concussion. Journal of Neurologic Physical Therapy. ,vol. 34, pp. 87- 93 ,(2010) , 10.1097/NPT.0B013E3181DDE568
Hopin Lee, S John Sullivan, Anthony G Schneiders, None, The use of the dual-task paradigm in detecting gait performance deficits following a sports-related concussion: A systematic review and meta-analysis Journal of Science and Medicine in Sport. ,vol. 16, pp. 2- 7 ,(2013) , 10.1016/J.JSAMS.2012.03.013
Samer M. Jaber, Sarah Sullivan, Susan S. Margulies, Noninvasive metrics for identification of brain injury deficits in piglets. Developmental Neuropsychology. ,vol. 40, pp. 34- 39 ,(2015) , 10.1080/87565641.2014.969733
Jian Luo, Andy Nguyen, Saul Villeda, Hui Zhang, Zhaoqing Ding, Derek Lindsey, Gregor Bieri, Joseph M. Castellano, Gary S. Beaupre, Tony Wyss-Coray, Long-term cognitive impairments and pathological alterations in a mouse model of repetitive mild traumatic brain injury Frontiers in Neurology. ,vol. 5, pp. 12- 12 ,(2014) , 10.3389/FNEUR.2014.00012