Assessment and Rehabilitation of Central Sensory Impairments for Balance in mTBI

Abstract

Objectives: Control of balance requires complex integration of sensory and motor systems. In the clinic or in the field, balance measurement is often over-simplified, preventing balance deficits from being identified and treated after mTBI. Our central hypothesis is that chronic balance deficits after mTBI result from impairments in central sensorimotor integration that may be helped by rehabilitation. There are two objectives of this proposal; the first objective is to characterize balance deficits in people with mTBI. The second objective is to use a novel auditory biofeedback device to improve measures central sensorimotor integration and balance control. Plan: The proposed 4-year study has two parts: 1) Cross-sectional study (Aim I: Balance Assessment) to identify and characterize maladaptive balance control strategies after mTBI compared to healthy controls and 2) Interventional randomized pilot study (Aim II: Balance Rehabilitation) using a novel auditory biofeedback rehabilitation technique to ameliorate maladaptive balance control strategies after mTBI. Subjects in Aim II will be a subset from Aim I and studies will occur simultaneously.

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Document Details

Document Type
Technical Report
Publication Date
Oct 01, 2016
Accession Number
AD1034585

Entities

People

  • Emily Sippel
  • Fay B Horak
  • Heather Belding
  • Laurie A King
  • Marco Jurado
  • Merissa Walls
  • Peter C Fino
  • Robert Peterka
  • Sam Gordon
  • Sean Kampel
  • Timothy Hullar

Organizations

  • Oregon Health & Science University

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Biofeedback
  • Brain Injuries
  • Control Systems
  • Data Analysis
  • Department Of Defense
  • Employment
  • Feedback
  • Health Care
  • Health Services
  • Intervention
  • Medical Personnel
  • Military Personnel
  • Operating Systems
  • Pilot Studies
  • Questionnaires
  • Standards
  • Therapy

Readers

  • Brain and Cognitive Science; Experimental Psychology; Cognitive Neuroscience
  • Neurotrauma and Rehabilitation Medicine.
  • Psychological Intervention/Treatment for Stress, Anxiety, PTSD, and Related Emotional and Cognitive Health Symptoms.