Chitra Lakshmi  K Balasubramanian

Assistant Professor

Clinical & Applied Movement Sciences • Brooks College of Health

Areas of Expertise

Gait assessment, Gait rehabilitation, Stroke rehabilitation, Elderly, Falls

Education

University of Florida, Gainesville

  • Doctor of Philosophy, Rehabilitation Science, 2008
  • Dissertation: Quantification of Asymmetrical Stepping Post-stroke and Its Relationship to Hemiparetic Walking Performance

Manipal Academy of Higher Education, India

  • Bachelor of Physical Therapy, 2001

Biography

My research goal is to enhance evidence-based practice in physical therapy rehabilitation practice and to aid in development of a scientific framework to design efficient rehabilitation strategies for walking and balance improvement. My research interests include understanding the neural control of movement, assessment of asymmetrical walking post-stroke, assessment of impaired walking using biomechanical, neurophysiologic and clinical measures and designing therapeutic strategies to improve walking and balance function. Furthermore, I am interested in evaluating the risk for falls in different neurological and geriatric populations and designing efficient and effective assessments to evaluate balance and mobility. I utilize the International classification of Functioning as a framework for my research interests. I believe that quantification of walking impairments and understanding their relation to functional walking performance are pivotal to develop targeted therapeutic strategies to improve functional walking ability. 

Awards

  • Award for Research Excellence, Scholars Transforming Academic Research Symposium (STARS), University of North Florida, Jacksonville, FL (2011)
  • Neural Control Movement Society Scholarship, Naples, FL (2008)
  • PHHP Graduate student Research Grant award, University of Florida, Gainesville, FL (2007)
  • Travel Award for best poster presentation, University of Florida, Gainesville, FL (2005)
  • Certificate for academic accomplishment, International Center, University of Florida, Gainesville, FL (2005) 
  • Certificate for academic accomplishment, International Center, University of Florida, Gainesville, FL (2004)
  • Alumni fellowship, University of Florida, Gainesville, FL (2003)

             

Grants and Contracts Awarded

Principal Investigator. Brooks Collaborative Funding (2014 - 2015). Development of a clinical assessment tool for the measurement of walking adaptability post-stroke. $28,169. Co-Investigators: David Clark, ScD, Emily Fox, PT, PhD, DPTNCS, Lou Demark, PT, DPT, NCS

 

Principal Investigator. UNF Proposal Development Award (2013). Gait adaptability in persons post-stroke. $7,500.

 

Principal Investigator. UNF Faculty Research Grant (2011). Effect of walking protocols on the measurement of gait variability using instrumented mats. $7,500.

 

Principal Investigator. Brooks Dean's Professorship Grant (2009 - 2012). Use of ‘The Community Balance and Mobility Scale’ for evaluation of balance and walking in community-dwelling older adults. $54,000.         

Publications & Presentations

PEER-REVIEWED PUBLICATIONS

 

Phadke CP, Balasubramanian CK, Holz A, Davidson C, Ismail FF, Boulias C. Adverse clinical effects of botulinum toxin intramuscular injections for spasticity. The Canadian Journal of Neurological Sciences. Accepted July 2015.


Balasubramanian CK, Boyette A, Wludyka P. How Well Do Functional Assessments of Mobility and Balance Discriminate Fallers and Recurrent Fallers from Non-Fallers among Ambulatory Older Adults in the Community? Physiotherapy Canada. 2015. Spring;67(2):184-93. doi: 10.3138/ptc.2014-19.

 

Balasubramanian CK, Clark DJ, Gouelle A. Validity of the gait variability index in older adults: effect of aging and mobility impairments. Gait & Posture. Gait & Posture 2015. http://dx.doi.org/10.1016/j.gaitpost.2015.03.349.

 

Balasubramanian CK. The Community Balance and Mobility Scale alleviates the ceiling effects observed in the currently used gait and balance assessments for the community dwelling older adults. Journal of Geriatric Physical Therapy. 2015 Apr-Jun; 38(2):78-89. doi: 10.1519/JPT.0000000000000024.

 

Balasubramanian CK, Clark DJ, Fox EJ. Walking adaptability after a stroke and its assessment in clinical settings. Stroke Research and Treatment. 2014 August; v2014 (doi:10.1155/2014/591013):21 pages.

