scholarly journals The Influence of Different Footwear on Balance and Gait Recovery of Persons with Traumatic Brain Injury during the Second Phase of Rehabilitation

2020 ◽  
Vol 2 (3) ◽  
Author(s):  
Rasa Šakalienė ◽  
Vaida Diliūnaitė
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Balance Training ◽  
Gait Training ◽  
Control Group ◽  
Second Phase ◽  
Training Methods ◽  
Balance Test ◽  
Significant Difference ◽  
Experimental Group

The individuals with traumatic brain injury (TBI) have impairments of cognitive, social and motor functions. Gait impairment is a very important factor for individuals with TBI, since it directly affects the patients’ activities of daily living and their social integration in society. Impaired gait also increases the risk of falls. Gait and balance training is an important factor for the achievement of independence, quality of life and sense of security in moving for persons with TBI, but there is no common approach to these patients’ rehabilitation and gait training methods. It is not clear whether during physiotherapy the patients who wore MBT (Masai Barefoot Technology) shoes couldundergo gait and balance recovery more efficiently than those, who wore usual shoes. The aim of the research was to evaluate the influence of different footwear on balance and gait recovery in persons with traumatic brain injury during the second phase of rehabilitation. Research sample consisted of 30 individuals (19–43 yr) who suffered mild to moderate TBI. Targeted persons were randomily divided into two groups of 15 patients: the control group consisted of 15 patients – 10 men and 5 women (age 31.6 ± 8.3 yr), who received the gait and balance training program with normal shoes in the physiotherapy room. The experimental group also consisted of 15 patients – 12 men and 3 women (age 30.6 ± 6.2 yr). The patients of the experimental group did the same exercises, but during physiotherapy they wore MBT shoes. The changes of gait indices for both groups were assessed by Emory gait scale, the changes of balance – by Fullerton balance test. The control of balance and gait significantly improved in both groups (p < 0.001) after rehabilitation. However, the balance and gait improvement in the patients with mild and moderate TBI, who were wearing MBT shoes during the physiotherapy, was exactly the same as in persons, who were wearing usual shoes during the physiotherapy. So, the significant difference between the groups (p > 0.05) was not found. The wearing of MBT shoes during the physiotherapy procedures did not affect the balance and gait recovery in persons with mild and moderate TBI.Keywords: traumatic brain injury, physiotherapy, MBT shoes, gait.

scholarly journals Effect of Right Median Nerve Stimulation on Level of Consciousness in Traumatic Brain Injury Subjects

2016 ◽  
Vol 8 (3) ◽  
pp. 67
Author(s):  
Sirisha Nekkanti ◽  
Rahul Shaik ◽  
Srinivas Mondem ◽  
Nandini Meruva ◽  
Gunathevan Elumalai
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Median Nerve ◽  
Nerve Stimulation ◽  
Control Group ◽  
Coma Scale ◽  
Median Nerve Stimulation ◽  
Significant Difference ◽  
Level Of Consciousness ◽  
Experimental Group

<p class="Default"><strong>Background</strong>: The median nerve serves a peripheral gateway to the central nervous system. Median nerve stimulation is positively associated with regaining the level of consciousness in patients with traumatic brain injury, but the level of evidence is still a research question. So the purpose of the study is to find out the effectiveness of right median nerve stimulation on the level of consciousness and the relation between them in subjects with traumatic brain injury.<strong> Methodology: </strong>Twenty subjects with traumatic brain injury of axonal type were selected for study and randomized into two groups. Experimental group received right median nerve stimulation along with medications where as control group received medications only one month, 30 minutes a day. Glasgow coma scale is used to assess the changes in conscious levels<strong>. Result: </strong>The results have revealed that there is significance improvement noted in experimental group when compared to control group. Comparison  of Glassgow coma scale scores between experimental and control groups after one month showed significant difference with a P value 0.0261.<strong> Conclusion: </strong>Right median nerve stimulation is strongly associated with improvement of consciousness in patients with traumatic brain injury.</p><p><strong> </strong></p><p><strong> </strong></p>

scholarly journals The impact of various physiotherapy programs on static and dynamic balance for patients after stroke

