1. Characterizing Physical Activity and Sedentary Behavior in Adults With Persistent Postconcussive Symptoms After Mild Traumatic Brain Injury
- Author
-
Julie M. Joyce, Chantel T. Debert, Keith Owen Yeates, Leah J. Mercier, Tak Fung, and Kristina Kowalski
- Subjects
Adult ,Male ,medicine.medical_specialty ,Traumatic brain injury ,medicine.medical_treatment ,Psychological intervention ,Physical Therapy, Sports Therapy and Rehabilitation ,Cohort Studies ,Quality of life ,Surveys and Questionnaires ,Medicine ,Humans ,Exercise ,Depression (differential diagnoses) ,Rehabilitation ,Exercise Tolerance ,business.industry ,Post-Concussion Syndrome ,Rivermead post-concussion symptoms questionnaire ,Middle Aged ,medicine.disease ,Patient Health Questionnaire ,Cross-Sectional Studies ,Brain Injuries ,Physical therapy ,Quality of Life ,Female ,Guideline Adherence ,Sedentary Behavior ,business ,Cohort study - Abstract
Objective To evaluate physical activity (PA) and sedentary behavior and their associations with symptom and quality of life outcomes in adults with persistent postconcussive symptoms (PPCS) after mild traumatic brain injury (mTBI). Design Cross-sectional cohort study. Setting Outpatient brain injury clinic. Participants Consecutive sample of adults (N=180) with a diagnosis of mTBI and PPCS. Interventions Not applicable. Main Outcome Measures PA and sedentary behavior were assessed using the Godin Leisure-Time Exercise Questionnaire and Rapid Assessment Disuse Index, respectively. Participants were dichotomized according to whether they completed 150 minutes of moderate-to-vigorous PA per week, based on Canadian guidelines. Postinjury moderate-to-vigorous PA was also analyzed as a continuous variable. Results Prior to injury, 85% of participants reported meeting PA guidelines, compared with 28% postinjury. Individuals meeting PA guidelines postinjury reported higher quality of life (η2p=0.130; P Conclusions PA was significantly decreased in individuals with PPCS compared to preinjury levels. Meeting PA guidelines postinjury was associated with better clinical outcomes, suggesting that returning individuals to PA should be considered in the treatment of this patient population.
- Published
- 2021