Article

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.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS