Sensory functions and their relation to balance metrics: a secondary analysis of the LIMBIC-CENC multicenter cohort
IntroductionAmong patients with traumatic brain injury (TBI), balance problems often persist alongside hearing and vision impairments that lead to poorer outcomes of functional independence. As such, the ability to regain premorbid independent gait may be dictated by the level of sensory acuity or p...
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| Format: | Article |
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Frontiers Media S.A.
2023-09-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2023.1241545/full |
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| author | Susanne M. van der Veen Susanne M. van der Veen Robert Perera Peter C. Fino Laura Manning Franke Amma A. Agyemang Karen Skop Elisabeth A. Wilde Elisabeth A. Wilde Elisabeth A. Wilde Scot R. Sponheim Scot R. Sponheim Alexander Stamenkovic James S. Thomas William C. Walker William C. Walker |
| author_facet | Susanne M. van der Veen Susanne M. van der Veen Robert Perera Peter C. Fino Laura Manning Franke Amma A. Agyemang Karen Skop Elisabeth A. Wilde Elisabeth A. Wilde Elisabeth A. Wilde Scot R. Sponheim Scot R. Sponheim Alexander Stamenkovic James S. Thomas William C. Walker William C. Walker |
| author_sort | Susanne M. van der Veen |
| collection | DOAJ |
| description | IntroductionAmong patients with traumatic brain injury (TBI), balance problems often persist alongside hearing and vision impairments that lead to poorer outcomes of functional independence. As such, the ability to regain premorbid independent gait may be dictated by the level of sensory acuity or processing decrements that are shown following TBI assessment. This study explores the relationships between standardized sensory acuity and processing outcomes to postural balance and gait speed.MethodsSecondary analysis was performed on the Long-Term Impact of Military- Relevant Brain Injury Consortium Chronic Effects of Neurotrauma Consortium LIMBIC (CENC) data set. Separate regression analyses were carried out for each of the balance assessments (via Computerized Dynamic Posturography, CDP) and walking speed.DiscussionTBI frequency was significantly related to the majority of single CDP outcomes (i.e., Conditions 2–6), while various sensory processing outcomes had task-specific influences. Hearing impairments and auditory processing decrements presented with lower CDP scores (CDP Conditions 3,5,6, and 1–3 respectively), whereas greater visual processing scores were associated with better CDP scores for Conditions 2,5, and 6. In sum, patients with TBI had similar scores on static balance tests compared to non-TBI, but when the balance task got more difficult patients with TBI scored worse on the balance tests. Additionally, stronger associations with sensory processing than sensory acuity measures may indicate that patients with TBI have increased fall risk. |
| first_indexed | 2024-03-12T00:45:05Z |
| format | Article |
| id | doaj.art-6957022cbca14ca89db629f7bc5bdd83 |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-03-12T00:45:05Z |
| publishDate | 2023-09-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-6957022cbca14ca89db629f7bc5bdd832023-09-14T18:58:28ZengFrontiers Media S.A.Frontiers in Neurology1664-22952023-09-011410.3389/fneur.2023.12415451241545Sensory functions and their relation to balance metrics: a secondary analysis of the LIMBIC-CENC multicenter cohortSusanne M. van der Veen0Susanne M. van der Veen1Robert Perera2Peter C. Fino3Laura Manning Franke4Amma A. Agyemang5Karen Skop6Elisabeth A. Wilde7Elisabeth A. Wilde8Elisabeth A. Wilde9Scot R. Sponheim10Scot R. Sponheim11Alexander Stamenkovic12James S. Thomas13William C. Walker14William C. Walker15Department of Physical Therapy, Virginia Commonwealth University, Richmond, VA, United StatesDepartment of Physical Medicine and Rehabilitation, Virginia Commonwealth University, Richmond, VA, United StatesDepartment of Biostatistics, Virginia Commonwealth University, Richmond, VA, United StatesDepartment of Health and Kinesiology, University of Utah, Salt Lake City, UT, United StatesDepartment of Physical Medicine and Rehabilitation, Virginia Commonwealth