2018 ◽  
Vol 4 (111) ◽  
pp. 39-44
Author(s):  
Dalia Mickevičienė ◽  
Erika Masiulytė ◽  
Neringa Švedaitė
Keyword(s):  
Dynamic Balance ◽  
Intervention Group ◽  
Balance Training ◽  
Gait Training ◽  
Average Score ◽  
Control Group ◽  
Training Methods ◽  
Balance Test ◽  
Physiotherapy Program ◽  
The Impact

Background. The imbalance in many scientific sources is described as a major disorder in patients with a history of stroke. Often, the importance or disruption of torso control is also indicated on balance impairments. We believe that both physiotherapy programs will have impact on balance however better results on balance tests will be in group which balance training composed of unstable planes. Research aim was to measure impact of various physiotherapy programs on static and dynamic balance for patients after stroke. Methods. To evaluate changes of static and dynamic balance we used: Berg balance test, Tinetti test, PASS test, dynamic gait index, trunk impairment scale, special STREAM movements test for patients after stroke, Mini balance evaluation test for patients after stroke. Training methods of balance were for two different physiotherapy programs: intervention group (basic physiotherapy program with exercises on unstable planes) and control group (basic physiotherapy program with gait training elements). Results. When evaluating balance, results in both groups were almost equal, which shows that balance was disturbed and there was a huge risk of falls, moreover all patients walked with aid measures. At the beginning of rehabilitation, the average of all balance evaluating tests in both groups scored 16.92 and 15.05. All results were statistically significant (p < .05). At the end of research, variations between all test results were defined statistically significant. Repeatedly evaluating results of both groups at the end of rehabilitation, all test averages were improved: at the beginning, the intervention group average score was 16.92 and after rehabilitation, it was 34.79. For control group results, the average score of all tests was 15.05 and at the end it was 31.90. Summing up, it was established that in both groups balance in rehabilitation period improved. Conclusions. Physiotherapy programs based on exercises on unstable planes or gait training elements improve balance for patients after stroke. Many studies have confirmed the hypothesis of our study that using unstable planes or walking training methods improve balance, but for a statistically significant change in improving the balance, it will be necessary to use unstable planes.

scholarly journals Sleep Disorders Following Mild and Moderate Traumatic Brain Injury

2019 ◽  
Vol 9 (1) ◽  
pp. 10 ◽  
Author(s):  
Laith Al-Ameri ◽  
Talib Mohsin ◽  
Ali Abdul Wahid
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Sleep Disorders ◽  
Sleep Disturbances ◽  
Sleep Latency ◽  
Control Group ◽  
P Value ◽  
Sleeping Disorders ◽  
Moderate Traumatic Brain Injury ◽  
Significant Difference

(1) Background: Sleeping disorders are frequently reported following traumatic brain injury (TBI). Different forms of sleeping disorders have been reported, such as sleepiness, insomnia, changes in sleeping latency, and others. (2) Methods: A case-control study with 62 patients who were victims of mild or moderate TBI with previous admissions to Iraqi tertiary neurosurgical centers were enrolled as the first group, and 158 patients with no history of trauma were considered as the control. All were 18 years of age or older, and the severity of the trauma and sleep disorders was assessed. The Pittsburgh sleep quality index was used to assess sleep disorders with average need for sleep per day and average sleep latency were assessed in both groups. Chi-square and t-test calculations were used to compare different variables. (3) Results: 39 patients (24.7%) of the controlled group experienced sleeping disorders compared to TBI group with 45 patients (72.6%), P-value < 0.00001. A total of 42 patients were diagnosed on admission as having a mild degree of TBI (mean GCS 13.22 ± 1.76) and 20 patients were diagnosed with moderate TBI (mean GCS11.05 ± 1.14. 27). A total of 27 (46.28%) patients with mild severity TBI and 18 patients (90%) of moderate severity were considered to experience sleeping disorders, P-value 0.0339. Each of the mild and moderate TBI subgroups show a P-value < 0.00001 compared to the control group. Average sleep hours needed per day for TBI and the control were 8.02 ± 1.04 h and 7.26 ± 0.58 h, respectively, P-value < 0.00001. Average sleep latency for the TBI and the control groups were 13.32 ± 3.16 min and 13.93 ± 3.07 min respectively, P-value 0.065. (4) Conclusion: Sleep disturbances are more common following mild and moderate TBI three months after the injury with more hours needed for sleep per day and no significant difference in sleep latency. Sleep disturbances increase in frequency with the increase in the severity of TBI.

scholarly journals Hyperbaric oxygen for severe traumatic brain injury: a randomized trial

2020 ◽  
Vol 48 (10) ◽  
pp. 030006052093982
Author(s):  
Xianliang Zhong ◽  
Aijun Shan ◽  
Jianzhong Xu ◽  
Jian Liang ◽  
Ying Long ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Hyperbaric Oxygen ◽  
Severe Traumatic Brain Injury ◽  
Hyperbaric Oxygen Therapy ◽  
Oxygen Therapy ◽  
Vital Signs ◽  
Neurological Function ◽  
Control Group ◽  
Experimental Group

Objective The present study aimed to explore the effects of hyperbaric oxygen therapy on the prognosis and neurological function of patients with severe traumatic brain injury. Methods A prospective study was carried out in 88 patients diagnosed with severe brain injury at our hospital and they were enrolled as research participants and randomly assigned to control and experimental groups (n = 44 per group) using a random number table method. Both groups underwent routine treatment. Patients in the experimental group were administered hyperbaric oxygen therapy approximately 1 week after admission when their vital signs had stabilized. Results No significant intergroup differences were observed in the Glasgow Coma Scale (GCS) and U.S. National Institutes of Health Stroke Scale (NIHSS) scores before treatment. However, after oxygen treatment, compared with the control group, the experimental group showed higher GCS and lower NIHSS scores. The GCS score at admission, tracheotomy status, and first hyperbaric oxygen therapy duration were independent prognostic factors in patients with severe traumatic brain injury. Conclusion Hyperbaric oxygen therapy may promote recovery of neurological function and improve the cognitive function and prognosis of patients with severe traumatic brain injury.

scholarly journals Metabolic Correction of Primary Hemostasis in the Acute Phase of Traumatic Brain Injury

2021 ◽  
Vol 17 (1) ◽  
pp. 57-68
Author(s):  
G. A. Boyarinov ◽  
O. D. Solovyova ◽  
E. I. Yakovleva ◽  
L V. Boyarinova ◽  
A. V. Deryugina
Keyword(s):  
Traumatic Brain Injury ◽  
Endothelial Cells ◽  
Platelet Count ◽  
Brain Injury ◽  
Acute Phase ◽  
Intraperitoneal Administration ◽  
Control Group ◽  
Liver Sinusoid ◽  
Primary Hemostasis ◽  
Experimental Group

The aim of the study was to investigate the effect of ethylmethylhydroxypyridine on the ultrastructural alterations in endothelial cells of liver sinusoidal capillaries (SC) and primary hemostasis in the acute phase of traumatic brain injury (TBI).Materials and methods. Ultrastructural endothelial cell changes were studied in 36 female outbred rats in the acute phase of TBI using electron microscopy, and the platelet count was determined using a blood analyzer. The experimental group (n=18) animals received intraperitoneal injections of ethylmethylhydroxypyridine at the dose of 8.0 mg/kg per day for 12 days, and the control group (n=18) rats were administered with normal saline solution at the same dose.Results. Administration of ethylmethylhydroxypyridine in the early post TBI period reduced microvilli damage in endothelial, hepatic and stellate cells in the Disse space, whereas in the control group a significant decrease of these cells counts was detected. In contrast to the control group, the experimental group animals did not demonstrate thrombocytopenia on the days 1, 3, and 7 after injury. There was a significant increase in the platelet count compared with the baseline values, which was highest on day 12 after injury.Conclusion. Intraperitoneal administration of ethylmethylhydroxypyridine in rats in early post TBI period inhibited the TBI-associated damaging effect of secondary factors on liver sinusoid endothelial cells and platelet consumption.

