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- Title
Vestibular Rehabilitation Improves Gait Quality and Activities of Daily Living in People with Severe Traumatic Brain Injury: A Randomized Clinical Trial.
- Authors
Tramontano, Marco; Belluscio, Valeria; Bergamini, Elena; Allevi, Giulia; De Angelis, Sara; Verdecchia, Giorgia; Formisano, Rita; Vannozzi, Giuseppe; Buzzi, Maria Gabriella
- Abstract
Neurorehabilitation research in patients with traumatic brain injury (TBI) showed how vestibular rehabilitation (VR) treatments positively affect concussion-related symptoms, but no studies have been carried out in patients with severe TBI (sTBI) during post-acute intensive neurorehabilitation. We aimed at testing this effect by combining sensor-based gait analysis and clinical scales assessment. We hypothesized that integrating VR in post-acute neurorehabilitation training might improve gait quality and activity of daily living (ADL) in sTBI patients. A two-arm, single-blind randomized controlled trial with 8 weeks of follow-up was performed including thirty sTBI inpatients that underwent an 8-week rehabilitation program including either a VR or a conventional program. Gait quality parameters were obtained using body-mounted magneto-inertial sensors during instrumented linear and curvilinear walking tests. A 4X2 mixed model ANOVA was used to investigate session–group interactions and main effects. Patients undergoing VR exhibited improvements in ADL, showing early improvements in clinical scores. Sensor-based assessment of curvilinear pathways highlighted significant VR-related improvements in gait smoothness over time (p < 0.05), whereas both treatments exhibited distinct improvements in gait quality. Integrating VR in conventional neurorehabilitation is a suitable strategy to improve gait smoothness and ADL in sTBI patients. Instrumented protocols are further promoted as an additional measure to quantify the efficacy of neurorehabilitation treatments.
- Subjects
BRAIN injuries; CLINICAL trials; GAIT in humans; ACTIVITIES of daily living; HELMETS; REHABILITATION; NEUROREHABILITATION; BODY-weight-supported treadmill training
- Publication
Sensors (14248220), 2022, Vol 22, Issue 21, p8553
- ISSN
1424-8220
- Publication type
Article
- DOI
10.3390/s22218553