Objective
To examine cognitive function in individuals with traumatic brain injury (TBI), prior to and following participation in an aerobic exercise training program.
Design
Pre-post intervention study.
Setting
Medical research center.
Participants
Volunteer sample of individuals (n = 7; Age: 33.3 ± 7.9 years; mean ± SD) with chronic non-penetrating TBI (Injury Severity: 3 Mild, 4 Moderate; Time since most current injury: 4.0 ± 5.5 years) that were ambulatory.
Intervention
12-weeks of supervised vigorous aerobic exercise training performed 3 times a week for 30 minutes on a treadmill.
Main Outcome Measures
Cognitive function was assessed using Trail Making Test (TMT-A and B) and the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS). Sleep quality and depression were measured with the Pittsburg Sleep Quality Index (PSQI) and Beck’s Depression Inventory (BDI-II). Indices of cardiorespiratory fitness were used to examine the relationship between improvements in cognitive function and cardiorespiratory fitness.
Results
After training, improvements in cognitive function were observed with greater scores on the TMT-A (+10.3 ± 6.8; P=.007), TMT-B (+9.6 ± 7.0; P=.011), and total scale RBANS (+13.3 ± 9.3; P =.009). No changes were observed in measures of PSQI and BDI-II. The magnitude of cognitive improvements was also strongly related to the gains in cardiorespiratory fitness.
Conclusion
These findings suggest that vigorous aerobic exercise training may improve specific aspects of cognitive function in individuals with TBI, and cardiorespiratory fitness gains may be a determinant of these improvements.