Objective: To evaluate the impact of an exercise intervention on mood after traumatic brain
injury (TBI). Design: Randomized controlled trial. Setting: Community. Participants: 80 sedentary subjects 6 months to 5 years after TBI randomized to exercise versus
wait-list control. Interventions: Subjects participated in a 10-session intervention with individualized exercise and
education. Main Outcome Measures: Beck Depression Inventory (BDI), 7-day exercise recall, Craig Handicap and Assessment
Technique (CHART), Perceived Quality of Life (PQOL), and Pittsburgh Sleep Quality
Index (PSQI). Results: The exercise group reported an increased number of days per week of exercise compared
with controls (P=.004), but mood did not differ by group. To further explore the relationship between
exercise and mood, we examined both treatment and control subject data at 10 weeks.
Those who exercised more than 90 minutes a week had significantly lower BDI scores
(P=.03), increased participation (CHART, P=.03), higher quality of life (PQOL, P=.03), and improved sleep (PSQI, P=.02) compared with those who exercised less than 90 minutes a week. Conclusions: Those who exercised in both groups reported better mood, participation, quality of
life, and sleep. More effective exercise promotion interventions are needed for this
population.
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Disclosure: None declared.
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Copyright
© 2008 The American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved.