Severe traumatic brain injury at the chronic stage Injury, Occupational Diseases, Poisoning
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. A severe TBI, defined as a score between 3 and 8 on the Glasgow Comma Scale at the time of injury 2. Age range: 18 to 65 years old 3. A minimum of 8 months since injury 4. Lack of medical contraindications to engage in physical exercise of moderate or vigorous intensity 5. Preserved communication abilities to perform neuropsychological assessments, and to give informed consent
Exclusion criteria
Exclusion criteria: 1. Drug abuse or addiction
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Cognitive function will be measured using the following set of neuropsychological tests: 1. Trail-making tests A and B 2. Rey-Osterrieth complex figure 3. Wisconsin card sorting test 4. Symbol digits modalities test 5. Letters and numbers 6. Forwards and backwards digit span The tests will be administered at four different time points: 1. At the beginning of the study (week 1; baseline) 2. Immediately before the exercise intervention (week 20) 3. Immediately after the exercise intervention (week 40) 4. At the end of the study (week 60; follow-up): | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Physical activity in daily life measured using an Actigraph at three time periods, in the middle of phase A1 (pre-intervention); in the middle of phase B (during the period of exercise intervention), and in the middle of phase A2 (follow-up), on weeks 9-10; 29-30 and 50-51 of the study. Each recording period has a duration of 7 consecutive days 2. Perceived quality of life measured using the CAVIDACE scale ("Quality of life for brain-injured patients") at the same four times as cognitive testing 3. Sympathetic/parasympathetic balance measured using heart rate variability at the beginning and end of the period of exercise intervention (weeks 20 and 40) | — |
Countries
Spain