Balance function and sensory integration after mild traumatic brain injury

Brain Inj. 2015;29(1):41-6. doi: 10.3109/02699052.2014.955881.

Abstract

Objective: This study examined the disparities in balance functions and sensory integration in patients with mild traumatic brain injuries (mTBIs) and healthy controls.

Participants: One hundred and seven patients with mTBI and 107 age- and sex-matched controls were recruaited for this study.

Primary measures: Symptoms of dizziness, balance functions and the ability to perform daily activities were assessed using the dizziness handicap inventory (DHI). This study also performed the postural-stability test and a modified clinical test of sensory integration by using the Biodex Stability System (BBS).

Results: DHI scores (functional, emotional, physical and total self-reported scores) were substantially increased in patients following an mTBI compared with the scores of the controls (p < 0.000). The postural-stability test indices (anterior-posterior) (p = 0.045) and the sensory-integration test index (eyes-open-firm-surface index) (p = 0.006) were substantially lower in patients with mTBI than in the controls. However, indices of two other postural-stability test indices (overall and medial-lateral) and three other sensory-integration tests indices (eyes-closed-firm-surface, eyes-open-foam-surface and eyes-closed-foam-surface) measured for the mTBI group did not differ from those of the control group.

Conclusion: Activities of daily living, balance in postural stability and sensory integration were strongly impaired in patients with mTBI.

Keywords: Balance function; mild traumatic brain injury; postural stability; sensory integration.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Activities of Daily Living
  • Adult
  • Brain Injuries / physiopathology*
  • Case-Control Studies
  • Dizziness / etiology
  • Dizziness / physiopathology
  • Female
  • Humans
  • Male
  • Middle Aged
  • Postural Balance / physiology*
  • Self Report
  • Sensation / physiology*
  • Surveys and Questionnaires