Leg stiffness during running in adults with traumatic brain injury: A comparative study with healthy adults

IF 1.4 3区 医学 Q4 ENGINEERING, BIOMEDICAL Clinical Biomechanics Pub Date : 2024-11-19 DOI:10.1016/j.clinbiomech.2024.106392
Clara Jobic-Deprez , Gavin Williams , Annie Chappell , Benjamin F. Mentiplay
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Abstract

Background

While leg stiffness during running has been shown to be lower in children with cerebral palsy compared to their typically developing peers, no studies have examined leg stiffness during running in adults with traumatic brain injury. The aim of this study was to compare leg stiffness during running in adults with traumatic brain injury to healthy controls.

Methods

Sixty-one adults with traumatic brain injury and 20 healthy controls were included. Participants ran overground while three-dimensional kinematic and kinetic data were recorded. Leg stiffness was calculated during the stance phase of running. Statistical analyses to compare leg stiffness between limbs and between groups were conducted using t-tests.

Findings

There was a large range of leg stiffness in adults with traumatic brain injury during running (affected leg median = 21.56 [range 11.07 to 57.44] kN/m; less affected leg =20.87 [9.38 to 54.72] kN/m) compared to healthy controls (20.94 [13.40 to 31.50] kN/m). However, there were no statistically significant differences in leg stiffness during running between the affected and less affected limbs (p = 0.59, effect size [ES] =0.08) nor between both traumatic brain injury limbs and healthy controls (affected limb; p = 0.44, ES =0.12; less affected limb; p = 0.47, ES =0.11).

Interpretation

Although no statistical significance was found on a group level, the results demonstrated high variability in leg stiffness in traumatic brain injury compared to healthy controls. Further research is needed to determine which factors influence leg stiffness during running and how this measure relates to clinical outcomes in traumatic brain injury.
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脑外伤成人跑步时的腿部僵硬:与健康成年人的比较研究。
背景:有研究表明,与发育正常的同龄人相比,脑瘫儿童跑步时的腿部僵硬度较低,但还没有研究对脑外伤成人跑步时的腿部僵硬度进行过调查。本研究旨在比较脑外伤成人与健康对照组在跑步时的腿部僵硬程度:方法:研究对象包括 61 名成年脑外伤患者和 20 名健康对照者。参与者在地面跑步,同时记录三维运动学和动力学数据。计算跑步站立阶段的腿部僵硬度。使用 t 检验对不同肢体和不同组间的腿部僵硬度进行统计分析:结果:与健康对照组(20.94 [13.40 至 31.50] kN/m)相比,脑外伤成人在跑步时的腿部僵硬度范围较大(患腿中位数 = 21.56 [11.07 至 57.44] kN/m;较轻患腿 = 20.87 [9.38 至 54.72] kN/m)。然而,患肢和轻度患肢在跑步时的腿部僵硬度(p = 0.59,效应大小 [ES] = 0.08)以及脑外伤患肢和健康对照组(患肢;p = 0.44,ES =0.12;轻度患肢;p = 0.47,ES =0.11)之间没有统计学意义上的差异:虽然在组别水平上没有发现统计学意义,但结果表明,与健康对照组相比,脑外伤患者腿部僵硬度的变化很大。需要进一步研究确定哪些因素会影响跑步时的腿部僵硬度,以及这一指标与脑外伤临床结果之间的关系。
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来源期刊
Clinical Biomechanics
Clinical Biomechanics 医学-工程:生物医学
CiteScore
3.30
自引率
5.60%
发文量
189
审稿时长
12.3 weeks
期刊介绍: Clinical Biomechanics is an international multidisciplinary journal of biomechanics with a focus on medical and clinical applications of new knowledge in the field. The science of biomechanics helps explain the causes of cell, tissue, organ and body system disorders, and supports clinicians in the diagnosis, prognosis and evaluation of treatment methods and technologies. Clinical Biomechanics aims to strengthen the links between laboratory and clinic by publishing cutting-edge biomechanics research which helps to explain the causes of injury and disease, and which provides evidence contributing to improved clinical management. A rigorous peer review system is employed and every attempt is made to process and publish top-quality papers promptly. Clinical Biomechanics explores all facets of body system, organ, tissue and cell biomechanics, with an emphasis on medical and clinical applications of the basic science aspects. The role of basic science is therefore recognized in a medical or clinical context. The readership of the journal closely reflects its multi-disciplinary contents, being a balance of scientists, engineers and clinicians. The contents are in the form of research papers, brief reports, review papers and correspondence, whilst special interest issues and supplements are published from time to time. Disciplines covered include biomechanics and mechanobiology at all scales, bioengineering and use of tissue engineering and biomaterials for clinical applications, biophysics, as well as biomechanical aspects of medical robotics, ergonomics, physical and occupational therapeutics and rehabilitation.
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