Restoration of Lost Functions in Students after Blast Traumatic Brain Injuries in the Process of Inclusive Physical Education
DOI:
https://doi.org/10.17309/jltm.2024.5.3.07Keywords:
inclusion, physical education, student, balance, gait, blast traumatic brain injuryAbstract
Background. It has been determined that the main task of higher education today is to solve the problem of providing students who have been injured as a result of war with opportunities along with higher education and rehabilitation conditions.
Objectives. The purpose of the article is to determine the effectiveness of the developed program of inclusive physical education on the restoration of dynamic balance functions in students after blast traumatic brain injury.
Materials and methods. The research combined theoretical (analysis, synthesis, generalization) and empirical methods (pedagogical experiment, testing). Testing was realized using the Dynamic Gait Index and the method of stabilization. The experiment, which was realized during the academic year in the academic course of physical education, involved 30 male students after explosive traumatic brain injury, provided there were no complications.
Results. The developed program of inclusive physical education after blast traumatic brain injury is presented. The content of the program is aimed at providing maximum opportunities for differentiation of the educational process and implementation of an individual approach in its implementation. The results of the test control of students of the studied sample before the beginning of classes testified to significant deviations in the state of the studied parameters. According to the evaluation of the obtained control data, the studied indicators did not reach the level of «average», which is a consequence of the influence of blast traumatic brain injury on the state of dynamic balance and gait parameters. The final testing showed a difference in the studied parameters in response to the implementation of the proposed innovations. A statistically significant improvement was observed in determining the progress and effectiveness of the studied parameters of gait and balance in the range of 10-19.6 %.
Conclusions. For the first time, we have implemented a study of students after blast traumatic brain injury, in which we directly controlled the violation of dynamic balance and gait in inclusive physical education. The results obtained are evidence that strategies and approaches will be effective, efficient and lead to the desired result in the case of improving practical methods to develop a reliable evidence base.
Downloads
References
Aida, J., Chau, B., & Dunn, J. (2018). Immersive virtual reality in traumatic brain injury rehabilitation: A literature review. NeuroRehabilitation, 42(4), 441-448. https://doi.org/10.3233/NRE-172361 DOI: https://doi.org/10.3233/NRE-172361
Ponsford, J.L., Carty, М., Olver, J., Acher, R., Ponsford, М., McKenzie, D., & Downing, М.G. (2024). Considering the Importance of Personal and Injury Factors Influencing Outcome After Traumatic Brain Injury. Archives of Physical Medicine and Rehabilitation. https://doi.org/10.1016/j.apmr.2024.03.003 DOI: https://doi.org/10.1016/j.apmr.2024.03.003
Dzyak, L.A., Mizyakina, K.V., Shulga, O.O., & Suk, В.М. (2023). Protection of the brain with post-traumatic combat injuries. Medical newspaper “Health of Ukraine of the 21st Century”, 5-6, 541-542. https://health-ua.com/multimedia/userfiles/files/2023/ZU_5-6_2023/ZU_5-6_2023_3233.pdf (in Ukrainian).
