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Related Experiment Video

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A Neuroscientific Approach to the Examination of Concussions in Student-Athletes
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Gait Deviations Associated With Concussion: A Systematic Review.

Thaer S Manaseer1, Douglas P Gross1, Liz Dennett2

  • 1Department of Physical Therapy, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, AB, Canada.

Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine
|March 6, 2020
PubMed
Summary

Individuals with concussion may exhibit increased side-to-side sway and slower walking speeds. These gait deviations can persist beyond the typical recovery period, impacting return to activity.

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Area of Science:

  • Neurology
  • Biomechanics
  • Rehabilitation Science

Background:

  • Concussion-related gait deviations are crucial for diagnosis, treatment, and return-to-activity decisions.
  • Understanding these deviations aids in concussion management and recovery monitoring.

Purpose of the Study:

  • To systematically identify and quantify gait deviations associated with concussion.
  • To analyze gait changes across different populations and timeframes post-injury.

Main Methods:

  • Systematic review of six electronic databases (1974-2016).
  • Inclusion of 21 level 4 studies with quantifiable gait parameters.
  • Quality assessment using Downs and Black criteria and evidence level using Oxford Model.

Main Results:

  • Consistent evidence of increased medial-lateral center-of-mass displacement post-concussion.
  • Inconsistent evidence of decreased gait velocity.
  • Preliminary evidence suggests gait deficits may persist beyond 10 days post-injury.

Conclusions:

  • Individuals with concussion may exhibit increased frontal plane sway and slower gait velocity compared to controls.
  • Lack of consensus on key gait parameters for concussion diagnosis and management.
  • Need for high-quality prospective studies on gait changes from injury to return to activity.