scholarly journals The Effect of 8-Week Balance Training on the Agility, Strength, Balance Performance and Tennis Skills of 10-14 Year-Old Tennis Players

2020 ◽  
Vol 6 (2) ◽  
pp. 170
Author(s):  
Esin Ergin ◽  
Engin Arslan
Keyword(s):  
Vertical Jump ◽  
Balance Training ◽  
Control Group ◽  
Balance Performance ◽  
Control Groups ◽  
Tennis Players ◽  
Significant Difference ◽  
Tennis Skills ◽  
And Control ◽  
Experimental Group

The present study aimed to examine the effect of an 8-week balance training on the agility, strength, balance performance and tennis skills of tennis players aged 10-14. The study was participated by 19 tennis players (10 males and 9 females) playing in the EA Tennis Academy. The participants were selected randomly and divided into two groups as experimental group (9 players) and the control groups (10 players). Firstly, vertical jump, pro-agility, dynamic balance and ITN tennis skills tests were applied to all the participants. After all the test were completed, the experimental group were applied 8 weeks of balance and tennis training while the players in the control group continued tennis training only. The same tests were applied to the participants at the end of the 8 weeks. The findings of the study showed statistically significant improvement in the agility, balance index and tennis skills tests in the pre-test and post-tests of the experimental group (p = 0.034, p = 0.025, p = 0.003), whereas improvement was seen only in the tennis skills test of the control group (p = 0.000). In addition, no statistically significant difference was found in the vertical jump performance used to determine the explosive strength both in the experimental and control groups. As for the difference between groups, a significant difference was found only in the pro-agility post-tests of the experimental and control groups (p < 0.05). Based on these findings, it was revealed that balance training would improve agility and balance in 10-14 year-old children as well as contributing to their tennis skills. Therefore, it is considered that balance training should be included in training plans.

scholarly journals Effect of preoperative antiplatelet or anticoagulation therapy on hemorrhagic complications in patients with traumatic brain injury undergoing craniotomy or craniectomy

2019 ◽  
Vol 47 (5) ◽  
pp. E3 ◽  
Author(s):  
Ladina Greuter ◽  
Muriel Ullmann ◽  
Luigi Mariani ◽  
Raphael Guzman ◽  
Jehuda Soleman
Keyword(s):  
Traumatic Brain Injury ◽  
Regression Analysis ◽  
Brain Injury ◽  
Univariate Analysis ◽  
Postoperative Bleeding ◽  
Acute Subdural Hematoma ◽  
Control Group ◽  
Bleeding Events ◽  
Cox Regression Analysis ◽  
Significant Difference

OBJECTIVETraumatic brain injury (TBI) is common among the elderly, often treated with antiplatelet (AP) or anticoagulation (AC) therapy, creating new challenges in neurosurgery. In contrast to elective craniotomy, in which AP/AC therapy is mostly discontinued, in TBI usually no delay in treatment can be afforded. The aim of this study was to analyze the effect of AP/AC therapy on postoperative bleeding after craniotomy/craniectomy in TBI.METHODSPostoperative bleeding rates in patients treated with AP/AC therapy (blood thinner group) and in those without AP/AC therapy (control group) were retrospectively compared. Furthermore, univariate and multivariate analyses were conducted to identify risk factors for postoperative bleeding. Lastly, a proportional Cox regression analysis comparing postoperative bleeding events within 14 days in both groups was performed.RESULTSOf 143 consecutive patients undergoing craniotomy/craniectomy for TBI between 2012 and 2017, 47 (32.9%) were under AP/AC treatment. No significant difference for bleeding events was observed in univariate (40.4% blood thinner group vs 36.5% control group; p = 0.71) or Cox proportional regression analysis (log rank χ2 = 0.29, p = 0.59). Patients with postoperative bleeding showed a significantly higher mortality rate (p = 0.035). In the univariate analysis, hemispheric lesion, acute subdural hematoma, hematological disease, greater extent of midline shift, and pupillary difference were significantly associated with a higher risk of postoperative bleeding. However, in the multivariate regression analysis none of these factors showed a significant association with postoperative bleeding.CONCLUSIONSPatients treated with AP/AC therapy undergoing craniotomy/craniectomy due to TBI do not appear to have increased rates of postoperative bleeding. Once postoperative bleeding occurs, mortality rates rise significantly.

