External load application in gait and posture reeducation after diffuse axonal injury of the corpus callosum. A case report

Magdalena Zawadka, Maciej Kochman, Magdalena Sobiech, Mirosław Jabłoński


Traumatic brain injury caused car accidents is the one of the most common causes of diffuse axonal injury typically located at the grey-white matter junction, in the corpus callosum. A 58-year-old female patient Caucasian race was admitted to the Orthopedic and Rehabilitation Unit with head injury, broken right ulnar bone, numerous broken ribs and broken right iliac crest. Neurological examination resulted in right-sided hemiparesis. There were also coordination and balance disorders while sitting and standing. The patient was unable to walk. After physiotherapy treatment included external load application (ankle weights and rucksack with weights) in gait and posture reeducation, patient has improved balance, locomotion and body posture. However, application of external loads during walk and posture reeducation needs to be further investigated with greater number of participants and control group.


posture; gait; corpus callosum; diffuse axonal injury

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Arenth PM, Russell KC, Scanlon JM, Kessler LJ, Ricker JH. Corpus callosum integrity and neuropsychological performance after traumatic brain injury: a diffusion tensor imaging study. J Head Trauma Rehabil. 2014 Apr;29(2):E1–10.

Wahl M, Lauterbach-Soon B, Hattingen E, Jung P, Singer O, Volz S, et al. Human motor corpus callosum: topography, somatotopy, and link between microstructure and function. J Neurosci Off J Soc Neurosci. 2007 Nov 7;27(45):12132–8.

Acosta LM, Bennett JA, Heilman KM. Callosal disconnection and limb-kinetic apraxia. Neurocase. 2014;20(6):599–605.

Kim HJ, Kim D, Won D-H, Chin J, Lee KH, Seo SW, et al. Callosal Motor Impersistence: A Novel Disconnection Syndrome. Cogn Behav Neurol Off J Soc Behav Cogn Neurol. 2017 Jun;30(2):68–72.

Taylor PN, Forsyth R. Heterogeneity of trans-callosal structural connectivity and effects on resting state subnetwork integrity may underlie both wanted and unwanted effects of therapeutic corpus callostomy. NeuroImage Clin. 2016 Jul 26;12:341–7.

Wu TC, Wilde EA, Bigler ED, Li X, Merkley TL, Yallampalli R, et al. Longitudinal Changes in the Corpus Callosum following Pediatric Traumatic Brain Injury. Dev Neurosci. 2011 Feb;32(5–6):361–73.

Frerich JM, Hertzler K, Knott P, Mardjetko S. Comparison of radiographic and surface topography measurements in adolescents with idiopathic scoliosis. Open Orthop J. 2012;6:261–5.

Weiss H-R, Dieckmann J, Gerner HJ. The practical use of surface topography: following up patients with Scheuermann’s disease. Pediatr Rehabil. 2003 Mar;6(1):39–45.

Hugentobler JA, Vegh M, Janiszewski B, Quatman‐Yates C. Physical therapy intervention strategies for patients with prolonged mild traumatic brain injury symptoms: A case series. Int J Sports Phys Ther. 2015 Oct;10(5):676–89.

Basford JR, Chou L-S, Kaufman KR, Brey RH, Walker A, Malec JF, et al. An assessment of gait and balance deficits after traumatic brain injury. Arch Phys Med Rehabil. 2003 Mar 1;84(3):343–9.

Malec JF, Basford JS. Postacute brain injury rehabilitation. Arch Phys Med Rehabil. 1996 Feb 1;77(2):198–207.

Wild KRH von. Neurorehabilitation Following Craniocerebral Trauma. Eur J Trauma. 2005 Aug 1;31(4):344–58.

Cheng P-T, Wu S-H, Liaw M-Y, Wong AMK, Tang F-T. Symmetrical body-weight distribution training in stroke patients and its effect on fall prevention. Arch Phys Med Rehabil. 2001 Dec 1;82(12):1650–4.

Falls [Internet]. [cited 2018 Jun 11]. Available from: http://www.who.int/news-room/fact-sheets/detail/falls

Ambrose AF, Paul G, Hausdorff JM. Risk factors for falls among older adults: a review of the literature. Maturitas. 2013 May;75(1):51–61.

Negrini S, Negrini A. Postural effects of symmetrical and asymmetrical loads on the spines of schoolchildren. Scoliosis. 2007 Dec 1;2:8.

O’Shea C, Bettany-Saltikov JA, Warren JG. Effect of same-sided and cross-body load carriage on 3D back shape in young adults. Stud Health Technol Inform. 2006;123:159–63.

Birrell SA, Hooper RH, Haslam RA. The effect of military load carriage on ground reaction forces. Gait Posture. 2007 Oct;26(4):611–4.

Massion J. Postural Control Systems in Developmental Perspective. Neurosci Biobehav Rev. 1998 Mar 4;22(4):465–72.

Filippin NT, da Costa PHL, Mattioli R. Effects of treadmill-walking training with additional body load on quality of life in subjects with Parkinson’s disease. Rev Bras Fisioter Sao Carlos Sao Paulo Braz. 2010 Aug;14(4):344–50.

Toole T, Maitland CG, Warren E, Hubmann MF, Panton L. The effects of loading and unloading treadmill walking on balance, gait, fall risk, and daily function in Parkinsonism. NeuroRehabilitation. 2005 Jan 1;20(4):307–22.

Trigueiro LC de L, Gama GL, Ribeiro TS, Ferreira LGL de M, Galvão ÉRVP, Silva EMG de SE, et al. Influence of treadmill gait training with additional load on motor function, postural instability and history of falls for individuals with Parkinson’s disease: A randomized clinical trial. J Bodyw Mov Ther. 2017 Jan;21(1):93–100.

Stephens MJ, Yang JF. Loading during the stance phase of walking in humans increases the extensor EMG amplitude but does not change the duration of the step cycle. Exp Brain Res. 1999 Feb;124(3):363–70.

Fouad K, Bastiaanse CM, Dietz V. Reflex adaptations during treadmill walking with increased body load. Exp Brain Res. 2001 Mar;137(2):133–40.

DOI: http://dx.doi.org/10.5281/zenodo.1296724


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Journal of Education, Health and Sport formerly Journal of Health Sciences

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