Feasibility of Aerobic Exercise in the Subacute Phase of Recovery From Traumatic Brain Injury: A Case Series
Por:
Morris, TP, Costa-Miserachs, D, Rodriguez-Rajo, P, Finestres, J, Bernabeu, M, Gomes-Osman, J, Pascual-Leone, A and Tormos-Munoz, JM
Publicada:
1 oct 2018
Resumen:
Background and Purpose: Aerobic exercise is as important for individuals with traumatic brain injury (TBI) as for the general population; however, the approach to aerobic training may require some adaptation. The objective of the trial program was to examine the feasibility of introducing aerobic physical exercise programs into the subacute phase of multidisciplinary rehabilitation from moderate to severe TBI, which includes computerized cognitive training.
Case Description: Five individuals undergoing inpatient rehabilitation with moderate or severe TBIs who also have concomitant physical injuries. All of these individuals were in the subacute phase of recovery from TBIs.
Intervention: An 8-week progressive aerobic physical exercise program. Participants were monitored to ensure that they could both adhere to and tolerate the exercise program. In addition to the physical exercise, individuals were undergoing their standard rehabilitation procedures that included cognitive training. Neuropsychological testing was performed to gain an understanding of each individual's cognitive function.
Outcomes: Participants adhered to both aerobic exercise and cognitive training. Poor correlations were noted between heart rate reserve and ratings of perceived effort. Two minor adverse events were reported.
Discussion: Despite concomitant physical injuries and cognitive impairments, progressive aerobic exercise programs seem feasible and well tolerated in subacute rehabilitation from moderate to severe TBI. Findings highlight the difficulty in measuring exercise intensity in this population.
Filiaciones:
Morris, TP:
UAB, Inst Univ Neurorehabil, Inst Guttmann, Cami Can Ruti,S-N, Barcelona 08916, Spain
Beth Israel Deaconess Med Ctr, Berenson Allen Ctr Noninvas Brain Stimulat, Div Cognit Neurol, Boston, MA 02215 USA
Harvard Med Sch, Boston, MA 02215 USA
Univ Autonoma Barcelona, Dept Psicobiol & Ciencies Salut, Inst Neurociencies, Bellaterra, Cerdanyola Del, Spain
Costa-Miserachs, D:
Univ Autonoma Barcelona, Dept Psicobiol & Ciencies Salut, Inst Neurociencies, Bellaterra, Cerdanyola Del, Spain
Rodriguez-Rajo, P:
UAB, Inst Univ Neurorehabil, Inst Guttmann, Cami Can Ruti,S-N, Barcelona 08916, Spain
Fundacio Inst Invest Ciencies Salut Germans Trias, Barcelona, Spain
Finestres, J:
UAB, Inst Univ Neurorehabil, Inst Guttmann, Cami Can Ruti,S-N, Barcelona 08916, Spain
Fundacio Inst Invest Ciencies Salut Germans Trias, Barcelona, Spain
:
UAB, Inst Univ Neurorehabil, Inst Guttmann, Cami Can Ruti,S-N, Barcelona 08916, Spain
Fundacio Inst Invest Ciencies Salut Germans Trias, Barcelona, Spain
Gomes-Osman, J:
Beth Israel Deaconess Med Ctr, Berenson Allen Ctr Noninvas Brain Stimulat, Div Cognit Neurol, Boston, MA 02215 USA
Harvard Med Sch, Boston, MA 02215 USA
Univ Miami, Miller Sch Med, Dept Phys Therapy, Miami, FL 33136 USA
Pascual-Leone, A:
UAB, Inst Univ Neurorehabil, Inst Guttmann, Cami Can Ruti,S-N, Barcelona 08916, Spain
Beth Israel Deaconess Med Ctr, Berenson Allen Ctr Noninvas Brain Stimulat, Div Cognit Neurol, Boston, MA 02215 USA
Harvard Med Sch, Boston, MA 02215 USA
:
UAB, Inst Univ Neurorehabil, Inst Guttmann, Cami Can Ruti,S-N, Barcelona 08916, Spain
Fundacio Inst Invest Ciencies Salut Germans Trias, Barcelona, Spain
Bronze, Green Accepted
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