scholarly journals Effects of Hyperbaric Oxygen Therapy on Serum Adhesion Molecules, and Serum Oxidative Stress in Patients with Acute Traumatic Brain Injury

2021 ◽  
Vol 11 (10) ◽  
pp. 985
Author(s):  
Hung-Chen Wang ◽  
Pei-Ming Wang ◽  
Yu-Tsai Lin ◽  
Nai-Wen Tsai ◽  
Yun-Ru Lai ◽  
...  
Keyword(s):  
Oxidative Stress ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Adhesion Molecules ◽  
Cell Adhesion Molecule ◽  
Control Group ◽  
Significant Difference ◽  
Acute Traumatic Brain Injury ◽  
And Control ◽  
Cell Adhesion Molecule 1

Background: Serum concentrations of adhesion molecules and oxidative stress is thought to participate in the pathobiology of secondary brain injury after acute traumatic brain injury (TBI). We aimed to study the hypothesis that hyperbaric oxygen therapy (HBOT) both improves the adhesion molecules levels and antioxidant capacity. Methods: Thirty blood samples from ten patients after acute TBI were obtained after injury and before and after HBOT. Four patients received early HBOT started two weeks after injury, four patients received late HBOT started ten weeks after injury and two patients did not receive HBOT and served as control in this study. The HBOT patients received total 30 times HBOT in six weeks period. Results: Those serum biomarkers in patients with TBI had not significantly difference in glutathione (GSH), thiobarbituric acid reactive substances (TBARS), soluble intercellular cell adhesion-molecule-1 (sICAM-1) and soluble vascular cell adhesion molecule-1 (sVCAM-1) concentrations on admission between early HBOT, late HBOT, and control group (p = 0.916, p = 0.98, p = 0.306, and p = 0.548, respectively). Serum GSH levels were higher at 10 weeks after injury in the early HBOT group than in the late HBOT group and control group (mean, 1.40 μmol/L, 1.16 μmol/L, and 1.05 μmol/L, respectively). Then the serum GSH level was increased at 18 weeks after injury in the late HBOT group (mean, 1.49 μmol/L). However, there was only statistically significant difference at Weeks 18 (p = 0.916, p = 0.463, and p = 0.006, at Week 2, Week 10, and Week 18, respectively). Serum TBARS levels were decreased at 10 weeks after injury in the early HBOT group than in the late HBOT group and control group (mean, 11.21 μmol/L, 17.23 μmol/L, and 17.14 μmol/L, respectively). Then the serum TBARS level was decreased at 18 weeks after injury in the late HBOT group (mean, 12.06 μmol/L). There was statistically significant difference after HBOT (p = 0.98, p = 0.007, and p = 0.018, at Week 2, Week 10, and Week 18, respectively). There was no statistically significant difference between the three groups on sICAM-1 and sVCAM-1 levels from Week 2 to Week 18. Conclusions: HBOT can improve serum oxidative stress in patients after TBI. These molecules may be added as evaluation markers in clinical practice. Perhaps in the future it may also become part of the treatment of patients after acute traumatic brain injury. Further large-scale study may be warrant.

scholarly journals The Role of Dietitian in Improving Energy and Protein Intake in Traumatic Brain Injury Patients Admitted to the Neurosurgical Intensive Care Unit

