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Traumatic Brain Injury and Post Concussion Syndrome For traumatic brain injury (TBI) and post concussion syndrome (PCS). |
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07-23-2012, 04:36 PM | #1 | ||
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Has anyone experienced a change in their gait following their brain injury?
I have, but didn't notice it too much, but they made a big deal of it last week at the rehab clinic. They are going to send me for a vestibular assessment and physio therapy. My stance and gait is very wide now... feet wide apart... my family says I walk like king kong! It seems to be easier to balance this way, especially at speed. I can walk with my feet at a normal distance, but it feels like walking on a balance beam or tight rope and I'm rather unsteady and slow. Walking with one foot in front of another is just about impossible without lurching and falling down. I can walk almost at normal speed with my feet wide apart, though I do sometimes feel a bit unsteady (dizzy isn't the right word but something like that?) if I go too fast. Just wondered if anyone else has experienced anything similar and what was done to correct it. Starr |
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07-23-2012, 05:36 PM | #2 | ||
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Could be vestibular in origin but a neuro is the place to start. The vestibular system as I understand it connects your inner ear"balance" the bones in your ear"hearing" and the tiny hairs in the inner ear together. If the vestibular and ocular system "eyes" are not in sync then nausea and balance issues can result.
I have read these issues can resolve on there own. There are some people here very well versed with these same issues. I am certain some insight and suggestions will follow your post. Hope you feel better.
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49, Male Married, PCS since June 2012, headaches, Back pain, neck pain, attention deficit, concentration deficit, processing speed deficit, verbal memory deficit, PTSD, fatigue, tinutitus, tremors. To see the divine in the moment. |
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"Thanks for this!" says: | "Starr" (07-23-2012) |
07-23-2012, 05:44 PM | #3 | ||
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It is not uncommon for a TBI subject to also walk with a tip-toe like gait. They look like they are bobbing up and down as they push off their forefoot and get a vertical lift from the push off. They plant the whole foot but over-emphasize the toe push-off.
Some doctors will use a lack of gait issues as a negative diagnosis of brain injury.
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Mark in Idaho "Be still and know that I am God" Psalm 46:10 |
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"Thanks for this!" says: | "Starr" (07-23-2012) |
07-23-2012, 06:59 PM | #4 | ||
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I probably won't be seeing a neuro, the brain injury rehab clinic is run by a physiatrist and he is who I saw last week. He's the one sending me to PT and vestibular therapy. They do have a neuro on staff, but it seems unlikely Ill see him. I hadn't ever read on here anyone talking about gait changes, so I didn't know if it was common or not. Thanks Starr |
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07-23-2012, 09:14 PM | #5 | |||
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...oohh did I just mention that?! I did, heheh... welllll I am curious about how they minimize the risks and all. ??? |
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"Thanks for this!" says: | "Starr" (07-29-2012) |
07-24-2012, 10:06 AM | #6 | ||
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Many riders in the programs do not ride independently, one volunteer will lead the horse and one or two will walk beside the rider and provide physical and emotional support as required. The environment is as controlled as possible, usually within an arena or fenced outdoor ring, the footing is soft and shock absorbent. The horses are specially chosen for temperament and then time is spent training them to deal with adaptive equipment and the routine of therapeutic riding. Anytime you get on a horse, you do run risk of falling, that's the nature of the activity. Occasionally riders do fall, but in 15 years of teaching daily, I never had a rider fall and require medical attention following a fall, with the exception of one rider that jumped prematurely off her horse, knocking her volunteer to the ground and landing on her feet, breaking an ankle. The job of the volunteer(s) walking beside the rider is to help prevent falls and if a fall cannot be prevented, then at least minimized and brought softly to the ground. My brain injury was caused by a fall from a horse. If I felt I would qualify for therapeutic riding, I would not hesitate to take part. There are many benefits to therapeutic riding and each individual has to weigh the risks versus benefits for themselves. Starr |
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"Thanks for this!" says: | MommaBear (07-24-2012) |
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