Document Detail


Sensorimotor recovery in children after traumatic brain injury: analyses of gait, gross motor, and fine motor skills.
MedLine Citation:
PMID:  14667074     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The recovery of gait, gross motor proficiency, and hand function was examined in 23 children (13 males, 10 females; age 4 years 7 months to 15 years 10 months) with traumatic brain injury (TBI) over five months of in patient rehabilitation. We used gait analysis, the Gross Motor Function Measure, the Developmental Hand Function Test, and the Purdue Pegboard test. Brain injury had been severe (initial Glasgow Coma Scale GCS <8) in 17 children and moderate (GCS 8-10) in six children. Compared with healthy control children of the same age and sex, repeated gait analyses in ambulatory children with brain injury showed significant reductions of velocity, stride length and cadence, and impaired balance. Spatiotemporal gait variables were correlated with Gross Motor Function Measure scores. Hand function tests revealed deficits in fine motor skills, speed, and coordination. Degree of impairment increased with trauma severity. Despite significant improvements, differences in gait velocity, stride length, and hand function of children with brain injuries and controls were still present about 8 months after TBI. Hand motor skills improved less than gait. Young age at injury was not associated with better recovery.
Authors:
Johann P Kuhtz-Buschbeck; Birgit Hoppe; Mukaddes Gölge; Mona Dreesmann; Ute Damm-Stünitz; Annegret Ritz
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Developmental medicine and child neurology     Volume:  45     ISSN:  0012-1622     ISO Abbreviation:  Dev Med Child Neurol     Publication Date:  2003 Dec 
Date Detail:
Created Date:  2003-12-11     Completed Date:  2004-01-09     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0006761     Medline TA:  Dev Med Child Neurol     Country:  England    
Other Details:
Languages:  eng     Pagination:  821-8     Citation Subset:  IM    
Affiliation:
Department of Physiology, Motor Control Laboratory, Kiel University, Olshausenstrasse 40, D 24098 Kiel, Germany. kuhtz@physiologie.uni-kiel.de
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Brain Injuries / physiopathology*
Child
Child, Preschool
Female
Functional Laterality
Gait*
Glasgow Coma Scale
Hand / physiopathology
Humans
Male
Motor Activity*
Motor Skills*
Neuropsychological Tests
Outcome Assessment (Health Care)
Recovery of Function / physiology*
Time Factors
Trauma Severity Indices
Wechsler Scales

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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