 

Phadke CP, Balasubramanian CK, Ismail FF, Boulias C. Revisiting physiological and psychological stimuli that increase spasticity. American Journal of Physical Medicine and Rehabilitation. 2013 April; 92(4):357-69.

 

Balasubramanian CK, Neptune RR, Kautz SA. Foot placement in a body reference frame during walking and its relationship to hemiparetic walking performance. Clinical Biomechanics. 2010 June; 25(5):483-90.

 

Balasubramanian CK, Neptune RR, Kautz SA. Variability in spatiotemporal step characteristics and its relationship to hemiparetic walking performance. Gait Posture. 2009 April; 29(3):408-14.

 

Bowden MG, Balasubramanian CK, Behrman AL, Kautz SA. Validation of a speed-based classification system using quantitative measures of walking performance post-stroke. Neurorehabilitation and Neural Repair. 2008 November-December; 22(6):672-5.

 

Balasubramanian CK, Bowden MG, Neptune RR, Kautz SA. Relationship between step length asymmetry and walking performance in subjects with chronic hemiparesis. Archives of Physical Medicine and Rehabilitation. 2007 January; 88(1):43-9.

 

Bowden MG, Balasubramanian CK, Neptune RR, Kautz SA. Anterior-posterior ground reaction forces as a measure of paretic leg contribution in hemiparetic walking. Stroke. 2006 March; 37(3):872-6.

 

 

PRESENTATIONS

 

Balasubramanian CK, Gouelle A. The Gait Variability Index, a new composite measure of gait variability, decreases with aging. Neural Control of Movement Society, April 2015, Charleston, South Carolina.

 

Balasubramanian CK, Gouelle A. The Gait Variability Index, a new composite measure of gait variability, decreases with aging. Physiotherapy, Volume 101, 2015/5/31, e106-e107.
World Confederation for Physical Therapy, May 2015, Singapore.

 

Howarth J, Studer R, Fox EJ, Balasubramanian CK. Intensive partial body weight support treadmill training as an adjuvant to improve outcomes in non-ambulatory individuals with an acute stroke: testing a training protocol to improve clinical translation. Physiotherapy, Volume 101, 2015/5/31, e106-e107.
World Confederation for Physical Therapy, May 2015, Singapore.

 

Phadke CP, Balasubramanian CK, Holz A, Davidson C, Ismail FF, Boulias C. Adverse effects of botulinum neurotoxin type A used for limb spasticity in Canada. Toxicon, Volume 93, Supplement, January 2015, Pages S50. TOXINS 2015, Lisbon, Portugal. 

 

Livingston BP, Balasubramanian CK. Can we objectively measure spasticity? Combined Sections Meeting of the American Physical Therapy Association, February 2015, Indianapolis, IN. 

 

Foster H,* Demark L, Balasubramanian CK, Rose D, Fox EJ. Decreased gait variability following an intense backward walking program in an individual with chronic incomplete spinal cord injury. Combined Sections Meeting of the American Physical Therapy Association, February 2015, Indianapolis, IN. 

 

Padilla A,* Osborne J, Balasubramanian CK, Fox EJ. A customized assessment to specifically identify balance impairments in an ambulatory older adult. Combined Sections Meeting of the American Physical Therapy Association, February 2015, Indianapolis, IN. 

 

Balasubramanian CK, Clark DJ, Fox EJ. Comprehensive examination of walking recovery post-stroke: application of a guided approach for item bank development. Archives of Physical Medicine and Rehabilitation 95 (10), e15-e16. American Congress of Rehabilitation Medicine, November 2014, Ontario, Canada.

 

Balasubramanian CK. Can current gait and balance assessments accurately discriminate fallers from non-fallers in high-functioning community-dwelling older adults? Archives of Physical Medicine and Rehabilitation 95 (10), e94-e95. American Congress of Rehabilitation Medicine, November 2014, Ontario, Canada.
 

Balasubramanian CK, Clark DJ, Fox EJ, Stagliano AE, Demark L, Velozo CA. Developing an item bank for the examination of gait adaptability post-stroke using a mixed-methods framework. International Society for Gait & Posture Research. Vancouver, Canada, June 2014.

 

Balasubramanian CK, Saracino DM, Robinson R, Boyette A, Wludyka PS. Fall risk prediction in high-functioning community-dwelling older adults: reconsideration of clinical balance measures. International Society for Gait & Posture Research. Vancouver, Canada, June 2014.

 

Balasubramanian CK, Stoecklein J, Eldridge D, Page R, Sethi A. Number of trials required to accurately evaluate spatiotemporal gait variability data using instrumented mats. International Society for Gait & Posture Research. Vancouver, Canada, June 2014.

 

Balasubramanian CK, Saracino, D, Fox EJ. Impairments contributing to gait variability in community-dwelling chronic stroke survivors. American Physical Therapy Association, Las Vegas, February 2014. 

 

Balasubramanian CK, Kautz SA, Velozo CA. Construct validity of the Fugl-Meyer assessment of lower extremity to evaluate motor impairment post stroke. 90th American Congress of Rehabilitation Medicine Annual Conference (Progress in Rehabilitation Research), Orlando, FL, November 2013. 

 

Balasubramanian CK, Saracino D. The Community Balance and Mobility Scale alleviates the ceiling effects observed in the currently used assessments for the higher-functioning community dwelling elderly. International Society for Gait and Posture Research, Akita, Japan, June 2013.

 

Balasubramanian CK, Page R, Stoecklein J. The effect of overground walking protocols on the measurement of average gait and gait variability data. International Society for Gait and Posture Research, Akita, Japan, June 2013.

 

Balasubramanian CK. Saracino D. Clinical Assessments for Gait and Balance. Florida Physical Therapy Association Super District Meeting, Jacksonville, April 2013. 

 

Balasubramanian CK. The Community Balance and Mobility Scale: a new scale to evaluate higher-level balance and mobility deficits in the community-dwelling elderly. Combined Sections Meeting of the American Physical Therapy Association, San Diego, January 2013.

 

Phadke CP, Balasubramanian CK, Ismail FF, Boulias C. Revisiting physiological and psychological stressors that increase spasticity.16th European Federation of Neurologic Sciences in Stockholm, Sweden, 2012.

 

Balasubramanian CK. Validation of the Community Balance and Mobility Scale to evaluate balance and mobility in the community-dwelling elderly population. Accepted at World Confederation for Physical Therapy, Amsterdam, 2011.

 

Balasubramanian CK. The Community Balance and Mobility Scale evaluates higher-level gait and balance: a new scale with greater discriminatory ability than currently used gait and balance assessments. Accepted at the Internationational Society for Gait and Posture Research, Japan, 2011.

 

Balasubrmanian CK, Sethi A, Neptune RR, Kautz SA. Understanding the complexity of gait kinematics using non-linear analysis in persons with chronic hemiparesis. Accepted at the Internationational Society for Gait and Posture Research, Japan, 2011.

 

Balasubramanian CK, Neptune RR and Kautz SA. Patterns of foot placement relative to the pelvis in post-stroke hemiparetic walking: Insights into coordination of hemiparetic locomotion. Presented at Neural Control of Movement Meeting, Naples, Florida, April 2010.

 

Balasubramanian CK. Development of clinically relevant outcomes for walking rehabilitation post-stroke. Rehabilitation and Post-acute care services. June 2008. Chicago, IL. Invited Presentation.

 

Balasubramanian CK, Neptune RR and Kautz SA. Evaluation of the neuromotor mechanisms underlying step length asymmetry patterns during hemiparetic walking using a novel methodology of step-by-step variability in gait data. Presented at Neural Control of Movement Meeting, Naples, Florida, May 2008.

 

Bowden MG, Balasubramanian CK, Behrman AL, Kautz SA.Validation of a Speed-Based Classification System Using Quantitative Measures of Walking Performance Post-Stroke. Thematic Poster. American Physical Therapy Association Combined Sections Meeting, Nashville, Tennessee, February, 2008. Winner of APTA Neurology section award.

 

 

K BalasubramanianContact Information

Building 39, Room 2054

(904) 620-3849

c.k-balasubramanian@unf.edu