Department of Physical Therapy Education, Elon University, Elon, NC, USA.
Physiother Theory Pract. 2013 Feb;29(2):150-8. doi: 10.3109/09593985.2012.699605. Epub 2012 Jun 26.
The authors previously reported on the functional recovery of an adult with chronic, severe ataxia secondary to traumatic brain injury (TBI) after 28 sessions of trunk stabilization and locomotor training (LT). The purpose of this case report is to describe this individual's functional abilities 3.5 years after the intervention.
Thirteen months post-TBI and not expected to be a functional ambulator, an adult male participated in a trunk stabilization and LT intervention. After the intervention, he continued to exercise in a hospital-based fitness program and received additional physical therapy. Evaluation of balance, gait, trunk performance, self-reported function, and quality of life was performed at 6 weeks (baseline), 1 year, and 3.5 years after completing the intervention.
Balance, gait, and function improved. Resting left transverse abdominis thickness, measured using ultrasound imaging, increased as did left-side bridge and trunk flexion endurance. He increased community participation and expressed general satisfaction with his overall quality of life.
In the 3.5 years after participation in an intervention of trunk stabilization and LT this adult became an independent limited community ambulator. Persons with severe ataxia secondary to TBI may continue to improve many years after injury.
作者之前报道过一名成年人在经历了 28 次躯干稳定和行走训练（LT）后，因创伤性脑损伤（TBI）导致的慢性、严重共济失调的功能恢复情况。本案例报告的目的是描述该个体在干预 3.5 年后的功能能力。
在 TBI 后 13 个月，该成年人预计无法进行功能性行走，因此他参与了躯干稳定和 LT 干预。干预结束后，他继续在医院的健身计划中锻炼，并接受了额外的物理治疗。在完成干预后的 6 周（基线）、1 年和 3.5 年时，对平衡、步态、躯干功能、自我报告的功能和生活质量进行了评估。
平衡、步态和功能得到了改善。使用超声成像测量的左侧横腹肌的静息厚度增加，左侧桥接和躯干屈曲耐力也增加。他增加了社区参与度，并对整体生活质量表示普遍满意。
在参与躯干稳定和 LT 干预后的 3.5 年内，该成年人成为了一名独立的有限社区步行者。因 TBI 导致严重共济失调的人可能会在受伤多年后继续改善。
