Moving a patient with Traumatic Brain Injury

[Arunptindia]

Hi friends,
My client is a TBI victim. Was been assaulted by robbers leading to head injury resulting in left side parieto temporal depressed fracture of skull. Had intracranial bleed n haematoma occupied most part of left hemisphere n midline shift occured. Craniectomy and evacuation of subdural haematoma r over. Since 4 months i ve been treating him. He has capability to walk, climb stairs up n down. Other activities of hand r possible to an extent. Butfeom the beginning he couldn't do plantar & dorsiflexion. I am facilitating dorsiflexors n plantar flexors through tapping icing electrical stimulation closed kinematic chain activities.Kindly suggest me wat else can b done.

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[karishma]

Hi friends,
My client is a TBI victim. Was been assaulted by robbers leading to head injury resulting in left side parieto temporal depressed fracture of skull. Had intracranial bleed n haematoma occupied most part of left hemisphere n midline shift occured. Craniectomy and evacuation of subdural haematoma r over. Since 4 months i ve been treating him. He has capability to walk, climb stairs up n down. Other activities of hand r possible to an extent. Butfeom the beginning he couldn't do plantar & dorsiflexion. I am facilitating dorsiflexors n plantar flexors through tapping icing electrical stimulation closed kinematic chain activities.Kindly suggest me wat else can b done.

Functionally, is the gait and stair-climbing being affected by lack of df and pf? and to what extent? I think you should try advanced balance training in the sagittal plane... the need for using ankle strategy in that plane will necessitate their activation.