Trial Outcomes & Findings for Effect of Exercise Training on Physical, Cognitive, and Behavioral Function in People With TBI (NCT NCT02504866)

NCT ID: NCT02504866

Last Updated: 2023-11-18

Results Overview

Trail Making Test (TMT) is a neuropsychological assessment of visual conceptual and visual motor tracking (involves motor speed and attention functions). Trail Making Test Part B (TMT-B) is associated with executive functioning and involves drawing a line connecting alternating numbers and letters in sequence (i.e., 1-A-2-B and so on). The time to complete the test is recorded. The time taken to complete the test was converted into standardized T-scores, representing a mean of 50 and a standard deviation of 10. Higher T-scores mean less cognitive deficits. The change in cognitive function was reported as the change in TMT-B T-scores across the 12 weeks (post minus pre intervention).

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

20 participants

Primary outcome timeframe

Before (pre) and after (post) 12 weeks intervention

Results posted on

2023-11-18

Participant Flow

Of the 20 subjects consented, four subjects withdrew prior to being randomized, five subjects were screen failures. Three of the four subjects from the Waitlist Control arm (CON) were further randomized to either AET or RET

Participant milestones

Participant milestones
Measure
Aerobic Exercise Intervention (AET)
Participant with traumatic brain injury performed aerobic exercise on an elliptical trainer at a vigorous intensity for 30 minutes three times a week for 12 weeks
Rapid-Resistive Exercise Intervention (RET)
Participant with traumatic brain injury performed rapid reciprocal exercise on an elliptical trainer at light to moderate intensity for 30 minutes three times a week for 12 weeks
Waitlist Control (CON)
Participant with traumatic brain injury were waitlisted and did not perform any exercise intervention in the first 12 weeks. They were randomized to either Aerobic Exercise Intervention (AET) or Rapid-Resistive Exercise Intervention (RET) after the initial 12 weeks.
3-Month Follow up
STARTED
4
3
4
3-Month Follow up
COMPLETED
4
3
4
3-Month Follow up
NOT COMPLETED
0
0
0
6-Month Follow up (CON Group Only)
STARTED
1
2
0
6-Month Follow up (CON Group Only)
COMPLETED
0
2
0
6-Month Follow up (CON Group Only)
NOT COMPLETED
1
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Aerobic Exercise Intervention (AET)
Participant with traumatic brain injury performed aerobic exercise on an elliptical trainer at a vigorous intensity for 30 minutes three times a week for 12 weeks
Rapid-Resistive Exercise Intervention (RET)
Participant with traumatic brain injury performed rapid reciprocal exercise on an elliptical trainer at light to moderate intensity for 30 minutes three times a week for 12 weeks
Waitlist Control (CON)
Participant with traumatic brain injury were waitlisted and did not perform any exercise intervention in the first 12 weeks. They were randomized to either Aerobic Exercise Intervention (AET) or Rapid-Resistive Exercise Intervention (RET) after the initial 12 weeks.
6-Month Follow up (CON Group Only)
Adverse Event
1
0
0

Baseline Characteristics

Effect of Exercise Training on Physical, Cognitive, and Behavioral Function in People With TBI

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Aerobic Exercise Intervention (AET)
n=4 Participants
Participant with traumatic brain injury performed aerobic exercise on an elliptical trainer at a vigorous intensity for 30 minutes three times a week for 12 weeks
Rapid-Resistive Exercise Intervention (RET)
n=3 Participants
Participant with traumatic brain injury performed rapid reciprocal exercise on an elliptical trainer at light to moderate intensity for 30 minutes three times a week for 12 weeks
Waitlist Control (CON)
n=4 Participants
Participant with traumatic brain injury were waitlisted and did not perform any exercise intervention in the first 12 weeks. They were randomized to either AET or RET after the initial 12 weeks.
Total
n=11 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Age, Categorical
Between 18 and 65 years
3 Participants
n=5 Participants
3 Participants
n=7 Participants
4 Participants
n=5 Participants
10 Participants
n=4 Participants
Age, Categorical
>=65 years
1 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
4 Participants
n=4 Participants
Sex: Female, Male
Male
1 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
7 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
4 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
9 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
1 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
White
3 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
7 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
3 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants

PRIMARY outcome

Timeframe: Before (pre) and after (post) 12 weeks intervention

Population: The analyses included only those subjects who completed TMT-B at baseline and 3-month follow-up time points.

Trail Making Test (TMT) is a neuropsychological assessment of visual conceptual and visual motor tracking (involves motor speed and attention functions). Trail Making Test Part B (TMT-B) is associated with executive functioning and involves drawing a line connecting alternating numbers and letters in sequence (i.e., 1-A-2-B and so on). The time to complete the test is recorded. The time taken to complete the test was converted into standardized T-scores, representing a mean of 50 and a standard deviation of 10. Higher T-scores mean less cognitive deficits. The change in cognitive function was reported as the change in TMT-B T-scores across the 12 weeks (post minus pre intervention).

Outcome measures

Outcome measures
Measure
Aerobic Exercise Intervention (AET)
n=4 Participants
Participant with traumatic brain injury performed aerobic exercise on an elliptical trainer at a vigorous intensity for 30 minutes three times a week for 12 weeks
Rapid-Resistive Exercise Intervention (RET)
n=3 Participants
Participant with traumatic brain injury performed rapid reciprocal exercise on an elliptical trainer at light to moderate intensity for 30 minutes three times a week for 12 weeks
Waitlist Control (CON)
n=4 Participants
Participant with traumatic brain injury were waitlisted and did not perform any exercise intervention in the first 12 weeks. They were randomized to either AET or RET after the initial 12 weeks.
Change in Cognitive Function as Measured by Trail Making Test Part B (TMT-B)
4.5 T-score
Standard Deviation 3.7
-6.33 T-score
Standard Deviation 29.02
-6.75 T-score
Standard Deviation 17.17

Adverse Events

Aerobic Exercise Intervention (AET)

Serious events: 1 serious events
Other events: 3 other events
Deaths: 0 deaths

Rapid-Resistive Exercise Intervention (RET)

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Waitlist Control (CON)

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Aerobic Exercise Intervention (AET)
n=5 participants at risk
Participant with traumatic brain injury performed aerobic exercise on an elliptical trainer at a vigorous intensity for 30 minutes three times a week for 12 weeks
Rapid-Resistive Exercise Intervention (RET)
n=5 participants at risk
Participant with traumatic brain injury performed rapid reciprocal exercise on an elliptical trainer at light to moderate intensity for 30 minutes three times a week for 12 weeks
Waitlist Control (CON)
n=4 participants at risk
Participant with traumatic brain injury were waitlisted and did not perform any exercise intervention in the first 12 weeks.
Cardiac disorders
Myocardial infarction
20.0%
1/5 • 9 months
0.00%
0/5 • 9 months
0.00%
0/4 • 9 months

Other adverse events

Other adverse events
Measure
Aerobic Exercise Intervention (AET)
n=5 participants at risk
Participant with traumatic brain injury performed aerobic exercise on an elliptical trainer at a vigorous intensity for 30 minutes three times a week for 12 weeks
Rapid-Resistive Exercise Intervention (RET)
n=5 participants at risk
Participant with traumatic brain injury performed rapid reciprocal exercise on an elliptical trainer at light to moderate intensity for 30 minutes three times a week for 12 weeks
Waitlist Control (CON)
n=4 participants at risk
Participant with traumatic brain injury were waitlisted and did not perform any exercise intervention in the first 12 weeks.
Cardiac disorders
Arrhythmia
0.00%
0/5 • 9 months
0.00%
0/5 • 9 months
25.0%
1/4 • 9 months
Endocrine disorders
hypoglycaemia
0.00%
0/5 • 9 months
20.0%
1/5 • 9 months
0.00%
0/4 • 9 months
Musculoskeletal and connective tissue disorders
Arthritis
40.0%
2/5 • 9 months
0.00%
0/5 • 9 months
0.00%
0/4 • 9 months
Musculoskeletal and connective tissue disorders
Back pain
0.00%
0/5 • 9 months
20.0%
1/5 • 9 months
0.00%
0/4 • 9 months
Musculoskeletal and connective tissue disorders
Metatarsalgia
20.0%
1/5 • 9 months
0.00%
0/5 • 9 months
0.00%
0/4 • 9 months
Musculoskeletal and connective tissue disorders
Myalgia
0.00%
0/5 • 9 months
20.0%
1/5 • 9 months
0.00%
0/4 • 9 months
Nervous system disorders
Headache
0.00%
0/5 • 9 months
20.0%
1/5 • 9 months
0.00%
0/4 • 9 months
Nervous system disorders
Presyncope
20.0%
1/5 • 9 months
20.0%
1/5 • 9 months
0.00%
0/4 • 9 months
Psychiatric disorders
suicidal ideation
0.00%
0/5 • 9 months
20.0%
1/5 • 9 months
0.00%
0/4 • 9 months

Additional Information

Damiano, Diane

Clinical Center

Phone: +1 301 451 7544

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place