OBJECTIVE: To assess the sensations of instability that many patients report after traumatic brain injury (TBI). DESIGN: A controlled study. SETTING: A motion analysis and vestibular and balance laboratory. PARTICIPANTS: Twenty subjects, 10 with TBI and complaints of instability, and 10 without TBI. INTERVENTIONS: Balance and gait analysis. MAIN OUTCOME MEASURES: Dizziness Handicap Inventory (DHI), caloric irrigation, optokinetic testing, Dix-Hallpike Test, posturography, and center of mass (COM) movement. RESULTS: Subjects were well matched in terms of age, height, weight, and gender. DHI scores of those with and without TBI differed significantly (32.2+/-23.0 vs 0.2+/-0.63, P<.001). Caloric and optokinetic circularvection testing were abnormal only in subjects with TBI (8/10 and 4/10, respectively). Benign paroxysmal positioning vertigo was present in only 3 subjects with TBI, and this either resolved spontaneously (n=1) or was successfully treated (n=2). Composite posturography scores of those with and without TBI differed significantly (69.6+/-35.8 vs 79.5+/-40.5, P=.02). Gait parameters also differed significantly between the groups (P=.05), with the subjects with TBI having lower anterior and posterior and higher medial and lateral COM displacements and velocities. CONCLUSIONS: Patients' complaints of instability after TBI may have objective correlates and may be rectifiable. Balance and gait testing in these patients is warranted. Copyright 2003 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation
OBJECTIVE: To assess the sensations of instability that many patients report after traumatic brain injury (TBI). DESIGN: A controlled study. SETTING: A motion analysis and vestibular and balance laboratory. PARTICIPANTS: Twenty subjects, 10 with TBI and complaints of instability, and 10 without TBI. INTERVENTIONS: Balance and gait analysis. MAIN OUTCOME MEASURES: Dizziness Handicap Inventory (DHI), caloric irrigation, optokinetic testing, Dix-Hallpike Test, posturography, and center of mass (COM) movement. RESULTS: Subjects were well matched in terms of age, height, weight, and gender. DHI scores of those with and without TBI differed significantly (32.2+/-23.0 vs 0.2+/-0.63, P<.001). Caloric and optokinetic circularvection testing were abnormal only in subjects with TBI (8/10 and 4/10, respectively). Benign paroxysmal positioning vertigo was present in only 3 subjects with TBI, and this either resolved spontaneously (n=1) or was successfully treated (n=2). Composite posturography scores of those with and without TBI differed significantly (69.6+/-35.8 vs 79.5+/-40.5, P=.02). Gait parameters also differed significantly between the groups (P=.05), with the subjects with TBI having lower anterior and posterior and higher medial and lateral COM displacements and velocities. CONCLUSIONS:Patients' complaints of instability after TBI may have objective correlates and may be rectifiable. Balance and gait testing in these patients is warranted. Copyright 2003 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation
Authors: Jennifer M Yentes; Jessie M Huisinga; Sara A Myers; Iraklis I Pipinos; Jason M Johanning; Nicholas Stergiou Journal: J Appl Biomech Date: 2012-05 Impact factor: 1.833
Authors: Theresa Currier Thomas; Sarah B Ogle; Benjamin M Rumney; Hazel G May; P David Adelson; Jonathan Lifshitz Journal: Behav Brain Res Date: 2016-12-29 Impact factor: 3.332
Authors: Elizabeth J Woytowicz; Chandler Sours; Rao P Gullapalli; Joseph Rosenberg; Kelly P Westlake Journal: Brain Inj Date: 2017-11-28 Impact factor: 2.311
Authors: Nicole L Day; Candace L Floyd; Tracy L D'Alessandro; William J Hubbard; Irshad H Chaudry Journal: J Neurotrauma Date: 2013-07-23 Impact factor: 5.269
Authors: Elizabeth L Inness; Jo-Anne Howe; Ewa Niechwiej-Szwedo; Susan B Jaglal; William E McIlroy; Molly C Verrier Journal: Physiother Can Date: 2011-04-13 Impact factor: 1.037
Authors: Noelle E Carlozzi; Michael A Kallen; Robin Hanks; Elizabeth A Hahn; Tracey A Brickell; Rael T Lange; Louis M French; Anna L Kratz; David S Tulsky; David Cella; Jennifer A Miner; Phillip A Ianni; Angelle M Sander Journal: Arch Phys Med Rehabil Date: 2018-09-07 Impact factor: 3.966