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Ambulation training with and without partial weightbearing after traumatic brain injury: results of a randomized,
Daniel J Wilson1, Michael Powell, Jennie L Gorham
1Exercise and Rehabilitation Biomechanics Laboratory, Department of Health, Physical Education and Recreation, Missouri State University, Springfield, MO 65897, USA.
Objective:
To test the hypothesis that 8 wks of partial weight-bearing gait retraining improves functional ambulation to a greater extent than traditional physical therapy in individuals after traumatic brain injury.
Design:
A randomized, open-label, controlled, cohort study was conducted at two inpatient university-based rehabilitation hospitals. A total of 38 adults with a primary diagnosis of traumatic brain injury and significant gait abnormalities received either 8 wks of standard physical therapy or physical therapy supplemented with partial weight-bearing gait training twice weekly.
Results:
Significant (P < 0.05) improvements were detected in both groups on Functional Ambulation Category, Standing Balance Scale, Rivermead Mobility Index, and FIM. However, no differences were found between the treatment groups.
Conclusions:
Results did not support the hypothesis that 8 wks of partial weight-bearing gait retraining improves functional ambulation to a greater extent than traditional physical therapy in individuals after traumatic brain injury based on common clinical measures.
