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Titre : | High-Level Mobility in Chronic Traumatic Brain Injury and Its Relationship With Clinical Variables and Magnetic Resonance Imaging Findings in the Acute Phase (2014) |
Auteurs : | Kine Therese Moen ; Lone Jørgensen ; Alexander Olsen Cand |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2014/10, 2014) |
Article en page(s) : | p. 1838-1845 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Imagerie par résonance magnétique ; Rééducation et réadaptation |
Mots-clés: | Diffuse axonal injury ; Lésion axonale diffuse ; Magnetic resonance imaging ; Motor skills ; Aptitudes motrices |
Résumé : |
Objectives To compare high-level mobility in individuals with chronic moderate-to-severe traumatic brain injury (TBI) with matched healthy controls, and to investigate whether clinical variables and magnetic resonance imaging (MRI) findings in the acute phase can predict high-level motor performance in the chronic phase. Design A longitudinal follow-up study. Setting A level 1 trauma center. Participants Individuals (N=136) with chronic TBI (n=65) and healthy matched peers (n=71). Interventions Not applicable. Main Outcome Measures High-Level Mobility Assessment Tool (HiMAT) and the revised version of the HiMAT performed at a mean of 2.8 years (range, 1.55.4y) after injury. Results Participants with chronic TBI had a mean HiMAT score of 42.7 (95% confidence interval [CI], 40.245.2) compared with 47.7 (95% CI, 46.149.2) in the control group (P<.01 group differences were also evident using the revised himat acute-phase clinical variables and mri findings explained of variance in score lower scores associated with female sex higher age at injury motor vehicle collisions posttraumatic amnesia>7 days (P=.048). There was a tendency toward an association between lower scores and diffuse axonal injury in the brainstem (P=.075). Conclusions High-level mobility was reduced in participants with chronic, either moderate or severe TBI compared with matched peers. Clinical variables in the acute phase were significantly associated with high-level mobility performance in participants with TBI, but the role of early MRI findings needs to be further investigated. The findings of this study suggest that the clinical variables in the acute phase may be useful in predicting high-level mobility outcome in the chronic phase. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S000399931400330X |