A Stepping Mechanism in Tilt Table Mobilization can Prevent Syncopes in Patients with Traumatic Brain Injury. A Case Report

Background: A major problem in the mobilization of patients in persistent vegetative or minimally conscious state is the potential circulatory collapse because of orthostatic hypotension that might occur while changing from supine to vertical position after prolonged confinement to bed. Therefore, a tilt table with integrated stepping device (Erigo, Hocoma AG, Zurich) was developed, which allows passive stepping movements in order to reduce venous blood pooling. Case Description: The patient, a 45-year old male, had suffered a severe traumatic brain injury (initial GCS 7) in form of a severe diffuse axonal injur…