1. Physiotherapy practice patterns in gait rehabilitation for adults with acquired brain injury.
- Author
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Wilson T, Martins O, Efrosman M, DiSabatino V, Benbrahim BM, and Patterson KK
- Subjects
- Adult, Aged, Aged, 80 and over, Brain Injuries, Traumatic complications, Brain Injuries, Traumatic psychology, Canada, Cross-Sectional Studies, Exercise Therapy, Female, Gait Disorders, Neurologic diagnosis, Gait Disorders, Neurologic etiology, Humans, Male, Middle Aged, Socioeconomic Factors, Surveys and Questionnaires, Treatment Outcome, Young Adult, Brain Injuries, Traumatic rehabilitation, Gait Disorders, Neurologic rehabilitation, Physical Therapy Modalities
- Abstract
Objective: Gait dysfunction is common following acquired brain injury (ABI). Clinical practice guidelines can improve patient outcomes; however, information regarding ABI-specific management of gait dysfunction is limited. This study aimed to describe practice patterns of Canadian physiotherapists regarding gait rehabilitation in adults post-ABI., Methods: An electronic questionnaire was developed and distributed across Canada to describe physiotherapy assessment methods, outcome measures, and treatment interventions used to manage gait dysfunction in adults with mild-moderate and severe ABI., Results: Of 103 respondents who accessed the questionnaire, 59 met inclusion criteria and participated in the study. Methods most frequently used "often or very often" at initial and discharge assessments included visual observation (≥88.2% for adults with mild-moderate and severe ABI) and the Berg Balance Scale (≥76.3% for adults with mild-moderate ABI). Higher level gait training exercises were used more often for adults with mild-moderate than severe ABI. Physiotherapists commonly reported further research was required to develop and validate gait-specific outcome measures (42.4%) and treatment techniques (76.3%)., Conclusions: Physiotherapists' use of gait-specific treatment interventions, but not assessment methods, differs depending on ABI severity. Future work should investigate factors influencing these practice patterns. In addition, clinician-identified research priorities include ABI gait-specific outcome measures and technology-based interventions.
- Published
- 2019
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