2020 ◽  
Vol 5 (3 And 4) ◽  
pp. 109-116
Author(s):  
Fatemeh Ramezani Kapourchali ◽  
◽  
Ali Malekshahi Moghadam ◽  
Anoush Dehnadi Moghadam ◽  
Shahrokh Yousefzadeh-Chabok ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Mechanical Ventilation ◽  
Brain Injury ◽  
Protein Intake ◽  
Brain Injuries ◽  
Average Energy ◽  
Nutritional Intervention ◽  
Traumatic Brain Injuries ◽  
Control Group ◽  
Significant Difference

Introduction:Early and sufficient nutritional support is vital to improve outcomes in patients with traumatic brain injury. This study aims to determine the effects of dietitian involvementin the nutritional and clinical outcomes inpatients with traumatic brain injuries admitted tothe neurosurgical ICU. Materials &Methods: Forty-eight male patients with traumatic brain injuries admitted to Poursina Hospital neurosurgical ICU were studied, retrospectively. Patients were divided to either receive dietitian intervention or without any nutritional recommendation(control). Demographic information, Glasgow Coma Scale and Acute Physiology and Chronic Health Evaluation II (APACHE II) scores, the timing of initial enteral feeding, the amount of energy and protein intakeon day 4, the duration of mechanical ventilation and ICU length of stay were recorded. Results:Patients under the dietitian recommendation had significantly lower timing of initial enteral nutrition compared to the other cases (P=0.02). The average energy or protein intake and the percentage of target energy or protein intake on day4 appeared to be significantly lower in the subjects in the control group than in those with nutritional intervention(P≤0.001). There was no statistically significant difference in the duration of mechanical ventilation and ICU length of staybetween different groups of patients. Conclusions:Instead of occasional consultations for exclusive cases, the daily attendance of dietitians during multidisciplinary rounds of ICU is required to assess the nutritional needs of patients.

scholarly journals The effect of six weeks CoBAgi training on coordination, dynamic balance & agility of adolescent handball players

2021 ◽  
Vol 25 (1) ◽  
pp. 31-38
Author(s):  
Mohamad Hasif B. Mohamad Puzi ◽  
Lee A. Choo
Keyword(s):  
Dynamic Balance ◽  
Training Session ◽  
Control Group ◽  
Balance Test ◽  
The Social ◽  
Significant Difference ◽  
Quasi Experimental ◽  
Run Test ◽  
Experimental Group ◽  
Prevention Plan

Background and Study Aim. The aim of this study is to investigate the effects CoBAgi Training which apply neuromuscular training, sport specific movements that couple with perturbation variation on coordination, dynamic balance and agility among adolescent handball players. Material and Methods. Quantitative randomized controlled trials quasi-experimental design with pretest and posttest evaluation used for this study. A total of 30 adolescent handball players (aged: 14.00 ± 0.83 years) were recruited as participants. Purposive sampling methods were used for these purposes. The participants were randomly assigned into two groups i.e. control group (CG: n=15) and experimental group (EG: n=15). EG undergone six weeks CoBAgi training while CG followed their usual training routine with supervision of the researcher, there times a week for 6 weeks. In order to measure the effect of these training on coordination, dynamic balance and agility, participants have performed Carioca Test, Star Excursion Balance Test (SEBT) and L-Run Test during pre-training and post-training session. The data were analyzed through Independent Samples t-test with p<0.05 “Statistical Package for the Social Sciences” (SPSS) program. Result. After completed the six weeks training duration, there were significant difference identified in coordination (t=-2.290, P=0.030*), dynamic balance (t= 4.802, P=0.000*) and agility (t=-3.202, P= 0.003*) between EG and CG. Conclusion. Therefore, this study revealed that CoBAgi training could improve abilities performance of coordination, dynamic balance and agility, and this suggesting that CoBAgi training may be use as rehabilitation and pre-rehabilitation training strategies in order for injury prevention plan as well as improve sports performance especially among the adolescent handball players.

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