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Assessment of gait recovery in children after traumatic brain injury
Brain Injury, 07/30/09

Beretta E et al. – Repeat 3D gait analysis (GA) and clinical evaluations were useful to quantify motor recovery for children with traumatic brain injury (TBI) during rehabilitation, highlighting the objective and non-invasive role of GA.

Methods

Study aims:
1) to quantify functional limitation of children at start of recovery of independent ambulation after TBI by clinical-functional scales;
2) to evaluate changes in gait pattern during rehabilitation (~5 mo later), by 3D GA in post-acute phase;
3) to evaluate for correlation among parameters on 3DGA, clinical assessment, and trauma measures connected
Assessment of 14 children with hemiplegia after severe TBIEvaluated at independent gait recovery (S0) and 5.5 mo later (S1) by clinical assessment and 3D GA
Clinical assessment: GOS, DRS, WeeFIM and GMFM
3D GA: spatio-temporal parameters, kinematics, and kinetics

Results

At S1 all clinical measures improved
For spatio-temporal parameters, velocity and step length improved
Significant progress at ankle joint
Unchanged condition at pelvis and hip in sagittal plane, with worsening hip rotation that increased its internal rotation
Significant correlations between motor performance, clinical assessment and trauma-related measures

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