Efficacy of Gait and Balance-Specific Training for a Patient with a Diffuse Axonal Injury / Severe Traumatic Brain Injury: A Retrospective Case Report

Author/ Authors/ Presenter/ Presenters/ Panelists:

Shaun Ernst, Governors State UniversityFollow

Type of Presentation

Poster Session

Start Date

4-12-2019 4:00 PM

End Date

4-2019 6:00 PM

Abstract

The purpose of this retrospective case report is to add to the current body of literature discussing the efficacy of gait and balance specific training for a patient with a severe diffuse axonal injury (DAI) / severe traumatic brain injury (TBI) who participated in physical therapy to return to safe ambulation in the community, driving, and return to sport activities. Case Description: The patient was a 21 year old Caucasian male and collegiate athlete who incurred a DAI/TBI in a motor vehicle accident while waiting at a stoplight. The patient presented to outpatient physical therapy to improve his gait, balance, and coordination in order to improve his safety and return to his prior level of function. Outcomes: The patient achieved the maximum score for the Dynamic Gait Index (DGI) and Lower Extremity Functional Scale (LEFS) and returned to all functional and recreational activities of daily living without complaints of difficulty. Discussion: The patient’s improvements may be an indication of the efficacy of gait and balance-specific interventions for improving impaired balance, gait, and locomotion in patients who have incurred a severe DAI/TBI.

Faculty / Staff Sponsor

Dr. Roberta OShea

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Apr 12th, 4:00 PM Apr 1st, 6:00 PM

Efficacy of Gait and Balance-Specific Training for a Patient with a Diffuse Axonal Injury / Severe Traumatic Brain Injury: A Retrospective Case Report

The purpose of this retrospective case report is to add to the current body of literature discussing the efficacy of gait and balance specific training for a patient with a severe diffuse axonal injury (DAI) / severe traumatic brain injury (TBI) who participated in physical therapy to return to safe ambulation in the community, driving, and return to sport activities. Case Description: The patient was a 21 year old Caucasian male and collegiate athlete who incurred a DAI/TBI in a motor vehicle accident while waiting at a stoplight. The patient presented to outpatient physical therapy to improve his gait, balance, and coordination in order to improve his safety and return to his prior level of function. Outcomes: The patient achieved the maximum score for the Dynamic Gait Index (DGI) and Lower Extremity Functional Scale (LEFS) and returned to all functional and recreational activities of daily living without complaints of difficulty. Discussion: The patient’s improvements may be an indication of the efficacy of gait and balance-specific interventions for improving impaired balance, gait, and locomotion in patients who have incurred a severe DAI/TBI.