Relating Self-Reported Balance Problems to Sensory Organization and Dual-Tasking in Chronic Traumatic Brain Injury.
Relating Self-Reported Balance Problems to Sensory Organization and Dual-Tasking in Chronic Traumatic Brain Injury.
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DOI：
10.1002/pmrj.12478
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发表时间：
2021-08
期刊：
影响因子：
2.1
通讯作者：
Zampieri, Cris
中科院分区：
文献类型：
--
作者：
Joseph, Annie-Lori C.;Lippa, Sara M.;Moore, Brian;Bagri, Manjot;Row, Jessica;Chan, Leighton;Zampieri, Cris
经历过创伤性脑损伤（TBI）的人通常有残余平衡问题。目前尚不清楚这些平衡问题是否由前庭功能障碍或步态自律性缺陷驱动，特别是在TBI恢复的慢性阶段，因为大多数研究仅包括急性/亚急性病例。比较TBI后至少1年有和没有主观平衡问题的个体在感觉组织测试前庭评分和双任务测试中的表现。调查每个测试预测感知平衡问题的能力。前瞻性队列研究。一个机构内的康复部门。50名成人（21-71岁），在非穿透性TBI后1 - 5年有轻度、中度或重度TBI病史。干预措施：不适用。测量包括双任务测试，感觉组织测试，神经行为症状量表，头晕障碍量表，以及四个认知领域和抑郁症的评估。在神经行为症状量表上认可“感觉头晕”和“失去平衡”的参与者被归类为有症状（n = 26），其他人被归类为无症状（n = 24）。进行t检验、卡方检验和回归分析，预测头晕障碍量表总分。双任务步态成本与头晕障碍量表呈负相关（P = 0.044），控制抑郁和性别，而前庭评分未能预测平衡相关的残疾。有症状的个体比无症状的参与者有更多的平衡问题（P <0.001）和抑郁症状（P = 0.007），双任务认知输出较差（P = 0.036），双任务步态速度较慢（P = 0.036）。各组在感觉组织测试分数上没有差异。慢性TBI的平衡问题的性质可能与步态的自动性有关。这些研究结果表明，TBI慢性阶段的患者可能会从双重任务评估和干预中受益。平衡康复应根据患者的需求量身定制，并评估认知和影响。
Individuals who have experienced a traumatic brain injury (TBI) often have residual balance problems. It remains unclear whether these balance problems are driven by vestibular dysfunction or gait automaticity deficits, particularly in the chronic stages of TBI recovery, because most studies include only acute/subacute cases. Compare performance on the Sensory Organization Test vestibular score and Dual-Task test in individuals with and without subjective balance problems at least 1 year after a TBI. Investigate the ability of each test to predict perceived balance problems. Prospective cohort study. Rehabilitation department within a single institution. Fifty adults (21–71 years) with a history of mild, moderate, or severe TBI 1 to 5 years following nonpenetrating TBI. Interventions: N/A. Measures included the Dual-Task test, Sensory Organization Test, Neurobehavioral Symptom Inventory, Dizziness Handicap Inventory, and assessments of four cognitive domains and depression. Participants who endorsed “feeling dizzy” and “loss of balance” on the Neurobehavioral Symptom Inventory were classified as symptomatic (n = 26) and others as asymptomatic (n = 24). T-tests, chi-square, and regression analyses predicting the Dizziness Handicap Inventory total score were performed Dual-task gait cost was negatively associated with the Dizziness Handicap Inventory (P = .044), controlling for depression and gender, whereas vestibular scores failed to predict balance-related disability. Symptomatic individuals endorsed more balance problems (P < .001) and depression symptoms (P = .007), had poorer dual-task cognitive output (P = .036), and slower dual-task gait velocity (P = .036) than asymptomatic participants. Groups did not differ on Sensory Organization Test scores. The nature of balance problems in chronic TBI may be related to automaticity of gait. These findings suggest that patients in the chronic stages of TBI may benefit from dual-task assessments and interventions. Balance rehabilitation should be tailored to patient needs and assess cognition and affect.
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作者：
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DOI：
10.1682/jrrd.2011.03.0051
发表时间：
2012-01-01
影响因子：
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作者：
King, Paul R.;Donnelly, Kerry T.;Meier, Scott T.
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