The Journal of head trauma rehabilitation · 2016
Ankle Plantarflexor Spasticity Does Not Restrict the Recovery of Ankle Plantarflexor Strength or Ankle Power Generation for Push-Off During Walking Following Traumatic Brain Injury.
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Williams Gavin, Banky Megan, Olver John
Аннотация
OBJECTIVE: The main aim of this project was to determine the impact of plantarflexor spasticity on muscle performance for ambulant people with traumatic brain injury (TBI).
SETTING: A large metropolitan rehabilitation hospital.
PARTICIPANTS: Seventy-two ambulant people with TBI who were attending physiotherapy for mobility limitations. Twenty-four participants returned for a 6-month follow-up reassessment.
DESIGN: Cross-sectional cohort study.
MAIN MEASURES: Self-selected walking speed, Tardieu scale, ankle plantarflexor strength, and ankle power generation (APG).
RESULTS: Participants with ankle plantarflexor spasticity had significantly lower self-selected walking speed; however, there was no significant difference in ankle plantarflexor strength or APG. Participants with ankle plantarflexor spasticity were not restricted in the recovery of self-selected walking speed, ankle plantarflexor strength, or APG, indicating equivalent ability to improve their mobility over time despite the presence of spasticity.
CONCLUSION: Following TBI, people with ankle plantarflexor spasticity have significantly greater mobility limitations than those without spasticity, yet retain the capacity for recovery of self-selected walking speed, ankle plantarflexor strength, and APG.
SETTING: A large metropolitan rehabilitation hospital.
PARTICIPANTS: Seventy-two ambulant people with TBI who were attending physiotherapy for mobility limitations. Twenty-four participants returned for a 6-month follow-up reassessment.
DESIGN: Cross-sectional cohort study.
MAIN MEASURES: Self-selected walking speed, Tardieu scale, ankle plantarflexor strength, and ankle power generation (APG).
RESULTS: Participants with ankle plantarflexor spasticity had significantly lower self-selected walking speed; however, there was no significant difference in ankle plantarflexor strength or APG. Participants with ankle plantarflexor spasticity were not restricted in the recovery of self-selected walking speed, ankle plantarflexor strength, or APG, indicating equivalent ability to improve their mobility over time despite the presence of spasticity.
CONCLUSION: Following TBI, people with ankle plantarflexor spasticity have significantly greater mobility limitations than those without spasticity, yet retain the capacity for recovery of self-selected walking speed, ankle plantarflexor strength, and APG.