Independent, Community-Based Aerobic Exercise Training for People With Moderate-to-Severe Traumatic Brain Injury
| Autor: | Ernest V. Gervino, Bonnie Wong, Michael P. Alexander, Alvaro Pascual-Leone, Jennifer M. Devine |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Traumatic brain injury medicine.medical_treatment Poison control Physical Therapy Sports Therapy and Rehabilitation Suicide prevention 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Brain Injuries Traumatic Injury prevention Heart rate medicine Humans Aerobic exercise Prospective Studies Exercise Trauma Severity Indices Rehabilitation business.industry Heart rate monitor 030229 sport sciences Middle Aged medicine.disease Exercise Therapy Physical therapy Patient Compliance Female business 030217 neurology & neurosurgery |
| Zdroj: | Archives of Physical Medicine and Rehabilitation. 97:1392-1397 |
| ISSN: | 0003-9993 |
| Popis: | Objective To determine whether people with moderate-to-severe traumatic brain injury (TBI) can adhere to a minimally supervised, community-based, vigorous aerobic exercise program. Design Prospective trial. Setting Young Men's Christian Association (YMCA) facilities. Participants Community-dwelling volunteers (N=10; 8 men, 2 women; age range, 22–49y) 6 to 15 months after moderate-to-severe TBI. Intervention Participants received memberships to local YMCAs and brief orientations to exercise. They were then asked to independently complete ≥12 weeks of ≥3 training sessions per week, performed at 65% to 85% of maximum heart rate for ≥30 minutes per session. Participants could self-select exercise modality, provided they met intensity and duration targets. Programmable heart rate monitors captured session intensity and duration. Main Outcome Measures Independence with equipment and facility use and compliance with training goals (session frequency, duration, intensity, total weeks of training). Results All participants achieved independence with equipment and facility use. All met at least 2 of 4 training goals; half met all 4 goals. Participants averaged (±SD) 3.3±0.7 sessions per week for 13 weeks (range, 6–24). Average ± SD session duration was 62±23 minutes, of which 51±22 minutes occurred at or above individuals' heart rate training targets. Conclusions People in recovery from moderate-to-severe TBI can, with minimal guidance, perform vigorous, community-based exercise. This suggests that decentralized exercise may be logistically and economically sustainable after TBI, expanding its potential therapeutic utility and rendering longer-duration exercise studies more feasible. |
| Databáze: | OpenAIRE |
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