Gait Impairment in Traumatic Brain Injury: A Systematic Review

DEVER, A., POWELL, D., GRAHAM, L., MASON, R., DAS, J., MARSHALL, Steven, VITORIO, R., GODFREY, A. and STUART, S. (2022). Gait Impairment in Traumatic Brain Injury: A Systematic Review. Sensors, 22 (4).

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Official URL: https://www.mdpi.com/1424-8220/22/4/1480
Open Access URL: https://www.mdpi.com/1424-8220/22/4/1480/pdf (Published version)
Link to published version:: https://doi.org/10.3390/s22041480
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    Abstract

    Introduction: Gait impairment occurs across the spectrum of traumatic brain injury (TBI); from mild (mTBI) to moderate (modTBI), to severe (sevTBI). Recent evidence suggests that objective gait assessment may be a surrogate marker for neurological impairment such as TBI. However, the most optimal method of objective gait assessment is still not well understood due to previous reliance on subjective assessment approaches. The purpose of this review was to examine objective assessment of gait impairments across the spectrum of TBI. Methods: PubMed, AMED, OVID and CINAHL databases were searched with a search strategy containing key search terms for TBI and gait. Original research articles reporting gait outcomes in adults with TBI (mTBI, modTBI, sevTBI) were included. Results: 156 citations were identified from the search, of these, 13 studies met the initial criteria and were included into the review. The findings from the reviewed studies suggest that gait is impaired in mTBI, modTBI and sevTBI (in acute and chronic stages), but methodological limitations were evident within all studies. Inertial measurement units were most used to assess gait, with single-task, dual-task and obstacle crossing conditions used. No studies examined gait across the full spectrum of TBI and all studies differed in their gait assessment protocols. Recommendations for future studies are provided. Conclusion: Gait was found to be impaired in TBI within the reviewed studies regardless of severity level (mTBI, modTBI, sevTBI), but methodological limitations of studies (transparency and reproducibility) limit clinical application. Further research is required to establish a standardised gait assessment procedure to fully determine gait impairment across the spectrum of TBI with comprehensive outcomes and consistent protocols.

    Item Type: Article
    Additional Information: ** From MDPI via Jisc Publications Router ** Licence for this article: https://creativecommons.org/licenses/by/4.0/ **Journal IDs: eissn 1424-8220 **History: published 14-02-2022; accepted 10-02-2022
    Uncontrolled Keywords: gait, TBI, concussion, inertial-measurement-unit, wearables, biomechanics
    Identification Number: https://doi.org/10.3390/s22041480
    SWORD Depositor: Colin Knott
    Depositing User: Colin Knott
    Date Deposited: 17 Feb 2022 16:31
    Last Modified: 17 Feb 2022 16:45
    URI: http://shura.shu.ac.uk/id/eprint/29770

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