Ling, G.S., & Ecklund, J.M. (2011). Traumatic brain injury in modern war. Curr Opin Anaesthesiol, 24(2), 124-30. https://doi.org/10.1097/ACO.0b013e32834458da DOI: https://doi.org/10.1097/ACO.0b013e32834458da
Blavt, O., & Gurtova, T. (2024). Physical Education in the Restoration of Damaged Functions in Students After Blast Tbi Complicated By Acuborotrauma. Journal of Learning Theory and Methodology, 5(2), 56-63. https://doi.org/10.17309/jltm.2024.5.2.02 DOI: https://doi.org/10.17309/jltm.2024.5.2.02
Roby, P.R., Mozel, A.E., Arbogast, K.B., Buckley, T., Caccese, J.B., Chrisman, S.P.D., Clugston, J.R., Eckner, J.T., Esopenko, C., Hunt, T., Kelly, L.A., McDevitt, J., Perkins, S.M., Putukian, M., Susmarski, A., Broglio, S.P., Pasquina, P.F., McAllister, T.W., McCrea, M., & Master, C.L. (2024). CARE Consortium Investigators. Postinjury Outcomes After Non-Sport-Related Concussion: A CARE Consortium Study. J Athl Train, 1, 59(3), 289-296. https://doi.org/10.4085/1062-6050-0181.23 DOI: https://doi.org/10.4085/1062-6050-0181.23
Misyura, V.B. (2023). Balance, functional mobility and biomechanical parameters of walking in men aged 25-42 with the consequences of combat trauma. Mykhailo Dragomanov Ukrainian State University. Series 15. Scientific and pedagogical problems of physical culture (physical culture and sports), 2(160), 129-133 https://doi.org/10.31392/NPU-nc.series15.2023.02(160).27 (in Ukrainian) DOI: https://doi.org/10.31392/NPU-nc.series15.2023.02(160).27
Fulk, G.D., Nirider, C., Williams, G., & DeBlois, A. (2024). Traumatic brain injury. Fulk G.D., & Chui K.K.(Eds.), O’Sullivan & Schmitz’s Physical Rehabilitation, 8th Edition. F. A. Davis Company.
Blavt, O., Iedynak, G., Galamanzhuk, L., Helzhynska, T., Nosko, Y., Kachurak, Y., Voloshyn, O., & Shabaga, S. (2024). Determining the Reliability of Software Electronic Engineering Tools in the Control of Vestibular Disorders in Inclusive Physical Education of Students. Physical Education Theory and Methodology, 24(6), 952-960. https://doi.org/10.17309/tmfv.2024.6.13 DOI: https://doi.org/10.17309/tmfv.2024.6.13
Denby, E., Murphy, D., Busuttil, W., Sakel, M., & Wilkinson, D. (2020). Neuropsychiatric outcomes in UK military veterans with mild traumatic brain injury and vestibular dysfunction. J. Head Trauma Rehabil, 35, 57-65. DOI: https://doi.org/10.1097/HTR.0000000000000468
Rauchman, S.H., Zubair, A., Jacob, B., Rauchman, D., Pinkhasov, A., Placantonakis, D.G., & Reiss, A.B. (2023). Traumatic brain injury: Mechanisms, manifestations, and visual sequelae. Front Neurosci, 23(17), 1090672. https://doi.org/10.3389/fnins.2023.1090672 DOI: https://doi.org/10.3389/fnins.2023.1090672
Tramontano, M., Belluscio, V., Bergamini, E., Allevi, G., De Angelis, S., Verdecchia, G., Formisano, R., Vannozzi, G., & Buzzi, M.G. (2022). Vestibular Rehabilitation Improves Gait Quality and Activities of Daily Living in People with Severe Traumatic Brain Injury: A Randomized Clinical Trial. Sensors (Basel), 6, 22(21), 8553. https://doi.org/10.3390/s22218553 DOI: https://doi.org/10.3390/s22218553
Vander Vegt, C.B., Hill-Pearson, C.A., Hershaw, J.N., Loftin, M.C., Bobula, S.A., & Souvignier, A.R. (2022). A Comparison of Generalized and Individualized Vestibular Rehabilitation Therapy in a Military TBI Sample. J Head Trauma Rehabil, 01, 37(6), 380-389. https://doi.org/10.1097/HTR.0000000000000777 DOI: https://doi.org/10.1097/HTR.0000000000000777
Pérez-Rodríguez, M., García-Gómez, S., Coterón, J., García-Hernández, J.J. & Pérez-Tejero, J. (2021). Physical Activity and Sport for Acquired Brain Injury (PASABI): A Non-Randomized Controlled Trial. Medicina, 57, 122. https://doi.org/10.3390/medicina57020122 DOI: https://doi.org/10.3390/medicina57020122
Klima, D., Morgan, L., Baylor, M., Reilly, C., Gladmon, D., & Davey, A. (2019). Physical Performance and Fall Risk in Persons With Traumatic Brain Injury. Percept Mot Skills, 126(1), 50-69. https://doi.org/10.1177/0031512518809203 DOI: https://doi.org/10.1177/0031512518809203
Hoffer, M.E., & Balaban, C.D. (Eds.). (2018). Neurosensory disorders in mild traumatic brain injury. Academic Press.
