Williams Gavin, Banky Megan, Olver John
Physiotherapy Department, University of Melbourne, Australia (Dr Williams) and Physiotherapy Department-Rehabilitation, Epworth Hospital, Melbourne, Australia (Drs Williams and Olver and Ms Banky).
J Head Trauma Rehabil. 2015 Sep-Oct;30(5):E49-57. doi: 10.1097/HTR.0000000000000094.
To examine the association between lower limb spasticity and mobility limitations following traumatic brain injury (TBI) and determine the influence of spasticity distribution on mobility outcomes following TBI.
A large metropolitan rehabilitation hospital.
Ninety-three ambulant people with TBI who were attending physiotherapy for mobility limitations.
Cross-sectional cohort study.
The High-Level Mobility Assessment Tool, gait velocity, and the Tardieu scale.
Lower limb spasticity was common following TBI, with a distal distribution being the most prevalent. Participants with spasticity had significantly greater initial mobility limitations than participants without spasticity. However, the distribution of lower limb spasticity and the presence of unilateral or bilateral spasticity had no additional impact on mobility outcomes. There was no significant difference in mobility outcomes at the 6-month follow-up for people with spasticity, indicating that individuals have equivalent ability to improve their mobility over time despite the presence of spasticity.
Following TBI, people with lower limb spasticity have significantly greater mobility limitations than those without spasticity, yet the presence and distribution of spasticity does not appear to impact mobility outcomes. There is long-term potential to improve mobility despite the presence of spasticity.
研究创伤性脑损伤（TBI）后下肢痉挛与活动受限之间的关联，并确定痉挛分布对TBI后活动结果的影响。
一家大型都市康复医院。
93名因活动受限而接受物理治疗的TBI步行患者。
横断面队列研究。
高级活动评估工具、步态速度和塔迪厄量表。
TBI后下肢痉挛很常见，以远端分布最为普遍。有痉挛的参与者比没有痉挛的参与者初始活动受限明显更大。然而，下肢痉挛的分布以及单侧或双侧痉挛的存在对活动结果没有额外影响。痉挛患者在6个月随访时的活动结果没有显著差异，这表明尽管存在痉挛，个体随着时间推移改善活动能力的能力相当。
TBI后，有下肢痉挛的人比没有痉挛的人活动受限明显更大，但痉挛的存在和分布似乎不会影响活动结果。尽管存在痉挛，仍有长期改善活动能力的潜力。
