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

Zawadka Magdalena, Kochman Maciej, Sobiech Magdalena, Jabłoński Mirosław. External load application in gait and posture reeducation after diffuse axonal injury of the corpus callosum. A case report. Journal of Education, Health and Sport. 2018;8(8):24-33. eISNN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.1296724 http://ojs.ukw.edu.pl/index.php/johs/article/view/5597 https://pbn.nauka.gov.pl/sedno-webapp/works/868225 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 1223 (26/01/2017). 1223 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Authors 2018; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike. (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 01.06.2018. Revised: 08.06.2018. Accepted: 23.06.2018. External load application in gait and posture reeducation after diffuse axonal injury of the corpus callosum. A case report Magdalena Zawadka1, Maciej Kochman2, Magdalena Sobiech2, Mirosław Jabłoński2 11PhD student, Faculty of Health Sciences, Medical University of Lublin, Poland 2 Department of Rehabilitation and Orthopedics, Medical University of Lublin, Jaczewskiego 8 Street 20-090 Lublin, Poland Corresponding author: Magdalena Zawadka, ORCID ID 0000-0001-6087-017X, e-mail:magdalenazawadka91@gmail.com Abstract 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. Key words: posture, gait, corpus callosum, diffuse axonal injur