High Level Mobility Training in Ambulatory Patients With Acquired Non-progressive Central Neurological Injury

High Level Mobility Training in Ambulatory Patients With Acquired Non-progressive Central Neurological Injury

Brain injuries are a significant cause of loss of movement. It has been shown that physical therapy can help patients to regain movements. The purpose of this study is to see if it is possible to perform a new exercise program that will help patients regain movement. This new exercise program will involve practicing walking, stairs, jumping and running. Participation in this study will involve physical therapy 1 to 2 times a week for 12 visits over 6 to 8 weeks.

Inclusion Criteria:

• Referred to physical therapy with an Acquired Non-Progressive Central Neurological Injury (traumatic brain injury, stroke, brain tumor, spinal cord injury) for 3 months or more
• capacity to consent
• ability to read and write English at the sixth grade level
• able to walk twenty meter without physical assistance or an assistive device, however they can use a brace.
• self-selected gait speed of 0.6 m/s or greater when performing 10 meter walk test.

Exclusion Criteria:

• Adults subjects diagnosed with a progressive central or peripheral neurological disorder or an acute non progressive central neurological disorder (less than 3 months)
• Subjects who require physical assistance or an assistive device to walk twenty meters or demonstrate self-selected gait speed less than 0.6 m/s
• Subjects who are already able to run independently in the community
• Participants who are unable to complete the 12 physical therapy visits at prescribed skill level as established by protocol
• Participants who reports >4/10 on NPRS with lower extremity weight bearing.