University, Richmond, VA, United StatesDepartment of Physical Medicine and Rehabilitation, Virginia Commonwealth University, Richmond, VA, United StatesDepartment of Physical Medicine and Rehabilitation Services, James A. Haley Veterans’ Hospital, Tampa, FL, United StatesDepartment of Physical Medicine and Rehabilitation, Michael E. DeBakey VA Medical Center, Houston, TX, United StatesBaylor College of Medicine, Houston, TX, United StatesDepartment of Neurology, University of Utah, Salt Lake City, UT, United StatesMinneapolis VA Health Care System, Minneapolis, MN, United States0Department of Psychiatry and Behavioral Sciences, University of Minnesota, Minneapolis, MN, United StatesDepartment of Physical Therapy, Virginia Commonwealth University, Richmond, VA, United StatesDepartment of Physical Therapy, Virginia Commonwealth University, Richmond, VA, United StatesDepartment of Physical Medicine and Rehabilitation, Virginia Commonwealth University, Richmond, VA, United States1Hunter Holmes McGuire Veterans Affairs Medical Center, Richmond, VA, United StatesIntroductionAmong patients with traumatic brain injury (TBI), balance problems often persist alongside hearing and vision impairments that lead to poorer outcomes of functional independence. As such, the ability to regain premorbid independent gait may be dictated by the level of sensory acuity or processing decrements that are shown following TBI assessment. This study explores the relationships between standardized sensory acuity and processing outcomes to postural balance and gait speed.MethodsSecondary analysis was performed on the Long-Term Impact of Military- Relevant Brain Injury Consortium Chronic Effects of Neurotrauma Consortium LIMBIC (CENC) data set. Separate regression analyses were carried out for each of the balance assessments (via Computerized Dynamic Posturography, CDP) and walking speed.DiscussionTBI frequency was significantly related to the majority of single CDP outcomes (i.e., Conditions 2–6), while various sensory processing outcomes had task-specific influences. Hearing impairments and auditory processing decrements presented with lower CDP scores (CDP Conditions 3,5,6, and 1–3 respectively), whereas greater visual processing scores were associated with better CDP scores for Conditions 2,5, and 6. In sum, patients with TBI had similar scores on static balance tests compared to non-TBI, but when the balance task got more difficult patients with TBI scored worse on the balance tests. Additionally, stronger associations with sensory processing than sensory acuity measures may indicate that patients with TBI have increased fall risk.https://www.frontiersin.org/articles/10.3389/fneur.2023.1241545/fullTBIbalancesensory functionsauditoryvision |
| spellingShingle | Susanne M. van der Veen Susanne M. van der Veen Robert Perera Peter C. Fino Laura Manning Franke Amma A. Agyemang Karen Skop Elisabeth A. Wilde Elisabeth A. Wilde Elisabeth A. Wilde Scot R. Sponheim Scot R. Sponheim Alexander Stamenkovic James S. Thomas William C. Walker William C. Walker Sensory functions and their relation to balance metrics: a secondary analysis of the LIMBIC-CENC multicenter cohort Frontiers in Neurology TBI balance sensory functions auditory vision |
| title | Sensory functions and their relation to balance metrics: a secondary analysis of the LIMBIC-CENC multicenter cohort |
| title_full | Sensory functions and their relation to balance metrics: a secondary analysis of the LIMBIC-CENC multicenter cohort |
| title_fullStr | Sensory functions and their relation to balance metrics: a secondary analysis of the LIMBIC-CENC multicenter cohort |
| title_full_unstemmed | Sensory functions and their relation to balance metrics: a secondary analysis of the LIMBIC-CENC multicenter cohort |
| title_short | Sensory functions and their relation to balance metrics: a secondary analysis of the LIMBIC-CENC multicenter cohort |
| title_sort | sensory functions and their relation to balance metrics a secondary analysis of the limbic cenc multicenter cohort |
| topic | TBI balance sensory functions auditory vision |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2023.1241545/full |
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