3 research outputs found
PREDICTORS OF HIGH-LEVEL MOBILITY AMONG TRAUMATIC BRAIN INJURY INDIVIDUALS: A SCOPING REVIEW
No full textBackground: High-level mobility encompasses a set of complex movements that surpass independent-level walking in terms of difficulty and physical requirements. It necessitates a broader range of motion, strength, balance, and improved neuromuscular control. Activities such as running, jumping, leaping, bounding, walking backward, and stair climbing fall under the purview of high-level mobility and are crucial for individuals to actively participate in their daily routines and engage with their communities. However, it is noteworthy that Traumatic Brain Injury (TBI) rehabilitation has not always prioritized the development of high-level mobility despite its significance in restoring functional abilities. This scoping review explores the evidence on predictors of high-level mobility among individuals with TBI and determines the outcome measures used to evaluate high-level mobility in TBI.
Methods: The present scoping review followed the procedures outlined by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) checklist. Five databases were accessed: Scopus, Web of Science, Cochrane Library, Science Direct, and PubMed. This scoping review considered observational studies, including prospective cohort studies, retrospective cohort studies, case-control studies, and cross-sectional studies for inclusion. The data extraction process involved two independent reviewers, and the data extracted were; 1) author(s) and publication year; 2) method (study design); 3) participant characteristics (population, sample size, age, and gender); 4) predictors/factors; 5) outcome measures of high-level mobility; 6) correlations (if available); and 7) key findings.
Results: A total of 109 articles were initially identified through the search process. However, only eight studies were deemed eligible for data extraction based on the review criteria. These studies revealed that the predictors of high-level mobility can be categorized into three domains: personal factors, injury-related characteristics, and disability and impairments. Among these domains, disability and impairments were the most frequently reported. Key factors that were found to potentially influence the outcome of high-level mobility included age, sex, injury mechanism, duration of post-traumatic amnesia, and endurance. The High-Level Mobility Assessment Tool (HiMAT) was identified as the most commonly used outcome measure for assessing high-level mobility.
Conclusion: The associations between factors and outcomes in TBI studies exhibit significant variation. This can be attributed to several factors, including the diverse characteristics of TBI samples, methodological differences, timing of assessments, interactions between predictors, and potential moderators. Furthermore, the neurological recovery rate of individuals with TBI varies greatly due to the complex nature of the condition and its inconsistent outcomes. This review focuses on identifying prognostic factors and aims to assist healthcare professionals in developing suitable interventions and effective rehabilitation programs.
Keywords: traumatic brain injury, mobility, scoping revie
Factors impacting high-level mobility in traumatic brain injury: a scoping review
No full textHigh-level mobility is crucial for improving quality of life and ensuring active participation in daily routines and community engagement. Therefore, this scoping review explored the available evidence on factors impacting high-level mobility among traumatic brain injury (TBI) individuals and the outcome measures used to evaluate high-level mobility. Following the preferred reporting items for Systematic Reviews and Meta-analyses Extension for Scoping Reviews (PRISMA-ScR) guidelines, five databases were searched: Scopus, Web of Science, Cochrane Library, Science Direct, and PubMed, yielding 109 articles, with eight meeting eligibility criteria. The keywords used in the search strategies were: traumatic brain injury, TBI, brain trauma, traumatic encephalopathy, and high-level mobility. This review revealed that the High-Level Mobility Assessment Tool (HiMAT) was identified as the most commonly used outcome measure for assessing high-level mobility. The key factors that may influence the outcome of high level mobility in people with TBI are age, sex, mechanism of injury, duration of post-traumatic amnesia, and individual endurance. The associations between individuals’ factors and outcomes in TBI studies exhibit significant variation. This can be attributed to several factors, including the diverse characteristics of TBI samples, different neurological recovery rates, methodological differences, timing of assessments, interactions between factors, and potential moderators
Exploring Balance as a Determinant of High-Level Mobility After Traumatic Brain Injury.
No full textTraumatic brain injury (TBI) remains a major cause of long-term disability. Individuals with moderate to severe TBI often experience lasting difficulties in balance and mobility. High-level mobility, which includes tasks such as running, stair climbing, and quick directional changes, is frequently impaired in this population and poses significant barriers to independence and community reintegration. Despite the known importance of balance in rehabilitation, its precise contribution to the high-level mobility critical for independence remains poorly understood. This study aimed to determine the relationship between balance performance and high-level mobility in individuals with moderate to severe TBI. A total of 86 participants were assessed using the High-Level Mobility Assessment Tool (HiMAT), the Sensory Organization Test (SOT), and the Limits of Stability (LOS) test. The analysis demonstrated moderate to strong positive correlations between high-level mobility and both SOT and LOS measures, with maximum excursion (MXE) (r = 0.603) showing the strongest association. These results advocate for incorporating dynamic balance challenges (e.g., perturbed walking, reactive stepping) into rehabilitation to maximise mobility recovery. By highlighting balance as a modifiable and measurable contributor to mobility, this study offers practical insights for designing more effective rehabilitation strategies that support recovery and independence after TBI
