Exercise and Rehabilitation After Traumatic Brain Injury
Effects of Aerobic Exercise and Rehabilitation After Traumatic Brain Injury
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
Undersøgelsestype
Undersøgelsestype
Tilmelding (Forventet)
Tilmelding
Fase
Fase
- Fase 1
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Grace S Griesbach, PhD
- Telefonnummer: (818)783-3800
- E-mail: researchcentre@neuroskills.com
Undersøgelse Kontakt Backup
- Navn: Lisa Kreber, PhD
- Telefonnummer: (661)873-6513
- E-mail: researchcentre@neuroskills.com
Studiesteder
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California
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Encino, California, Forenede Stater, 91436
- Rekruttering
- Centre for Neuro Skills
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Kontakt:
- Grace Griesbach, PhD
- Telefonnummer: 818-783-3800
- E-mail: researchcentre@neuroskills.com
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Kontakt:
- Charan Singh, MS
- Telefonnummer: (661)872-3408
- E-mail: csingh@neuroskills.com
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Clinical diagnosis of TBI (for R+AER and R groups).
- Fluency in English or Spanish.
- Able to walk with or without a device.
Exclusion Criteria:
- Orthopedic or cardiac conditions that prevent from exercising.
- Current diagnosis of neurological and/or psychiatric diseases.
Unable to be in the Los Angeles CA metropolitan area for the duration of the study
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
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Eksperimentel: Intervention aerobic exercise (AER)
Participants with traumatic brain injury (TBI) that are enrolled in a comprehensive rehabilitation program (R) will be engaged in an aerobic exercise program (AER).
These participants will also receive standard rehabilitation which includes exercise within the physical therapy session.
Given that the duration of the rehabilitative program is variable the period of AER training will be no less than 4 weeks and will not exceed 30 weeks.
Activity levels will be monitored.
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Aerobic exercise will be performed with a treadmill or stationary tandem bike 3 times per week.
Each exercise session will take about 30 minutes plus 5 to 10 min of warm-up and cool-down.
Participants will wear a safety harness.
Rehabiliteringsprogram er fokuseret på afslutning af aktiviteter i dagligdagen, igangsættelse, passende adfærd og samfundsintegration i fem dage om ugen på Center for Neurofærdigheder.
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Aktiv komparator: rehabilitation (R)
Participants with traumatic brain injury that are enrolled in a comprehensive rehabilitation program.
These participants will receive standard rehabilitation.
Given that the duration of the rehabilitative program is variable the duration of participation will be no less than 4 weeks and will not exceed 30 weeks.
Activity levels will be monitored.
|
Rehabiliteringsprogram er fokuseret på afslutning af aktiviteter i dagligdagen, igangsættelse, passende adfærd og samfundsintegration i fem dage om ugen på Center for Neurofærdigheder.
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Ingen indgriben: control (C)
Healthy volunteers' responsiveness to exercise and activity levels will be determined to detect TBI effects.
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Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Aerobic Exercise Induced Changes in Inflammatory responses to exercise
Tidsramme: 4 to 30 weeks depending on the duration of rehabilitation coverage.
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Selected analytes will be evaluated from serum.
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4 to 30 weeks depending on the duration of rehabilitation coverage.
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Aerobic Exercise Induced Changes in Cognitive Function
Tidsramme: 5 years
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Attention, processing speed, reaction times, memory and nonverbal reasoning are evaluated by CNS Vital Signs.
All scores are aggregated to one reported value (Neurocognitive Index).
Scoring is by a computer based auto-scored multivariate scoring system developed by the manufacturers.
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5 years
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Aerobic Exercise Induced Changes in Cardio Pulmonary Fitness
Tidsramme: 4 to 30 weeks depending on the duration of rehabilitation coverage.
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Ventilatory Threshold (aerobic capacity)
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4 to 30 weeks depending on the duration of rehabilitation coverage.
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Aerobic Exercise Induced Changes in Neuroplasticity responses to exercise
Tidsramme: 4 to 30 weeks depending on the duration of rehabilitation coverage.
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Selected analytes will be evaluated from serum.
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4 to 30 weeks depending on the duration of rehabilitation coverage.
