Supportive Living Inc. Research Council, Brain Injury Wellness Center, 7 Oakland Street, Lexington, MA 02420, USA; Brandeis University, The Heller School for Social Policy and Management, 415 South Street, Waltham, MA 02453, USA. Electronic address: http://www.supportivelivinginc.org.
Supportive Living Inc. Research Council, Brain Injury Wellness Center, 7 Oakland Street, Lexington, MA 02420, USA; Doctor of Physical Therapy Department, MCPHS University, 10 Lincoln Square, Worcester, MA 01541, USA.
Disabil Health J. 2018 Jan;11(1):70-78. doi: 10.1016/j.dhjo.2017.08.005. Epub 2017 Aug 24.
Few people with chronic moderate-to-severe brain injury are following recommended physical activity guidelines.
Investigate effects of planned, systematic physical activity while cultivating social and emotional well-being of people with chronic moderate-to-severe brain injury.
Moderate-to-intensive physical activity would be associated with improvements in impairment and activity limitation measures (endurance, mobility, gait speed) immediately post-intervention and six weeks later (study week 12).
The intervention was a single group pre-/post-intervention study with 14 people with chronic moderate-to-severe brain injury who live in brain injury group homes and exercised 60-90 min, 3 days per week for 6 weeks at a maximum heart rate of 50-80%. Pre-post measures (administered weeks 0, 6 and 12) were the 6 Minute Walk Test, High-level Mobility Assessment Tool and 10 Meter Walk Test. The qualitative component used a brief survey and semi-structured interview guide with participants, family members, and staff.
Following program completion, post-intervention group changes were noted on all outcome measures and greater than minimal detectable change for people with brain injury. Three transitioned from low to high ambulatory status and maintained this change at 12 weeks. During interviews, participants agreed the program was stimulating. More than eighty percent liked working out in a group and felt better being active.
Program impact included physical, cognitive and social/emotional aspects. Social aspects (group format, trainers) were highly motivating and supported by residents, family, and staff. Investments in transportation and recruiting and training interns to assist participants are critical to program sustainability and expansion.
很少有慢性中重度脑损伤患者遵循推荐的体育活动指南。
研究有计划、系统的体育活动对慢性中重度脑损伤患者社会和情感健康的影响。
中度至剧烈的体育活动将与损伤和活动受限测量（耐力、移动性、步行速度）的改善相关，即在干预后立即和六周后（第 12 周研究周）。
干预是一项单组前后干预研究，共有 14 名慢性中重度脑损伤患者居住在脑损伤集体之家，每周进行 3 次、每次 60-90 分钟、最大心率为 50-80%的运动。前后测量（在第 0、6 和 12 周进行）是 6 分钟步行测试、高级移动性评估工具和 10 米步行测试。定性部分使用简短的调查和半结构化访谈指南，采访了参与者、家庭成员和工作人员。
在完成计划后，所有结果测量均显示出干预后组的变化，并且对于脑损伤患者来说，变化大于最小可检测变化。有 3 人从低活动状态过渡到高活动状态，并在 12 周时保持了这一变化。在访谈中，参与者同意该计划具有刺激性。超过 80%的人喜欢集体锻炼，并且感觉更活跃。
该计划的影响包括身体、认知和社会/情感方面。社会方面（小组形式、教练）对居民、家庭和工作人员具有高度的激励作用，并得到了他们的支持。在交通投资、招募和培训实习生以帮助参与者方面的投入对于计划的可持续性和扩展至关重要。
