期刊
SENSORS
卷 22, 期 21, 页码 -出版社
MDPI
DOI: 10.3390/s22218553
关键词
inertial sensors; wearables; movement analysis; biomechanics; neurorehabilitation; sTBI; balance; locomotion; smoothness; RCT
资金
- Italian Ministry of Health [GR-2019-12370757]
- Regione Lazio (Lazio Innova, POR-FESR) [A0375-2020-36724]
This study investigated the potential benefits of integrating vestibular rehabilitation (VR) into post-acute neurorehabilitation training for severe TBI patients. Results showed that VR treatment improved activity of daily living (ADL) and gait smoothness, highlighting the effectiveness of VR in enhancing neurorehabilitation outcomes.
Neurorehabilitation research in patients with traumatic brain injury (TBI) showed how vestibular rehabilitation (VR) treatments positively affect concussion-related symptoms, but no studies have been carried out in patients with severe TBI (sTBI) during post-acute intensive neurorehabilitation. We aimed at testing this effect by combining sensor-based gait analysis and clinical scales assessment. We hypothesized that integrating VR in post-acute neurorehabilitation training might improve gait quality and activity of daily living (ADL) in sTBI patients. A two-arm, single-blind randomized controlled trial with 8 weeks of follow-up was performed including thirty sTBI inpatients that underwent an 8-week rehabilitation program including either a VR or a conventional program. Gait quality parameters were obtained using body-mounted magneto-inertial sensors during instrumented linear and curvilinear walking tests. A 4X2 mixed model ANOVA was used to investigate session-group interactions and main effects. Patients undergoing VR exhibited improvements in ADL, showing early improvements in clinical scores. Sensor-based assessment of curvilinear pathways highlighted significant VR-related improvements in gait smoothness over time (p < 0.05), whereas both treatments exhibited distinct improvements in gait quality. Integrating VR in conventional neurorehabilitation is a suitable strategy to improve gait smoothness and ADL in sTBI patients. Instrumented protocols are further promoted as an additional measure to quantify the efficacy of neurorehabilitation treatments.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据