Sensory functions and their relation to balance metrics: a secondary analysis of the LIMBIC-CENC multicenter cohort

Frontiers in Neurology

Neurology

Robert Perera¹  Peter C. Fino²  Karen Skop³  Elisabeth A. Wilde⁴  Amma A. Agyemang⁵  Laura Manning Franke⁵  William C. Walker⁶  Alexander Stamenkovic⁷  James S. Thomas⁷  Susanne M. van der Veen⁸  Scot R. Sponheim⁹ 

[1] Department of Biostatistics, Virginia Commonwealth University, Richmond, VA, United States;Department of Health and Kinesiology, University of Utah, Salt Lake City, UT, United States;Department of Physical Medicine and Rehabilitation Services, James A. Haley Veterans’ Hospital, Tampa, FL, United States;Department of Physical Medicine and Rehabilitation, Michael E. DeBakey VA Medical Center, Houston, TX, United States;Baylor College of Medicine, Houston, TX, United States;Department of Neurology, University of Utah, Salt Lake City, UT, United States;Department of Physical Medicine and Rehabilitation, Virginia Commonwealth University, Richmond, VA, United States;Department of Physical Medicine and Rehabilitation, Virginia Commonwealth University, Richmond, VA, United States;Hunter Holmes McGuire Veterans Affairs Medical Center, Richmond, VA, United States;Department of Physical Therapy, Virginia Commonwealth University, Richmond, VA, United States;Department of Physical Therapy, Virginia Commonwealth University, Richmond, VA, United States;Department of Physical Medicine and Rehabilitation, Virginia Commonwealth University, Richmond, VA, United States;Minneapolis VA Health Care System, Minneapolis, MN, United States;Department of Psychiatry and Behavioral Sciences, University of Minnesota, Minneapolis, MN, United States;

关键词: TBI;    balance;    sensory functions;    auditory;    vision;   

DOI  :  10.3389/fneur.2023.1241545

 received in 2023-06-16, accepted in 2023-08-16,  发布年份 2023

来源: Frontiers

【 摘 要 】

IntroductionAmong patients with traumatic brain injury (TBI), balance problems often persist alongside hearing and vision impairments that lead to poorer outcomes of functional independence. As such, the ability to regain premorbid independent gait may be dictated by the level of sensory acuity or processing decrements that are shown following TBI assessment. This study explores the relationships between standardized sensory acuity and processing outcomes to postural balance and gait speed.MethodsSecondary analysis was performed on the Long-Term Impact of Military- Relevant Brain Injury Consortium Chronic Effects of Neurotrauma Consortium LIMBIC (CENC) data set. Separate regression analyses were carried out for each of the balance assessments (via Computerized Dynamic Posturography, CDP) and walking speed.DiscussionTBI frequency was significantly related to the majority of single CDP outcomes (i.e., Conditions 2–6), while various sensory processing outcomes had task-specific influences. Hearing impairments and auditory processing decrements presented with lower CDP scores (CDP Conditions 3,5,6, and 1–3 respectively), whereas greater visual processing scores were associated with better CDP scores for Conditions 2,5, and 6. In sum, patients with TBI had similar scores on static balance tests compared to non-TBI, but when the balance task got more difficult patients with TBI scored worse on the balance tests. Additionally, stronger associations with sensory processing than sensory acuity measures may indicate that patients with TBI have increased fall risk.

【 授权许可】

Unknown   
Copyright © 2023 van der Veen, Perera, Fino, Franke, Agyemang, Skop, Wilde, Sponheim, Stamenkovic, Thomas and Walker.