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Ballistic resistance training has a similar or better effect on mobility than non-ballistic exercise rehabilitation in people with a traumatic brain injury: a randomised trial.
- Source :
- Journal of Physiotherapy (Elsevier); Oct2022, Vol. 68 Issue 4, p262-268, 7p
- Publication Year :
- 2022
-
Abstract
- In people recovering from traumatic brain injury, is a 3-month ballistic resistance training program targeting three lower limb muscle groups more effective than non-ballistic exercise rehabilitation for improving mobility, strength and balance? Does improved mobility translate to better health-related quality of life? A prospective, multicentre, randomised trial with concealed allocation, intention-to-treat analysis and blinded measurement. A total of 144 people with a neurological movement disorder affecting mobility as a result of traumatic brain injury. For 3 months, the experimental group had three 60-minute sessions of non-ballistic exercise rehabilitation per week replaced by ballistic resistance training. The control group had non-ballistic exercise rehabilitation of equivalent time. The non-ballistic exercise rehabilitation consisted of balance exercises, lower limb stretching, conventional strengthening exercises, cardiovascular fitness training and gait training. The primary outcome was mobility measured using the High-Level Mobility Assessment Tool (HiMAT). Secondary outcomes were walking speed, strength, balance and quality of life. They were measured at baseline (0 months), after completion of the 3-month intervention (3 months) and 3 months after cessation of intervention (6 months). After 3 months of ballistic resistance training, the experimental group scored 3 points (95% CI 0 to 6) higher on the 54-point HiMAT than the control group and remained 3 points (95% CI –1 to 6) higher at 6 months. Although there was a transient decrement in balance at 3 months in the experimental group, the interventions had similar effects on all secondary outcomes by 6 months. Participants with a baseline HiMAT < 27 gained greater benefit from ballistic training: 6 points (1 to 10) on the HiMAT. This randomised trial shows that ballistic resistance training has a similar or better effect on mobility than non-ballistic training in people with traumatic brain injury. It may be better targeted towards those with more severe mobility limitations. ACTRN12611001098921. [ABSTRACT FROM AUTHOR]
- Subjects :
- RESISTANCE training
RESEARCH
THERAPEUTICS
STRETCH (Physiology)
WALKING speed
EVALUATION of human services programs
POSTURAL balance
PHYSICAL therapy
HEALTH outcome assessment
RANDOMIZED controlled trials
GAIT disorders
PHYSICAL mobility
MUSCLE strength
QUALITY of life
STATISTICAL sampling
REHABILITATION for brain injury patients
LONGITUDINAL method
Subjects
Details
- Language :
- English
- ISSN :
- 18369553
- Volume :
- 68
- Issue :
- 4
- Database :
- Supplemental Index
- Journal :
- Journal of Physiotherapy (Elsevier)
- Publication Type :
- Academic Journal
- Accession number :
- 159858163
- Full Text :
- https://doi.org/10.1016/j.jphys.2022.09.004