Category: Brain Injury; Lifestyle Medicine
Engaging in routine physical activity and exercise is important to overall health. Given the impact of a traumatic brain injury (TBI) on cognitive and physical functioning, regular exercise may be negatively impacted. Needed is an understanding of the factors that disrupt exercise and physical activity participation across recovery. Thus, the objective of the current study was to identify the unique barriers that interfere with regular exercise among survivors of TBI at pre-injury, 6, 12, and 24 months post-injury.
Multi-center, prospective cohort, observational design.
Inpatient and community-based.
Participants (or Animals, Specimens, Cadavers) :
N = 209 survivors of TBI (75.5% male; M age = 41 years old [SD = 17.02]) participating in the Traumatic Brain Injury Model Systems (TBIMS) Center study.
Interventions : Not applicable.
Main Outcome Measure(s) :
Barriers to Physical Activity and Disability (BPAD).
The top 3 barriers to regular exercise at pre-injury were lack of: time (62.6%), lack of interest (54.8%) and motivation (52.2%). At 6 months post-injury, health concerns (65.7%), followed by pain (61.9%), and cost (50%) were the top three barriers. At 12-months, health concerns (51.9%), lack of energy (50.9%), and motivation (48.1%) were the most pressing. Finally, at 2-years post-injury, the top barriers were lack of motivation (51.3%), health concerns (50.6%), and lack of energy (46.2%).
Conclusions : The findings highlight the unique barriers to exercise at different time points across recovery post-TBI. These findings have implications for health promotion and wellness efforts to prevent secondary health conditions (e.g., obesity) and to enhance overall health among survivors of TBI across recovery. Addressing these issues over the course of recovery will help to provide more comprehensive rehabilitation.
Christina DiBlasio– Graduate Student, University of Alabama at Birmingham, Birmingham, Alabama
Thomas Novack– Professor, Physical Medicine and Rehabilitation, University of Alabama at Birmingham, Birmingham, Alabama
Jennifer Bogner– Professor, Ohio State University, Carroll, Ohio
Doug Johnson-Greene– Professor and Vice Chairman, University of Miami, Miami, Florida
Elizabeth Felix– Associate Professor, University of Miami, Miami, Florida
Dave Mellick– Research Associate & Data Core Director for the TBI Model Systems National Data and Statistical Center, Craig Hospital, Englewood, Colorado
John Corrigan– Professor, The Ohio State University, Columbus, Ohio
Richard Kennedy– Assistant Professor, The University of Alabama at Birmingham, Trussville, Alabama
Molly Cox– Clinical Researcher/Interventionist, University of Alabama at Birmingham, Birmingham, Alabama
Laura Dreer– Associate Professor, Universtity of Alabama at Birmingham, Birmingham, Alabama