Background and Purpose: This case report describes a task-specific program for gait and functional recovery in a young man with severe chronic traumatic brain injury (TBI).
Case Description: The individual was a 26-year-old man 4 years post TBI with severe motor impairments who had not walked outside of therapy since his injury. He had received extensive gait training prior to initiation of services. His goal was to recover the ability to walk.
Intervention: The primary focus of the interventions was the restoration of gait. A variety of interventions were used, including locomotor treadmill training, electrical stimulation, orthoses and specialized assistive devices. A total of 79 treatments were delivered over a period of 62 weeks.
Outcomes: At the conclusion of therapy, the client was able to walk independently with a gait trainer for over 3000 feet and walked in the community with the assistance of his mother using a rocker bottom crutch for distances of up to 350 feet.
Discussion: Given the chronicity of this individual’s injury, the magnitude of his functional improvements were unexpected. However, very intentional interventions were selected in the development of his treatment plan. His potential was realized by structuring practice of the salient task, i.e. walking, with adequate intensity and frequency.
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