Highlights
- •The first study to report on the predictors of running in adult Traumatic Brain Injury
- •Motor control and postural control were significantly different between runners and non-runners.
- •Strength was also significantly different between runners and non-runners
- •Spasticity, motor control and strength did not contribute to predicting a person's ability to run
- •Dynamic postural control was the best predictor of being able to run.
Abstract
Background
Running is an important skill that improves a person's ability to participate in community-based
social, leisure and work activities, and therefore improve quality of life. Following
traumatic brain injury, many ambulant people are unable to run. Whilst established
for walking, the physical impairments that limit running following traumatic brain
injury remain unknown. Therefore, the primary aim of this study was to identify which
physical impairments contribute to a person's ability to run post traumatic brain
injury.
Methods
In this study, 88 adults with traumatic brain injury were included. Runners and non-runners
were compared regarding their clinical assessment of physical impairments, including
postural control, focal muscle spasticity, muscle strength, self-selected walking
speed and ability to run. Participants also completed a three-dimensional quantitative
gait analysis to assess motor skill using the Gait Profile Score. Logistic regression
was applied to identify the most important predictors for the ability to run.
Findings
Significant differences between runners and non-runners were found for postural control,
motor control and strength. Dynamic postural control, measured by lateral center of
mass displacement, was the best predictor of running, with every centimeter increase
in lateral center of mass movement during walking associated with a 30% reduction
in the chance of being able to run.
Interpretation
Lateral center of mass displacement should be considered when selecting interventions
for ambulant patients with the goal to run. Although postural control, motor control
and muscle strength were all different between runners and non-runners, they did not
contribute to a person's ability to run.
Keywords
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Article info
Publication history
Published online: October 26, 2022
Accepted:
October 21,
2022
Received:
June 17,
2022
Identification
Copyright
© 2022 Elsevier Ltd. All rights reserved.
