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Altered gait termination strategies following a concussion
Authors:Thomas A. Buckley  Barry A. Munkasy  Tiffen G. Tapia-Lovler  Erik A. Wikstrom
Affiliation:1. Department of Health and Kinesiology, University of Utah, 250 South 1850 East Salt Lake City, UT 84112, United States;2. Department of Biomedical Engineering, University of Utah, 36 South Wasatch Drive Salt Lake City, UT 84112, United States
Abstract:The purpose was to determine if planned gait termination can identify acute and lingering motor control strategy alterations in post-concussion individuals. Controls completed two standard gait and five planned gait termination trials once while concussed individuals were tested on Day-1 and Day-10 post-concussion. Dependent variables included gait velocity and normalized, relative to standard gait, peak propulsive and braking forces. Control and only Day-1 post-concussion gait velocity differed. Normalized peak propulsive and braking forces were altered on both Day-1 and Day-10. Altered propulsive and braking forces persisted despite all concussion participants achieving their baseline values on standard concussion clinical tests. Thus gait termination can detect both acute and lingering motor control strategy alterations following concussion.
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