Article

Adolescents with traumatic brain injury (TBI) are often discharged from physical
therapy (PT) services without transitioning into exertional conditioning
programs. Active participation in physical activities with peers at school is
essential to achieve a sense of accomplishment and acceptance. Factors such as
reduced aerobic fitness and residual gait impairments can lead to limited
participation and peer interaction. The purpose of this case report was to
describe the impact of home-based circuit training (HBCT) focusing on strength
and balance on gait speed (GS), energy expenditure, and functional performance in
a 17-year-old female with severe TBI. The participant sustained a TBI from a
motor vehicle crash. Although she was ambulatory and independent with the basic
activities of daily living following two years of rehabilitation, she presented
with activity limitations and participation restrictions at school. The
participant performed a 4-week HBCT program developed by a school physical
therapist that focused on strength and balance. At the end of 4 weeks,
improvements were observed in 6 MWT (change = 79.7 m), GS (change = 0.22 m/s),
and the COPM scores (performance score change = 2.8, satisfaction score change =
2.2, MCID = 2). Improvements in functional performance, gait speed, and
self-perception of occupational performance were observed following 4-week HBCT.
Future clinical trials on short duration, HBCT program for children and young
adults with TBI are recommended in order to establish effectiveness of HBCT.

Langue : ANGLAIS