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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Genetic polymorphisms involved in Inflammatory and neuroplasticity responses to aerobic exercise.
Tidsramme: 4 to 30 weeks depending on the duration of rehabilitation coverage.
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Genetic material will be obtained.
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4 to 30 weeks depending on the duration of rehabilitation coverage.
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Aerobic Exercise Induced Changes in Depression Symptoms
Tidsramme: 4 to 30 weeks depending on the duration of rehabilitation coverage.
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Beck Depression Inventory
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4 to 30 weeks depending on the duration of rehabilitation coverage.
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Andre resultatmål
Andre resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Verbal Memory
Tidsramme: 4 to 30 weeks depending on the duration of rehabilitation coverage.
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California Verbal Learning Test (CVLT II).
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4 to 30 weeks depending on the duration of rehabilitation coverage.
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Visual Search/Processing Speed
Tidsramme: 4 to 30 weeks depending on the duration of rehabilitation coverage.
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Trail Making
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4 to 30 weeks depending on the duration of rehabilitation coverage.
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Quality of Life
Tidsramme: 4 to 30 weeks depending on the duration of rehabilitation coverage.
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Quality of Life in Neurological Disorders (Neuro-QoL)
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4 to 30 weeks depending on the duration of rehabilitation coverage.
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Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Efterforskere
Efterforskere
- Ledende efterforsker: Grace S Griesbach, PhD, Centre for Neuro Skills
Publikationer og nyttige links
Generelle publikationer
- Alsalaheen BA, Mucha A, Morris LO, Whitney SL, Furman JM, Camiolo-Reddy CE, Collins MW, Lovell MR, Sparto PJ. Vestibular rehabilitation for dizziness and balance disorders after concussion. J Neurol Phys Ther. 2010 Jun;34(2):87-93. doi: 10.1097/NPT.0b013e3181dde568.
- Griesbach GS, Hovda DA, Molteni R, Wu A, Gomez-Pinilla F. Voluntary exercise following traumatic brain injury: brain-derived neurotrophic factor upregulation and recovery of function. Neuroscience. 2004;125(1):129-39. doi: 10.1016/j.neuroscience.2004.01.030.
- Hellawell DJ, Taylor RT, Pentland B. Cognitive and psychosocial outcome following moderate or severe traumatic brain injury. Brain Inj. 1999 Jul;13(7):489-504. doi: 10.1080/026990599121403.
- Ashman TA, Gordon WA, Cantor JB, Hibbard MR. Neurobehavioral consequences of traumatic brain injury. Mt Sinai J Med. 2006 Nov;73(7):999-1005.
- Chamelian L, Feinstein A. Outcome after mild to moderate traumatic brain injury: the role of dizziness. Arch Phys Med Rehabil. 2004 Oct;85(10):1662-6. doi: 10.1016/j.apmr.2004.02.012.
- Agrawal M, Joshi M. Impact of rehabilitation on functional outcome during the first year of moderate and severe traumatic brain injury. Brain Inj. 2014;28(3):292-7. doi: 10.3109/02699052.2013.865266. Epub 2013 Dec 30.
- Griesbach GS, Kreber LA, Harrington D, Ashley MJ. Post-acute traumatic brain injury rehabilitation: effects on outcome measures and life care costs. J Neurotrauma. 2015 May 15;32(10):704-11. doi: 10.1089/neu.2014.3754. Epub 2015 Feb 11.
- Chandrasekhar SS. The assessment of balance and dizziness in the TBI patient. NeuroRehabilitation. 2013;32(3):445-54. doi: 10.3233/NRE-130867.
- Ridgel AL, Vitek JL, Alberts JL. Forced, not voluntary, exercise improves motor function in Parkinson's disease patients. Neurorehabil Neural Repair. 2009 Jul-Aug;23(6):600-8. doi: 10.1177/1545968308328726. Epub 2009 Jan 8.
Datoer for undersøgelser
Studer store datoer
Studiestart
Studiestart
Primær færdiggørelse (Forventet)
Primær færdiggørelse
Studieafslutning (Forventet)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- AER-TBI1
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .
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