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Related Experiment Videos

Measuring high-level mobility after traumatic brain injury.

Gavin Williams1, Val Robertson, Ken Greenwood

  • 1Physiotherapy Department, Epworth Hospital, Richmond, Victoria, Australia.

American Journal of Physical Medicine & Rehabilitation
|December 31, 2004
PubMed
Summary
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High-level mobility after traumatic brain injury (TBI) is rarely measured by current tools. A new scale is needed to assess advanced mobility for better rehabilitation outcomes and return to activities.

Area of Science:

  • Rehabilitation Medicine
  • Neuroscience
  • Physical Therapy

Background:

  • High-level mobility is crucial for participation in pre-injury activities following traumatic brain injury (TBI).
  • Current outcome measures in TBI rehabilitation often fail to adequately assess advanced mobility.
  • Independent mobility is a primary goal of TBI rehabilitation.

Purpose of the Study:

  • To review and evaluate existing measures used for quantifying physical status and mobility after TBI.
  • To determine the appropriateness of current measures for assessing high-level mobility.
  • To identify the need for a specialized scale to measure high-level mobility in TBI patients.

Main Methods:

  • A comprehensive literature search was conducted across electronic databases, TBI journals, and citation tracking.

Related Experiment Videos

  • Studies published from 1990 to May 2004 reporting on physical outcomes or mobility after TBI were included.
  • A total of 175 studies met the inclusion criteria for detailed analysis.

    • Main Results:

    • The Functional Independence Measure (FIM) was the most frequently used outcome measure, indicating a trend towards inpatient measures for long-term outcomes.
    • Only one study utilized a measurement tool assessing mobility beyond basic walking and stair negotiation.
    • High-level mobility is seldom captured by standardized outcome measures in TBI research.

    Conclusions:

    • Standardized outcome measures for TBI rehabilitation rarely assess high-level mobility.
    • A significant gap exists in the measurement of advanced mobility crucial for returning to sports and leisure activities.
    • Development of a high-level mobility scale is necessary to overcome the ceiling effect of current tools and enhance TBI rehabilitation.