A randomised control trial of walking to ameliorate brain injury fatigue: a NIDRR TBI model system centre-based study.
Neuropsychol Rehabil
; 27(7): 1002-1018, 2017 Oct.
Article
en En
| MEDLINE
| ID: mdl-27733079
ABSTRACT
Fatigue is one of the most commonly reported sequelae after traumatic brain injury (TBI). This study evaluated the impact of a graduated physical activity programme on fatigue after TBI. Using a prospective randomised single-blind crossover design, 123 individuals with TBI, over the age of 18, were enrolled. Interventions included a home-based walking programme utilising a pedometer to track daily number of steps at increasing increments accompanied by tapered coaching calls over a 12-week period. Nutritional counselling with the same schedule of coaching calls served as the control condition. Main outcome measures included the Global Fatigue Index (GFI), the Barrow Neurological Institute (BNI) Fatigue Scale Overall Severity Index Score, and the Multidimensional Fatigue Inventory (MFI). Step counts improved over time regardless of group assignment. The walking intervention led to a decrease in GFI, BNI Total, and MFI General scores. Participants reported less fatigue at the end of the active part of the intervention (24 weeks) and after a wash out period (36 weeks) as measured by the BNI Overall. The study suggests that walking can be used as an efficient and cost-effective tool to improve fatigue in persons who have sustained a TBI.
Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Caminata
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Evaluación de Resultado en la Atención de Salud
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Terapia por Ejercicio
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Fatiga
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Lesiones Traumáticas del Encéfalo
Tipo de estudio:
Clinical_trials
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Etiology_studies
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Observational_studies
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Prognostic_studies
Límite:
Adult
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Neuropsychol Rehabil
Asunto de la revista:
NEUROLOGIA
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PSICOLOGIA
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REABILITACAO
Año:
2017
Tipo del documento:
Article
País de afiliación:
Estados Unidos