Article

OBJECTIVE: To determine the feasibility and impact of different dosages of
Intensive Mobility Training (IMT) on mobility, balance, and gait speed in
individuals with chronic traumatic brain injury (TBI). DESIGN: Prospective,
single group design with 3-month follow-up. SETTING: University research
laboratory. PARTICIPANTS: Volunteer sample of participants with chronic TBI
(N=10; >/=3 mo post-TBI; able to ambulate 3.05 m with or without assistance;
median age, 35.4 y; interquartile range, 23.5-46 y; median time post-TBI, 9.91 y;
interquartile range, 6.3-14.2 y). Follow-up data were collected for all
participants. INTERVENTIONS: Twenty days (5 d/wk for 4 wk), with 150 min/d of
repetitive, task-specific training equally divided among balance; gait training;
and strength, coordination, and range. MAIN OUTCOME MEASURES: Pain and fatigue
were recorded before and after each session to assess feasibility. Treatment
outcomes were assessed before training (pre), after 10 sessions (interim), after
20 sessions (post), and at 3-months follow-up and included the Berg Balance Scale
and gait speed. RESULTS: Participants averaged 150.1+/-2.7 minutes per session.
Median presession and postsession pain scores were 0 (out of 10) for 20 sessions;
median presession fatigue scores ranged from 0 to 2.5 (out of 10); and
postsession scores ranged from 3 to 5.5 (out of 10). Four outcome measures
demonstrated significant improvement from the pretest to interim, with 7 out of
10 participants exceeding the minimal detectable change (MDC) for fast walking
speed. At the posttest, 2 additional measures were significant, with more
participants exceeding the MDCs. Changes in fast walking speed and Timed Up and
Go test were significant at follow-up. CONCLUSIONS: Limited fluctuations in pain
and fatigue scores indicate feasibility of IMT in this population. Participants
demonstrated improvements in walking speed, mobility, and balance
postintervention and maintained gains in fast walking speed and mobility at 3
months.
CI - Copyright (c) 2014 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS