Feasibility of a rhythmic auditory stimulation gait training program in community-dwelling adults after TBI: A case report

被引:3
作者
Sheridan, Conor [1 ,2 ,3 ]
Thaut, Corene [4 ]
Brooks, Dina [1 ,3 ,5 ]
Patterson, Kara K. [1 ,2 ,4 ,5 ]
机构
[1] Univ Toronto, Rehabil Sci Inst, Toronto, ON, Canada
[2] Univ Hlth Network, Kite Toronto Rehabil Inst, Toronto, ON, Canada
[3] McMaster Univ, Sch Rehabil Sci, Hamilton, ON, Canada
[4] Univ Toronto, Mus & Hlth Sci Res Collaboratory MaHRC, Toronto, ON, Canada
[5] Univ Toronto, Dept Phys Therapy, 160-500 Univ Ave, Toronto, ON M5G 1V7, Canada
关键词
Traumatic brain injury; gait; rehabilitation; rhythmic auditory stimulation; TRAUMATIC BRAIN-INJURY; JOINT POWER-GENERATION; WALKING SPEED; VARIABILITY; BALANCE; INDIVIDUALS; MOBILITY; REHABILITATION; IMPAIRMENT; DISORDERS;
D O I
10.3233/NRE-208016
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
BACKGROUND: Traumatic brain injury has multiple impacts on gait including decreased speed and increased gait variability. Rhythmic auditory stimulation (RAS) gait training uses the rhythm and timing structure of music to train and ultimately improve slow and variable walking patterns. OBJECTIVE: To describe the feasibility of RAS gait training in community-dwelling adults with traumatic brain injury (TBI). A secondary objective is to report changes in spatiotemporal gait parameters and clinical measures of balance and walking endurance. METHODS: Two individuals with a TBI participated in nine sessions of gait training with RAS over a 3-week period. At baseline, post-training and 3-week follow-up, spatiotemporal parameters of walking were analyzed at preferred pace, maximum pace and dual-task walking conditions. Secondary outcomes included the Community Balance and Mobility Scale and the 6-MinuteWalk Test. Feasibility was assessed using reports of physical fatigue, adverse event reporting, and perceived satisfaction. RESULTS: Both participants completed all 9 planned intervention sessions. The sessions were well tolerated with no adverse events. Participant 1 and 2 exhibited different responses to the intervention in line with the therapeutic goals set with the therapist. Participant 1 exhibited improved speed and decreased gait variability. Participant 2 exhibited reduced gait speed but less fatigue during the 6 MWT. CONCLUSIONS: RAS was found to be a safe and feasible gait intervention with the potential to improve some aspects of gait impairments related to gait speed, gait variability, dynamic balance and walking endurance. Further investigation including a pilot randomized controlled trial is warranted.
引用
收藏
页码:221 / 230
页数:10
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