Research Reports - Running abnormalities after traumatic brain injury

Brain Inj. 2013;27(4):434-43

Williams G, Schache A, Morris ME

Primary objectives: The aim of this study was to identify the type and incidence
of running abnormalities following TBI when compared to a group of healthy
controls (HC) and report if these abnormalities were similar to those which are
present during gait. Research design: A convenience sample of 44 people with TBI
receiving therapy for mobility limitations and a sample of 15 healthy controls
(HCs). Main outcomes and results: Spatio-temporal, kinematic and kinetic data at
self-selected walking and running speeds were collected. People with TBI ran at
significantly slower self-selected speeds than HCs. At matched running speeds,
people with TBI used a higher cadence and shorter step length. The most commonly
observed biomechanical abnormalities occurred at the knee during stance phase.
Few trunk, pelvic or hip abnormalities were detected. Ankle power generation at
push-off was significantly reduced, whereas hip extensor power generation at
initial contact was significantly increased. Conclusion: Many people with TBI may
actually be capable of running, despite the presence of significant biomechanical
abnormalities during gait. A stable trunk may be an important requirement for
people following TBI to achieve running.

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