Document Detail

Assessment of postural instability in patients with traumatic brain injury upon enrolment in a vocational adjustment programme.
MedLine Citation:
PMID:  17724552     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To assess postural instability in patients with traumatic brain injury upon enrolment to vocational adjustment.
DESIGN: A cross-sectional study.
PATIENTS AND METHODS: Sixty-eight patients at the time of admission to a vocational adjustment programme and 52 healthy age-matched controls were evaluated. Complaints of dizziness, or balance impairment and data from a clinical examination were recorded. Postural characteristics during quiet upright standing were assessed using a static posturographic platform.
RESULTS: Twenty-six patients complained of dizziness or instability and 36 had evidence of neurological impairment. Centre of pressure displacement and area were significantly increased in the traumatic brain injury group as a whole, compared with controls, even among 23 patients who had no complaint or clinical abnormality.
CONCLUSION: In spite of a high variability in time since injury, significant posturographic abnormalities were found in patients with traumatic brain injury, including those who had no complaints or evidence of neurological impairment. Posturography may help in understanding how a traumatic brain injury impairs the human balance, and may provide helpful information for patients participating in vocational adjustment programmes, especially when jobs require a long standing posture or balance.
Patrick Dehail; Hervé Petit; Pierre-Alain Joseph; Philippe Vuadens; Jean-Michel Mazaux
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of rehabilitation medicine     Volume:  39     ISSN:  1650-1977     ISO Abbreviation:  J Rehabil Med     Publication Date:  2007 Sep 
Date Detail:
Created Date:  2007-08-28     Completed Date:  2007-10-11     Revised Date:  2014-05-30    
Medline Journal Info:
Nlm Unique ID:  101088169     Medline TA:  J Rehabil Med     Country:  Sweden    
Other Details:
Languages:  eng     Pagination:  531-6     Citation Subset:  IM    
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MeSH Terms
Activities of Daily Living
Brain Injuries / complications,  physiopathology,  rehabilitation*
Cross-Sectional Studies
Dizziness / etiology,  physiopathology
Postural Balance* / physiology
Rehabilitation, Vocational*

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