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The effects of adapted physical exercise during rehabilitation in patients with traumatic brain injury
Romanov R, Mesaric L, Peric D, Vesligaj Damis J, Petrova Filisic Y
Turkiye Fiziksel Tip ve Rehabilitasyon Dergisi [Turkish Journal of Physical Medicine and Rehabilitation] 2021 Dec;67(4):482-489
clinical trial
4/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVES: This study aims to investigate the effects of adapted physical exercise on the level of muscular ability and attention process in patients with traumatic brain injury (TBI). PATIENTS AND METHODS: Between September 2018 and November 2018, a total of 25 male patients with TBI (mean age 41.1 +/- 9.7 years; range 30 to 50 years) that occurred two years ago were included in this randomized-controlled study. The patients were divided into two groups as the experimental group (n = 13) and the control group (n = 12). The experimental group implemented a regular rehabilitation program and an additional program of adapted physical exercise. The control group implemented only a regular rehabilitation program (morning gymnastics and gymnastics for the brain). Motor and functional abilities were assessed by a Senior Fitness battery and Berg's balance scale. Attention process was assessed by a standardized d2 test. RESULTS: A significant improvement in physical abilities (strength, flexibility and balance) and attention process was observed in both groups (p < 0.01). The improvement was greater in the experimental group (p < 0.01). CONCLUSION: Traumatic brain injury causes difficulties in the memory and executive functions of the body and impairs working ability. The short-term adapted physical exercise program can yield a positive change in working abilities of patients with TBI.

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