Dever, A., Powell, D., Graham, L., Mason, R., Das, J., Marshall, S.J., Vitorio, R., Godfrey, A., & Stuart, S. (2022). Gait Impairment in Traumatic Brain Injury: A Systematic Review. Sensors (Basel), 14, 22(4),1480. https://doi.org/10.3390/s22041480 DOI: https://doi.org/10.3390/s22041480
Harris, М., Nguyen, А., Brown, N.J., Picton, Р., Gendreau, J., Bui, N., Sahyouni, R., & Lin, H. W. (2023). Mild Traumatic Brain Injury and the Auditory System: An Overview of the Mechanisms, Clinical Presentations, and Current Diagnostic Modalities. Journal of Neurotrauma, 41, 13–14. https://doi.org/10.1089/neu.2023.0059 DOI: https://doi.org/10.1089/neu.2023.0059
Alashram, A.R., Annino, G., Raju, M., & Padua, E. (2020). Effects of physical therapy interventions on balance ability in people with traumatic brain injury: A systematic review. NeuroRehabilitation, 46(4), 455-466. https://doi.org/10.3233/NRE-203047 DOI: https://doi.org/10.3233/NRE-203047
Kiliç, G., Çelikyurt, C., & Algun, Z.C. (2023). The Effect of Vestibular Rehabilitation on Balance and Quality of Life in Patients with Bilateral Vestibular Hypofunction. Indian J Otolaryngol Head Neck Surg, 75(3), 2091-2099. https://doi.org/10.1007/s12070-023-03788-0 DOI: https://doi.org/10.1007/s12070-023-03788-0
Blavt, O., & Gurtova, T. (2023). Postural Control Development of Students with Disabilities in the Process of Inclusive Physical Education. Journal of Learning Theory and Methodology, 4(3), 88-94. https://doi.org/10.17309/jltm.2023.3.03 DOI: https://doi.org/10.17309/jltm.2023.3.03
Marchetti, G.F., & Whitney, S.L. (2006). Construction and validation of the 4-item dynamic gait index. Phys Ther, 86(12), 1651-60. https://doi.org/10.2522/ptj.20050402 DOI: https://doi.org/10.2522/ptj.20050402
Bland, D.C., Zampieri, C., & Damiano, D.L (2011). Effectiveness of physical therapy for improving gait and balance in individuals with traumatic brain injury: a systematic review. Brain Inj, 25(7-8), 664-79. https://doi.org/10.3109/02699052.2011.576306 DOI: https://doi.org/10.3109/02699052.2011.576306
Joyce, J.M., Debert, C.T., Chevignard, M., Sorek, G., Katz-Leurer, M., Gagnon, I., & Schneider, K.J. (2022). Balance impairment in patients with moderate-to-severe traumatic brain injury: Which measures are appropriate for assessment? Front Neurol, 3, 13, 906697. https://doi.org/10.3389/fneur.2022.906697 DOI: https://doi.org/10.3389/fneur.2022.906697
Aligene, K., & Lin, E. (2013). Vestibular and balance treatment of the concussed athlete. NeuroRehabilitation, 32(3), 543-53. https://doi.org/10.3233/NRE-130876 DOI: https://doi.org/10.3233/NRE-130876
Holland, K., Haegele, J.A., Zhu, X., & Bobzien, J. (2023). Everybody wants to be included: Experiences with ‘inclusive’strategies in physical education. Journal of Developmental and Physical Disabilities, 35(2), 273-293. https://doi.org/10.1007/s10882-022-09852-x DOI: https://doi.org/10.1007/s10882-022-09852-x
Graham, L.J. (2023). Inclusive Education for the 21st Century: Theory, Policy and Practice. Second Edition. Taylor & Francis. DOI: https://doi.org/10.4324/9781003350897
Lieberman, L.J., Houston-Wilson, C., & Grenier, M. (2024). Strategies for inclusion: Physical education for everyone. Human Kinetics.
Barber, W., Walters, W., Girginov, V., & Misener, L. (2024). Breaking Barriers: A New Model of Inclusive Physical Education. Routledge. https://doi.org/10.4324/9780367766924-RESS103-1 DOI: https://doi.org/10.4324/9780367766924-RESS103-1
Tefertiller, C., Hays, K., Natale, A., O’Dell, D., Ketchum, J., Sevigny, M., Eagye, C.B., Philippus, A., & Harrison-Felix, C. (2019). Results From a Randomized Controlled Trial to Address Balance Deficits After Traumatic Brain Injury. Arch Phys Med Rehabil, 100(8), 1409-1416. https://doi.org/10.1016/j.apmr.2019.03.015 DOI: https://doi.org/10.1016/j.apmr.2019.03.015
Blavt, O., Iedynak, G., Pereverzieva, S., Holub, V., & Melnyk, S. (2023). Increasing the Reliability of Test Control Using Information Technologies in Inclusive Physical Education. Physical Education Theory and Methodology, 23(4), 607-613. https://doi.org/10.17309/tmfv.2023.4.16 DOI: https://doi.org/10.17309/tmfv.2023.4.16
Ganti, L., Stead, T., Daneshvar, Y., Bodhit, A. N., Pulvino, C., & Ayala, S.W., et al. (2019). GCS 15: When mild TBI isn’t so mild. Neurol. Res. Pract, 1, 6. https://doi.org/10.1186/s42466-018-0001-1 DOI: https://doi.org/10.1186/s42466-018-0001-1
Ivashchenko, O. (2020). Research Program: Modeling of Motor Abilities Development and Teaching of Schoolchildren. Physical Education Theory and Methodology, 20(1), 32-41. https://doi.org/10.17309/tmfv.2020.1.05 DOI: https://doi.org/10.17309/tmfv.2020.1.05
Gawronska, A., Rosiak, O., Pajor, A., Janc, M., Kotas, R., Kaminski, M, Zamyslowska-Szmytke, E., & Jozefowicz-Korczynska, M. (2023). Instrumental and Non-Instrumental Measurements in Patients with Peripheral Vestibular Dysfunctions. Sensors. Basel, 10, 23(4), 1994. https://doi.org/10.3390/s23041994 DOI: https://doi.org/10.3390/s23041994
Physiopedia. Dynamic Gait Index. Available at: https://www.physio-pedia.com/Dynamic_Gait_Index
Dynamic Gait Index: a comprehensive guide. Available at: https://solostep.com/dynamic-gait-index-a-comprehensive-guide/
Shirley Ryan AbilityLab. Available at: https://www.sralab.org/rehabilitation-measures
Middleton, A., Fritz, S.L., & Lusardi, M. (2015). Walking speed: the functional vital sign. J Aging Phys Act, 23(2), 314-22. https://doi.org/10.1123/japa.2013-0236 DOI: https://doi.org/10.1123/japa.2013-0236
O’Sullivan, S.B., Schmitz, T.J., & Fulk, G.D. (2019). Physical rehabilitation. 7th edition. Philadelphia:FA Davis Co.
Rapp, W., Brauner, T., Weber, L., Grau, S., Mündermann, A., & Horstmann, T. (2015). Improvement of walking speed and gait symmetry in older patients after hip arthroplasty: a prospective cohort study. BMC Musculoskelet Disord, 12(16), 291. https://doi.org/10.1186/s12891-015-0755-3 DOI: https://doi.org/10.1186/s12891-015-0755-3
Schniepp, R., Möhwald, K., & Wuehr, M. (2017). Gait ataxia in humans: vestibular and cerebellar control of dynamic stability. J Neurol 264(1), 87-92. https://doi.org/10.1007/s00415-017-8482-3 DOI: https://doi.org/10.1007/s00415-017-8482-3
Schmid, A, Duncan, P.W., Studenski, S., Lai, S.M., Richards, L., Perera, S., & Wu SS. (2007). Improvements in speed-based gait classifications are meaningful. Stroke, 38(7), 2096-100. https://doi.org/10.1161/STROKEAHA.106.475921 DOI: https://doi.org/10.1161/STROKEAHA.106.475921
Schniepp, R., Möhwald, K., & Wuehr, M. (2019). Clinical and automated gait analysis in patients with vestibular, cerebellar, and functional gait disorders: perspectives and limitations. J Neurol, 266(1), 118-122. https://doi.org/10.1007/s00415-019-09378-x DOI: https://doi.org/10.1007/s00415-019-09378-x
McKee, C.S., Bleakley, C., Rankin, A., & Matthews, M. (2024). Outcome measures used in adolescent sport-related concussion research: a scoping review. BMJ Open, 10, 14(9), e075590. https://doi.org/10.1136/bmjopen-2023-075590 DOI: https://doi.org/10.1136/bmjopen-2023-075590
Moseley, A.M., Lanzarone, S., Bosman, J.M., van Loo M.A., de Bie, R.A, Hassett, L., & Caplan, B. (2004). Ecological validity of walking speed assessment after traumatic brain injury: a pilot study. J Head Trauma Rehabil, 19(4), 341-8. https://doi.org/10.1097/00001199-200407000-00008. DOI: https://doi.org/10.1097/00001199-200407000-00008
Van Loo, M.A., Moseley, A.M., Bosman, J.M., de Bie, R.A., & Hassett, L. (2004). Test-re-test reliability of walking speed, step length and step width measurement after traumatic brain injury: a pilot study. Brain Inj, 18(10), 1041–8. https://doi.org/10.1080/02699050410001672314 DOI: https://doi.org/10.1080/02699050410001672314
Sawyer, Q., Vesci, B., & McLeod, T.C. (2016). Physical Activity and Intermittent Postconcussion Symptoms After a Period of Symptom-Limited Physical and Cognitive Rest. J Athl Train, 51(9), 739–742. https://doi.org/10.4085/1062-6050-51.12.01 DOI: https://doi.org/10.4085/1062-6050-51.12.01
Brown, K.E., Whitney, S.L., Marchetti, G.F., Wrisley, D.M., & Furman, J.M. (2006). Physical therapy for central vestibular dysfunction. Arch Phys Med Rehabil, 87(1), 76–81. https://doi.org/10.1016/j.apmr.2005.08.003 DOI: https://doi.org/10.1016/j.apmr.2005.08.003
MacKinnon, C.D. (2018). Sensorimotor anatomy of gait, balance, and falls. Handb Clin Neurol, 159, 3-26. https://doi.org/10.1016/B978-0-444-63916-5.00001-X DOI: https://doi.org/10.1016/B978-0-444-63916-5.00001-X
Hirsch, M.A., Williams, K., Norton, H.J., & Hammond, F. (2014). Reliability of the timed 10-metre walk test during inpatient rehabilitation in ambulatory adults with traumatic brain injury. Brain Inj, 28(8), 1115-20. https://doi.org/10.3109/02699052.2014.910701 DOI: https://doi.org/10.3109/02699052.2014.910701
Telius, V.V., Semenenko, V.P. , Mospan, E.I., & Prymenko, O.M. (2024). Inclusive education in physical culture in the conditions of the New Ukrainian School. Olympicus, 2, 192-198. https://doi.org/10.24195/olympicus/2024-2.24 (in Ukrainian) DOI: https://doi.org/10.24195/olympicus/2024-2.24
Blavt, O., & Herasymenko, O. (2024). Inclusive Physical Education of Students with Disabilities Due to War Injuries: Restoration of the Functions of the Lower Extremities. Journal of Learning Theory and Methodology, 4(1), 5-12. https://doi.org/10.17309/jltm.2024.5.1.01 DOI: https://doi.org/10.17309/jltm.2024.5.1.01
Hao, J., Pu, Y., He, Z., Remis, A., Yao, Z., & Li, Y. (2024). Measurement properties of the backward walk test in people with balance and mobility deficits: A systematic review. Gait Posture, 110, 1-9. https://doi.org/10.1016/j.gaitpost.2024.02.018 DOI: https://doi.org/10.1016/j.gaitpost.2024.02.018
Тhorman, I., Loyd, B., Clendaniel, R, Dibble, L. & Schubert, M. (2022). The minimal clinically important difference for gait speed in unilateral vestibular hypofunction after vestibular rehabilitation. Journal of Otology, 18. https://doi.org/10.1016/j.joto.2022.11.001 DOI: https://doi.org/10.1016/j.joto.2022.11.001
Tasseel-Ponche, S., Roussel, M., Toba, M.N., Sader, T., Barbier, V., Delafontaine, A., Meynier, J., Picard, C., Constans, J.M., Schnitzler, A., Godefroy, O., & Yelnik, A.P. (2023). Dual-task versus single-task gait rehabilitation after stroke: the protocol of the cognitive-motor synergy multicenter, randomized, controlled superiority trial. Syncomot, 8, 24(1), 172. https://doi.org/10.1186/s13063-023-07138-x DOI: https://doi.org/10.1186/s13063-023-07138-x
Howell, D.R., Osternig, L.R., & Chou, L.S. (2013). Dual-task effect on gait balance control in adolescents with concussion. Arch Phys Med Rehabil, 94(8), 1513-20. https://doi.org/10.1016/j.apmr.2013.04.015 DOI: https://doi.org/10.1016/j.apmr.2013.04.015
Jain, D., Graci, V., Beam, M.E., Master, C.L., Prosser, L.A., McDonald C.C., & Arbogast, K.B. (2023). Impaired Neuromotor Control During Gait in Concussed Adolescents-A Frequency Analysis. J Appl Biomech, 27, 40(2), 138-146. https://doi.org/10.1123/jab.2023-0126 DOI: https://doi.org/10.1123/jab.2023-0126
Girardi, M., & Konrad, H.R. (1998). Vestibular rehabilitation therapy for the patient with dizziness and balance disorders. ORL Head Neck Nurs, 16(4), 13-22.
Badke, M.B., Shea, T.A., Miedaner, J.A., & Grove, C.R. (2004). Outcomes after rehabilitation for adults with balance dysfunction. Arch Phys Med Rehabil, 85(2), 227-33. https://doi.org/10.1016/j.apmr.2003.06.006 DOI: https://doi.org/10.1016/j.apmr.2003.06.006
Alsalaheen, B.A., Mucha, A., Morris, L.O., Whitney, S.L., Furman, J.M., Camiolo-Reddy, C.E., Collins, M.W., Lovell, M.R., & Sparto, P.J. (2010). Vestibular rehabilitation for dizziness and balance disorders after concussion. J Neurol Phys Ther, 34(2), 87-93. https://doi.org/10.1097/NPT.0b013e3181dde568 DOI: https://doi.org/10.1097/NPT.0b013e3181dde568
Valovich McLeod, T.C., & Hale, T.D. (2015). Vestibular and balance issues following sport-related concussion. Brain Inj, 29(2), 175-84. https://doi.org/10.3109/02699052.2014.965206 DOI: https://doi.org/10.3109/02699052.2014.965206
Smetana, R.M., Kaplan, D.T., Magill, R.T., Denton, A.H., Ahmed, O.H., & Broshek, D.K. (2024). Sport-Related Concussion in Para Athletes: A Scoping Review of Concussion Incidence, Assessment, and Management. Am J Phys Med Rehabil, 1, 103(9), 858-865. https://doi.org/10.1097/PHM.0000000000002451 DOI: https://doi.org/10.1097/PHM.0000000000002451
Fino, P.C., Parrington, L., Pitt, W., Martini, D.N., Chesnutt, J.C., Chou, L.S., & King, L.A. (2018). Detecting gait abnormalities after concussion or mild traumatic brain injury: A systematic review of single-task, dual-task, and complex gait. Gait Posture, 62, 157-166. https://doi.org/10.1016/j.gaitpost.2018.03.021 DOI: https://doi.org/10.1016/j.gaitpost.2018.03.021
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Oksana Blavt, Herasymenko Oleksandr
This work is licensed under a Creative Commons Attribution 4.0 International License.
