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Benefits of exercise maintenance after traumatic brain injury

H
WISE EK; HOFFMAN JM; POWELL JM; BOMBARDIER CH; BELL KR
ARCH PHYS MED REHABIL , 2012, vol. 93, n° 8, p. 1319-1323
Doc n°: 160366
Localisation : Documentation IRR , en ligne

D.O.I. : http://dx.doi.org/DOI:10.1016/j.apmr.2012.05.009
Descripteurs : AF3 - TRAUMATISME CRANIEN Url : http://www.archives-pmr.org/issues

Article consultable sur : http://www.archives-pmr.org

OBJECTIVE: To examine the effect of exercise intervention on exercise
maintenance, depression, quality of life, and mental health at 6 months for
people with traumatic brain injury (TBI) with at least mild depression. DESIGN:
Treatment group participants were assessed at baseline, after a 10-week exercise
intervention, and 6 months after completion of the intervention. SETTING: Community. PARTICIPANTS: Participants (N=40) with self-reported TBI from 6 months
to 5 years prior to study enrollment and a score of 5 or greater on the Patient
Health Questionnaire-9. INTERVENTIONS: Ten-week exercise intervention program
consisting of supervised weekly 60-minute sessions and unsupervised 30 minutes of
aerobic exercises 4 times each week. Telephone follow-up was conducted every 2
weeks for an additional 6 months to promote exercise maintenance for individuals
randomized to the intervention group. MAIN OUTCOME MEASURE: Beck Depression
Inventory (BDI) comparing participant outcomes over time. Post hoc analyses
included comparison among those who exercised more or less than 90 minutes per
week. RESULTS: Participants reduced their scores on the BDI from baseline to 10
weeks and maintained improvement over time. Many participants (48%) demonstrated
increased physical activity at 6 months compared with baseline. Those who
exercised more than 90 minutes had lower scores on the BDI at the 10-week and
6-month assessments and reported higher perceived quality of life and mental
health. CONCLUSIONS: Exercise may contribute to improvement in mood and quality
of life for people with TBI and should be considered as part of the approach to
depression treatment.
CI - Copyright (c) 2012 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS

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