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Arch Phys Med Rehabil. 2012 Aug;93(8):1319-23. doi: 10.1016/j.apmr.2012.05.009.

Benefits of exercise maintenance after traumatic brain injury.

Author information

1
Harborview Medical Center, Box 359818, 325 Ninth Ave, Seattle, WA 98104-2499, USA. bwise@u.washington.edu

Abstract

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.

PMID:
22840829
DOI:
10.1016/j.apmr.2012.05.009
[Indexed for MEDLINE]
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