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Postural Instability in Patients With Injury of Corticoreticular Pathway Following Mild Traumatic Brain Injury

JANG SH; KIM TH; KWON YH; LEE MY; LEE HD
AM J PHYS MED REHABIL , 2016, vol. 95, n° 8, p. 580-587
Doc n°: 179511
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1097/PHM.0000000000000446
Descripteurs : DF11 - POSTURE. STATION DEBOUT, AF3 - TRAUMATISME CRANIEN

We attempted to investigate postural instability in patients with
injury of the corticoreticular pathway (CRP) after mild traumatic brain injury.
METHODS: The CRP was reconstructed, and the fractional anisotropy value, apparent
diffusion coefficient value, and fiber volume of the CRP were measured. For
evaluation of postural instability, both the Balance Error Scoring System score
and the displacement of center of pressure were measured. RESULT: Significantly
lower tract volume of the CRP was observed in the patient group than in the
control group with no significant difference in fractional anisotropy and
apparent diffusion coefficient values(P > 0.05). The results of the Balance Error
Scoring System shown on a firm and foam surface were significantly higher in the
patient group than in the control group (P < 0.05). Significant increments in
displacement of center of pressure for 3 stances of double-leg, single-leg, and
tandem stances in distance, maximum distance, and path length were observed in
the patient group compared with the control group (P < 0.05). By contrast, no
significant difference in the double stance on the x axis of the distance was
observed between the patient and control groups (P > 0.05). CONCLUSION: We
demonstrated postural instability in patients with injury of the CRP following
mild traumatic brain injury.

Langue : ANGLAIS

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