“Re-Step": a computerized dynamic balance treatment for
rehabilitation of unassitnat gait in TBI victims: a randomized control
trial funded
by the Israeli Insurance Association Research Fund
The aim of walking is to carry us from one place to another while
navigating in complex environments.
Walking is a complex behavioral state that resembles mathematical chaos. Chaos
provides flexibility in the neuromuscular system by providing a mechanism for transitioning
to walking patterns that are required in the constantly changing walking
environment. Reduced walking complexity is directly correlated with pathologic
states such in persons following Traumatic Brain Injury.
The primary aim of the current project is to demonstrate that 20 sessions
of Re-Step training improve dynamic balance and walking functions in
persons with chronic brain damage and walking and balance deficits.
The study will compare training effects of Re-Step against an traditional control
paradigm (conventional physiotherapy protocol) in a randomized controlled
trial.
Since TBI has recently been re-conceptualized as a chronic, evolving
disease process as a secondary question, we will also explore plastic effects
resulting from the training using longitudinal imaging techniques.