Gait & Posture
Volume 25, Issue 1 , Pages 70-77 , January 2007

Changes in gait variability during different challenges to mobility in patients with traumatic brain injury

  • E. Niechwiej-Szwedo

      Affiliations

    • Restorative Motor Control Lab, Graduate Department of Rehabilitation Science, Toronto, Ont., Canada
    • Restorative Motor Control Lab, Toronto Rehabilitation Institute, Toronto, Ont., Canada
    • ,
  • E.L. Inness

      Affiliations

    • Restorative Motor Control Lab, Graduate Department of Rehabilitation Science, Toronto, Ont., Canada
    • Department of Physical Therapy, University of Toronto, Toronto, Ont., Canada
    • Restorative Motor Control Lab, Toronto Rehabilitation Institute, Toronto, Ont., Canada
    • ,
  • J.A. Howe

      Affiliations

    • Department of Physical Therapy, University of Toronto, Toronto, Ont., Canada
    • Restorative Motor Control Lab, Toronto Rehabilitation Institute, Toronto, Ont., Canada
    • ,
  • S. Jaglal

      Affiliations

    • Restorative Motor Control Lab, Graduate Department of Rehabilitation Science, Toronto, Ont., Canada
    • Department of Physical Therapy, University of Toronto, Toronto, Ont., Canada
    • Restorative Motor Control Lab, Toronto Rehabilitation Institute, Toronto, Ont., Canada
    • ,
  • W.E. McIlroy

      Affiliations

    • Restorative Motor Control Lab, Graduate Department of Rehabilitation Science, Toronto, Ont., Canada
    • Department of Physical Therapy, University of Toronto, Toronto, Ont., Canada
    • Restorative Motor Control Lab, Toronto Rehabilitation Institute, Toronto, Ont., Canada
    • ,
  • M.C. Verrier

      Affiliations

    • Restorative Motor Control Lab, Graduate Department of Rehabilitation Science, Toronto, Ont., Canada
    • Department of Physical Therapy, University of Toronto, Toronto, Ont., Canada
    • Restorative Motor Control Lab, Toronto Rehabilitation Institute, Toronto, Ont., Canada
    • Corresponding Author InformationCorresponding author at: Restorative Motor Control Lab, Graduate Department of Rehabilitation Science, University of Toronto, 500 University Avenue, Toronto, Ont., Canada M5G 1V7. Tel.: +1 416 978 5935; fax: +1 416 946 8762.

Received 12 September 2005 ,Revised 28 November 2005 ,Accepted 6 January 2006.

References 

  1. Masson F, Maurette P, Salmi LR, Dartigues JF, Vecsey J, Destaillats JM, et al. Prevalence of impairments 5 years after a head injury, and their relationship with disabilities and outcome. Brain Inj. 1996;10(7):487–497
  2. Anderson SI, Wilson CL, McDowell IP, Pentland B, Gray JM, Robertson IH. Late rehabilitation for closed head injury: a follow-up study of patients 1 year from time of discharge. Brain Inj. 1996;10(2):115–124
  3. Basford JR, Chou LS, Kaufman KR, Brey RH, Walker A, Malec JF, et al. An assessment of gait and balance deficits after traumatic brain injury. Arch Phys Med Rehabil. 2003;84:249–343
  4. McFadyen BJ, Swaine B, Dumas D, Durand A. Residual effects of a traumatic brain injury on locomotor capacity: a first study of spatiotemporal patterns during unobstructed and obstructed walking. J Head Trauma Rehabil. 2003;18:512–525
  5. Inness EL, Howe JA, Niechwiej-Szwedo E, Jaglal S, McIlroy WE, Verrier MC. Measuring balance and mobility after traumatic brain injury: further validation of the Community Balance & Mobility Scale (CB&M). Arch Phys Med Rehabil. 2004;85:E11;(Abstract)
  6. Townsend MA. Biped gait stabilization via foot placement. J Biomech. 1985;18:21–38
  7. Winter DA. Foot trajectory in human gait: a precise and multifactorial motor control task. Phys Ther. 1992;72:45–53
  8. Van Emmerik RE, van Wegen EE. On the functional aspects of variability in postural control. Exer Sports Sci Rev. 2002;30(4):177–183
  9. Heitmann DK, Gossman MR, Shaddeau SA, Jackson JR. Balance performance and step width in non-institutionalized, elderly, female fallers and non-fallers. Phys Ther. 1989;69:923–931
  10. Maki BE. Gait changes in older adults; predictors of falls or indicators of fear?. J Am Geriatr Soc. 1997;45:313–320
  11. Hausdorff JM, Rios DA, Edelberg HK. Gait variability and fall risk in community-living older adults: a 1-year prospective study. Arch Phys Med Rehabil. 2001;82:1050–1056
  12. MacKay-Lyons M. Variability in spatiotemporal gait characteristics over the course of the l-dopa cycle in people with advanced Parkinson disease. Phys Ther. 1998;78:1083–1094
  13. Nakamura T, Meguro K, Sasaki H. Relationship between falls and stride length variability in senile dementia of the Alzheimer type. Gerontology. 1996;42:108–113
  14. Hausdorff JM, Schaafsma JD, Balash , Bartels AL, Gurevich T, Giladi N. Impaired regulation of stride variability in Parkinson's disease subjects with freezing of gait. Exp Brain Res. 2003;149:187–194
  15. Bilney B, Morris M, Webster K. Concurrent related validity of the GAITRite® walkway system for quantification of the spatial and temporal parameters of gait. Gait Posture. 2003;17:68–78
  16. Zar JH. Biostatistical analysis. 2nd ed.. Englewood Cliffs, NJ: Prentice-Hall; 1984;
  17. Langlois JA, Keyl PM, Guralnik JM, Foley DJ, Marottoli RA. Characteristics of older pedestrians who have difficulty crossing the street. Am J Public Health. 1997;87(3):393–397
  18. Danion F, Varraine E, Bonnard M, Pailhous J. Stride variability in human gait: the effect of stride frequency and stride length. Gait Posture. 2003;18:69–77
  19. Winter DA. Human balance and posture control during standing and walking. Gait Posture. 1995;3:193–214
  20. Patla AE. How is human gait controlled by vision?. Ecolog Psychiatr. 1998;10:287–302

PII: S0966-6362(06)00006-3

doi: 10.1016/j.gaitpost.2006.01.002

Gait & Posture
Volume 25, Issue 1 , Pages 70-77 , January 2007

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