Pilot study of intensive exercise on endurance, advanced mobility and gait speed in adults with chronic severe acquired brain injury

Charrette, Ann L.; Lorenz, Laura S.; Fong, Jeffrey; OʼNeil-Pirozzi, Therese M.; Lamson, Karen; Demore-Taber, Michelle; Lilley, Ross McC.

doi:10.1080/02699052.2016.1187766

Cited by 16 publications

(3 citation statements)

References 26 publications

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“…It is also noteworthy that resistance-training exercise programs were central to the cognitive improvements perceived by participants. Resistance-training exercise may indeed provide cognitive benefits ( 34 , 35 ) and although some studies have examined resistance training after TBI ( 36 , 37 ), there is a general lack of focus on the impact this may have with cognitive function, including memory. Therefore, based on the comments about improved memory beginning in the second phase, and related to their resistance training programs, this underscores the importance of continued PA participation several years after TBI.…”

Section: Discussionmentioning

confidence: 99%

Participatory co-creation of an adapted physical activity program for adults with moderate-to-severe traumatic brain injury

Quilico

Wilkinson

Duncan

et al. 2022

Front. Rehabilit. Sci.

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BackgroundResearch about using physical activity (PA) to improve health, quality of life, and participation after moderate-to-severe traumatic brain injury (TBI) is receiving growing attention. However, best-practices for maintaining PA participation after TBI have yet to be defined. In this context, a team of researchers and stakeholders with a moderate-to-severe TBI (including program participants and peer mentors) participated in a co-creation process to optimize a 9-month, 3-phased, community-based, adapted PA program named TBI-Health.PurposeThe study aimed to provide a detailed account of the participation in and co-creation of a new TBI-Health Program to enhance sport and exercise participation for adults with moderate-to-severe TBI. Specifically, we carried out an in-depth exploration of the perceived experiences and outcomes of users over one cycle of the program to assist the co-creation process.MethodsAn interpretive case study approach was used to explore the experiences and outcomes of the participatory co-creation within and across phases of the TBI-Health program. A purposeful sample of fourteen adults with moderate-to-severe TBI (program participants n = 10; peer mentors n = 4) were involved in audio-recorded focus groups after each program phase. Reflexive thematic analyses within and across the phases identified three higher-order themes.ResultsProgram Participation included barriers, facilitators, sources of motivation and suggested modifications to optimize the program; Biopsychosocial Changes highlighted perceived physical, psychological, and social outcomes, by self and others, that resulted from program participation; PA Autonomy emphasized transitions in knowledge, sex- and gender-related beliefs, and abilities related to exercise and sport participation.ConclusionsStudy findings suggest the TBI-Health program can increase autonomy for and reduce barriers to PA for adults with moderate-to-severe TBI, which results in increased PA participation and important physical, psychological, and social benefits. More research is needed about the TBI-Health program with larger samples.

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Section: Discussionmentioning

confidence: 99%

Participatory co-creation of an adapted physical activity program for adults with moderate-to-severe traumatic brain injury

Quilico

Wilkinson

Duncan

et al. 2022

Front. Rehabilit. Sci.

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“…Aspects of walking ability can be measured in terms of endurance and speed. Reduced walking endurance can restrict a person's ability to perform daily activities, from crossing a road to accessing the community (Charrette et al, 2016;Mossberg & Fortini, 2012). Walking speed is a particularly important outcome in neurological populations because it is relevant to community ambulation (Andrews et al, 2010).…”

Section: Impact Of Tbi On Mobility Outcomesmentioning

confidence: 99%

Feasibility of ballistic strength training to improve mobility of inpatients with traumatic brain injury: A study protocol

Gilfillan¹,

Mothabeng²,

Heerden³

2023

NZJP

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Traumatic brain injury is a major cause of mortality and long-term disability, often resulting in limited mobility. Limited mobility is associated with poor community participation and reduced health-related quality of life. Mobility, particularly walking, requires rapid force generation, which can be improved using ballistic strength training. This study aims to investigate the feasibility of ballistic strength training for improving mobility in people recovering from traumatic brain injury in an inpatient rehabilitation setting. The feasibility study will use a quasi-experimental single group pre-test-post-test design. We will recruit inpatients with first-ever, moderate-to-severe traumatic brain injury, less than 6 months post-injury. We plan to measure recruitment capability, attendance, the incidence of adverse events, acceptability of the intervention, and ability to perform exercises. Preliminary effects of the intervention will be measured as a change in self-selected walking speed, change in walking capacity, and participant perceived difference in walking ability. The data will be descriptively analysed. In this study protocol, we outline the rationale for implementing a feasibility study to test the feasibility of ballistic strength training for inpatients who have experienced traumatic brain injuries.

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“…The recovery of walking ability is considered a key aspect of TBI rehabilitation (Katz et al, 2004;Walker & Pickett, 2007;Williams et al, 2009). Greater walking capacity enhances a person's activities of daily living, enables them to cross roads or access their community (Charrette et al, 2016), and facilitates participation in recreational activities (Katz et al, 2004;Wilson et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

Feasibility of ballistic strength training to improve mobility of inpatients with traumatic brain injury

Gilfillan

Mothabeng

Heerden

2023

NZJP

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The objective of this study was to investigate the feasibility of ballistic strength training (BST) to improve the mobility of individuals recovering from traumatic brain injury (TBI) in an inpatient rehabilitation centre. Participants had a maximum of eight usual physiotherapy sessions substituted with BST sessions. The feasibility of BST was assessed in terms of recruitment, attendance, adverse events (AEs), and participant acceptability of the intervention. The clinical aspects of feasibility were assessed by recording the ability of participants to complete the exercises and acquire skills. Secondary measures included the 10-metre walk test, the 6-minute walk test, and the Global Rating of Change scale. Fourteen of 22 eligible individuals with TBI in an inpatient rehabilitation centre consented to participate in the study, of whom two were excluded. No intervention-related AEs occurred. Participants attended 97% (71/73) of the total sessions. Participants positively accepted the intervention as rated on a visual analogue scale, M (SD) = 9.2 (0.9). All participants were able to complete the BST exercises. Participants significantly improved comfortable walking speed and walking capacity (p < 0.01). Participants perceived a meaningful change in walking ability. BST appears to be a promising rehabilitation method that may improve the walking outcomes of individuals with TBI in an inpatient rehabilitation setting. Larger-scale clinical trials are warranted.

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Pilot study of intensive exercise on endurance, advanced mobility and gait speed in adults with chronic severe acquired brain injury

Abstract: People with chronic ABI can improve endurance, demonstrate the ability to do advanced gait and improve ambulatory status with 6 weeks of intensive exercise. Challenges to sustainability of exercise programmes for this population remain.

Cited by 16 publications

References 26 publications

Participatory co-creation of an adapted physical activity program for adults with moderate-to-severe traumatic brain injury

Participatory co-creation of an adapted physical activity program for adults with moderate-to-severe traumatic brain injury

Feasibility of ballistic strength training to improve mobility of inpatients with traumatic brain injury: A study protocol

Feasibility of ballistic strength training to improve mobility of inpatients with traumatic brain injury

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