Aerobic Capacity After Traumatic Brain Injury: Comparison With a Nondisabled Cohort

Mossberg, Kurt A.; Ayala, Danielle; Baker, Tracey; Heard, Justin; Masel, Brent E.

doi:10.1016/j.apmr.2006.12.006

Cited by 60 publications

(36 citation statements)

References 24 publications

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“…A downward spiral ensues, leading to further decreased fitness, increased risk for cardiovascular disease, diabetes, and obesity, and reduced ability to participate in exercise or perform activities of daily living. [1][2][3][4] Aerobic exercise (AE) is associated with a host of health benefits including improved exercise capacity, cognition, and quality of life, and reduced cardiovascular risk and mortality. 5,6 Generally, individuals with neurological conditions respond favorably to AE, with improvements in cardiovascular fitness surpassing the changes reported following traditional rehabilitation programs.…”

Section: Introductionmentioning

confidence: 99%

Utilization of Aerobic Exercise in Adult Neurological Rehabilitation by Physical Therapists in Canada

Doyle

MacKay-Lyons

2013

Journal of Neurologic Physical Therapy

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Respondents clearly recognized the importance of AE in neurorehabilitation. Barriers to application of AE and limitations in the use of appropriate screening and training procedures need to be addressed to advance clinical utilization of AE in neurological practice. Understanding current patterns of utilization of AE is important for the development of professional education initiatives and clinical guidelines for best practices in AE for neurological populations. Video Abstract available (see Video, Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A40) for more insights from the authors.

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Section: Introductionmentioning

confidence: 99%

Utilization of Aerobic Exercise in Adult Neurological Rehabilitation by Physical Therapists in Canada

Doyle

MacKay-Lyons

2013

Journal of Neurologic Physical Therapy

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“…2 Increasing physical activity in the general population and in those with disabilities is important since sedentary lifestyles are associated with deconditioning which increases risk of secondary disease. 3,4 Physical activity is particularly important for individuals with traumatic brain injury since they have been shown to be more deconditioned when compared with non-disabled sedentary individuals 5 and may thus be at even greater risk for cardiovascular disease, diabetes and other preventable diseases although this is yet to be determined in longitudinal studies. 5 Exercise interventions in brain injury are steadily emerging 6 and a recent Cochrane review identified a small number of randomized trials reporting mixed outcomes of cardiorespiratory fitness training.…”

Section: Traumatic Brain Injury Is Considered a Prominent Cause Of Dementioning

confidence: 99%

“…3,4 Physical activity is particularly important for individuals with traumatic brain injury since they have been shown to be more deconditioned when compared with non-disabled sedentary individuals 5 and may thus be at even greater risk for cardiovascular disease, diabetes and other preventable diseases although this is yet to be determined in longitudinal studies. 5 Exercise interventions in brain injury are steadily emerging 6 and a recent Cochrane review identified a small number of randomized trials reporting mixed outcomes of cardiorespiratory fitness training. 7 Aerobic studies are often in hospital or rehabilitation inpatient settings, [8][9][10] focused on moderate to severe injury 10 or lacking randomization of participants.…”

Section: Traumatic Brain Injury Is Considered a Prominent Cause Of Dementioning

confidence: 99%

Exercise intervention in brain injury: a pilot randomized study of Tai Chi Qigong

2009

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Objective: To examine the effects of a brief Tai Chi Chuan Qigong ('Qigong') exercise intervention on individuals with traumatic brain injury. Design: A single-centre randomized controlled trial pilot study. Setting: A registered charity day centre in the community.Subjects: Twenty individuals with traumatic brain injury. Intervention: Intervention participants attended a Qigong exercise session for one hour per week over eight weeks.Control participants engaged in non-exercise-based social and leisure activities for the same intervention period. Measures: Outcome was assessed at baseline and post intervention using the General Health Questionnaire-12, the Physical Self-Description Questionnaire and the Social Support for Exercise Habits Scale, to measure perceived mood, self-esteem, flexibility, coordination, physical activity and social support. Results:Groups were comparable at baseline. After the intervention, mood was improved in the exercise group when compared with controls (U 1⁄4 22.0, P 1⁄4 0.02).Improvements in self-esteem (Z 1⁄4 2.397, P 1⁄4 0.01) and mood (Z 1⁄4 -2.032, P 1⁄4 0.04) across the study period were also evident in the exercise group only. There were no significant differences in physical functioning between groups. In view of the sample size, these findings are inconclusive. Conclusions:This study provides preliminary evidence that a brief Qigong exercise intervention programme may improve mood and self-esteem for individuals with traumatic brain injury. This needs to be tested in a large-scale randomized trial.

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“…The significance of these factors within brain injury rehabilitation is not based on speculation. For example, research has pointed to the importance of: physical exercise and the utility of VR in this respect [51,52]; social interaction [53]; and multi-sensory information on the recovery of both motor and cognitive functions [54,55] in addition to cerebral reorganization [56]. As noted in Table V, the characteristics of VR are amenable to extensive manipulation of ecologically valid environments, can utilize several sensory modalities, provide automated rudimentary social interaction or provide a forum for real time social interaction (e.g.…”

Section: Principles Of Enrichment and The Assets Of Vrmentioning

confidence: 98%

Virtual enriched environments in paediatric neuropsychological rehabilitation following traumatic brain injury: Feasibility, benefits and challenges

Penn

Rose

Johnson

2009

Developmental Neurorehabilitation

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A frequent consequence of traumatic brain injury (TBI) is a significant reduction in patients' cerebral activation/arousal, which clinicians agree is not conducive to optimal rehabilitation outcomes. In the context of paediatric rehabilitation, sustained periods of inactivity are particularly undesirable, as contemporary research has increasingly called into question the Kennard principle that youth inherently promotes greater neural plasticity and functional recovery following TBI. Therefore, the onus to create rehabilitation conditions most conducive to harnessing plasticity falls squarely on the shoulders of clinicians. Having noted the efficacy of environmental enrichment in promoting neural plasticity and positive functional outcomes in the animal literature, some researchers have suggested that the emerging technology of Virtual Reality (VR) could provide the means to increase patients' cerebral activation levels via the use of enriched Virtual Environments (VEs). However, 10 years on, this intuitively appealing concept has received almost no attention from researchers and clinicians alike. This paper overviews recent research on the benefits of enriched environments in the injured brain and identifies the potential and challenges associated with implementing VR-based enrichment in paediatric neuropsychological rehabilitation.

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Aerobic Capacity After Traumatic Brain Injury: Comparison With a Nondisabled Cohort

Cited by 60 publications

References 24 publications

Utilization of Aerobic Exercise in Adult Neurological Rehabilitation by Physical Therapists in Canada

Utilization of Aerobic Exercise in Adult Neurological Rehabilitation by Physical Therapists in Canada

Exercise intervention in brain injury: a pilot randomized study of Tai Chi Qigong

Virtual enriched environments in paediatric neuropsychological rehabilitation following traumatic brain injury: Feasibility, benefits and challenges

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