Denneman Rosalie P M, van Bezeij Tijs, Kal Elmar C, Marshall Jamie, Pisters Martijn F
Research Group Empowering Healthy Behaviour, Department of Health Innovation and Technology, Fontys University of Applied Sciences, Eindhoven, The Netherlands.
Physical Therapy Research, Department of Rehabilitation, Physiotherapy Science and Sport, University Medical Center Utrecht Brain Center, Utrecht University, Utrecht, The Netherlands.
Disabil Rehabil. 2024 Dec;46(25):6097-6107. doi: 10.1080/09638288.2024.2320265. Epub 2024 Feb 28.
Environmental enrichment seems to enable people in the chronic phase of acquired brain injury (ABI) to experience new functional abilities and motor/coping strategies and consequently to become more adaptable which might prevent/reverse functional decline. This study describes the influence of a five-days Surf Week program on participants on physical function, self-efficacy, functional balance performance and self-perceived recovery.
A multiple-baseline single-case design was used. Adults participating in the Surf Week in chronic phase of ABI were eligible to participate. Participants completed a battery of tests monitoring physical function, self-efficacy, functional balance performance and self-perceived recovery. This battery was repeated 5 times over a 1-year period, two times pre-Surf Week, three times post-Surf Week. Visual data inspection with two non-overlap methods were used to determine if patients showed sustained improvement in outcomes post-intervention.
A moderate to strong indication for improvements on physical function, functional balance performance and self-perceived recovery exists till six months follow-up. No indication was observed on self-efficacy till six months follow-up.
A five-days Surf Week is a physically, cognitively and socially intensive stimulating activity that can positively challenge individuals after ABI and seems to improve physical functioning, functional balance performance and self-perceived recovery.
环境丰富化似乎能使后天性脑损伤（ABI）慢性期患者体验到新的功能能力和运动/应对策略，从而变得更具适应性，这可能预防/逆转功能衰退。本研究描述了为期五天的冲浪周项目对参与者身体功能、自我效能感、功能平衡表现和自我感知恢复的影响。
采用多基线单病例设计。符合条件的参与者为处于ABI慢性期且参加冲浪周的成年人。参与者完成了一系列监测身体功能、自我效能感、功能平衡表现和自我感知恢复的测试。在1年时间内，该系列测试重复进行5次，冲浪周前进行2次，冲浪周后进行3次。使用两种非重叠方法进行视觉数据检查，以确定患者在干预后各项结果是否持续改善。
直到六个月随访时，有中度到强烈迹象表明身体功能、功能平衡表现和自我感知恢复有所改善。直到六个月随访时，未观察到自我效能感有改善迹象。
为期五天的冲浪周是一项对身体、认知和社交有高强度刺激的活动，对ABI患者具有积极的挑战性，似乎能改善身体功能、功能平衡表现和自我感知恢复。
